Incontinência pigmentar e sífilis congênita: relato de caso

Abstract

Objectives: Incontinentia pigmenti and congenital syphilis are conditions that affect several body systems and have important manifestations in the oral cavity. The present study aimed to report a case of a child in preschool age diagnosed with incontinentia pigmenti and congenital syphilis, verify the clinical characteristics and main aspects of both conditions and emphasize the importance of a multidisciplinary approach and early dental care. Case report: female child, 3 years old, attended the dental appointment for clinical evaluation. The child was referred by the geneticist for clinical evaluation and dental follow-up at 3 months of age with the suspicion of submucosal cleft palate due to congenital syphilis. During the clinical examination, it was observed that the child had spiral hyperchromic spots following Blaschko's lines on the trunk and linear hypochromic spots on the limbs. In the intraoral examination, incomplete deciduous dentition and agenesis of tooth 82 were observed. Conclusion: despite the rarity of the syndrome, the dentist should be attentive to the early diagnosis, recognize changes in incontinentia pigmenti and congenital syphilis, guide parents about oral health care and monitor the oral condition, considering the possible future manifestations and consequences in the oral cavity, contributing to good health and quality of life. Multidisciplinary care is extremely important.