Presençca de condiloma lata em criançcas com síilis

Introducao: doencas sexualmente transmissiveis sao verdadeiras epidemias e a sifilis vem causando danos ao longo da historia, so se comparando com a aids. Objetivo: relatar tres casos de sifilis em criancas, com manifestacao clinica inicial de condiloma lata. Metodo: relato de caso por revisao de prontuarios de criancas acompanhadas no Hospital Infantil Nossa Senhora da Gloria. Caso 1: L, 9 anos, masculino, lesao em regiao anal sugestiva de condiloma lata. Avaliacao medico-legal nao evidenciou sinais de abuso sexual. VDRL 1:128, FTA-Abs IgG positivo e IgM negativo, liquor normal com VDRL nao-reator. Mae com VDRL 1:8, FTA-Abs IgG positivo e IgM negativo. Caso 2: G, 5 anos, feminino, lesao condilomatosa perianal, suspeita de abuso sexual nao comprovada por avaliacao medico-legal. VDRL 1:256, liquor normal com VDRL nao-reator. Nao foi realizada sorologia materna Caso 3: K, 4 anos, feminino, lesao condilomatosa perianal. Avaliacao medico-legal nao mostrou sinais de abuso sexual. VDRL 1:256, FTA-Abs IgM reagente, liquor normal com VDRL nao-reator. Nao foi realizada sorologia materna. Nos tres casos nao houve confirmacao da classificacao da doenca, se congenita ou adquirida. Conclusao: ha poucos dados na literatura sobre condiloma lata em criancas e o diagnostico constitui um desafio para o pediatra, pois pode ser confundido com condiloma acuminado do papiloma virus, por este ser mais comum. Alem da importância de reconhecer a lesao condilomatosa da sifilis, e necessario dar enfase a realizacao adequada da assistencia pre-natal, visando reduzir os casos de sifilis congenita. Introduction: sexually transmitted diseases are a real epidemic and Syphilis has been historically provoking terrible harm; perhaps as much harm asaids. Objective: present three cases of syphilis in children, with initial clinical manifestation caused by condyloma lata. Method: case report extracted from children's medical handbooks at Hospital Infantil Nossa Senhora da Gloria. Case 1: L, nine years old, male, lesion at anal region suggesting condyloma lata. Sexual molestation not present according to medical evaluation. VDRL 1:128, FTA-Abs IgG positive and IgM negative, normal liquor with non-reactive VDRL. Mother with VDRL 1:8, FTA-Abs IgG positive and IgM negative. Case 2: Gnb, five years old, female, Condylomatosa lesion at perianal region; sexual molestation suspicion not confirmed according to medical evaluation. VDRL, 1:256, normal liquor with nonreactive VDRL. Maternal sorology not undertaken. Case 3: K, four years old, female, aspects of Condylomatosa lesion at perianal region. Sexual molestation not present according to medical evaluation. VDRL 1:256, FTA-Abs IgG reactive, normal liquor with non-reactive VDRL. Maternal sorology not undertaken. In all three cases, the classification of the disease, congenital or acquired, was not confirmed. Conclusion: there is not many information on the medical literature regarding condyloma lata in children. Hence, it becomes a challenge to pediatricians when diagnosing such disease, mainly because it may be confused with condyloma acuminado of papiloma virus ? this being more frequent. Besides the importance of recognizing the condylomatosa lesion of syphilis, it is necessary to emphasize an adequate pre-natal assistance, aiming the reduction of congenital syphilis.