| Popis: |
Resumo Objetivo: Apresentar um caso de sindrome nefrotica, secundaria a sifilis, mimetizando Lupus Eritematoso Sistemico. Relato do caso: Mulher jovem, de 26 anos, evoluiu com ulceras orais dolorosas, artralgia e sindrome nefrotica, sendo aventada, inicialmente, a possibilidade de doenca autoimune. Os resultados dos exames laboratoriais afastaram a possibilidade de lupus eritematoso sistemico e confirmaram o diagnostico de sifilis. Consideracoes finais: A presenca de sindrome nefrotica, em paciente jovem do genero feminino, deve suscitar a investigacao da historia sexual pregressa, sendo a sifilis uma possibilidade obrigatoria nesta investigacao, a qual pode mimetizar o LES, retardando o diagnostico precoce e o tratamento eficaz. Palavras-chave: Lupus eritematoso sistemico. Sindrome nefrotica. Sifilis Abstract Objective: To present a case of nephrotic syndrome, secondary to syphilis, mimicking systemic lupus erythematosus. Case report: 26-year-old woman who developed painful oral ulcers, arthralgia and nephrotic syndrome, and the possibility of autoimmune disease was initially suggested. The results of the laboratory tests removed the possibility of systemic lupus erythematosus and confirmed the diagnosis of syphilis. Final considerations: The presence of nephrotic syndrome in a young female patient should trigger the investigation of previous sexual history, and syphilis is a mandatory possibility in this investigation, which can mimic SLE, delaying early diagnosis and effective treatment. Keyword: Systemic lupus erythematosus. Nephrotic syndrome. Syphilis. |
