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Herpes simples no Serviço de Estomatologia do Hospital São Lucas da PUCRS – estudo epidemiológico

2007; Editora da Pontifícia Universidade Católica do Rio Grande do Sul (EDIPUCRS); Volume: 20; Issue: 50 Linguagem: Inglês

1980-6523

Ana Carolina Stemmer, Karen Cherubini, Maria Antonia Zancanaro de Figueiredo, Liliane Soares Yurgel,

Genital Health and Disease

O presente estudo teve por objetivo investigar o perfil epidemiologico do herpes simples entre os pacientes do Servico de Estomatologia do Hospital Sao Lucas da PUCRS. Foram analisados 167 prontuarios dos quais 98 (58,68%) tiveram diagnostico de gengivoestomatite herpetica primaria e 69 (41,32%) de herpes recorrente. As variaveis idade e sexo dos pacientes, sintomas da manifestacao herpetica, sitios anatomicos afetados, linfadenopatia e complicacoes, bem como tratamento empregado foram analisadas. Na gengivoestomatite herpetica, 69,38% dos pacientes tinham entre 0 e 20 anos de idade, ja no herpes recorrente 41,42% dos pacientes tinham entre 21 e 40 anos. O sexo feminino foi o mais acometido tanto pela doenca primaria quanto pela recorrente. Entre os sitios da cavidade bucal destacaram-se lingua e gengiva para a doenca primaria, e o vermelhao dos labios para a secundaria. Os sintomas mais frequentes da primoinfeccao foram febre e dor, ja nas lesoes recorrentes, destacaram-se dor e ardencia. Todos os pacientes exibiram linfadenopatia. Analgesicos e antitermicos foram as principais drogas no tratamento da gengivoestomatite herpetica primaria, enquanto, para o herpes recorrente, foram os anti-septicos e antivirais. UNITERMOS: herpes simples; herpes recorrente; herpes labial; estomatite herpetica; herpesviridae SUMMARY The aim of this work was to investigate the epidemiological profile of Herpes simplex at Stomatology Division of Hospital Sao Lucas-PUCRS. Records of 167 patients were reviewed: 98 (58,68%) of them were primary herpetic gingivostomatitis patients and 69 (41,32%) were recurrent herpes patients. Age, sex, symptoms, anatomical sites affected, complications, lymphadenopathy and treatment were analyzed. Results showed that 69,38% of primary herpetic gingivostomatitis patients were under age of 21 years, while 41,42% of recurrent herpes patients were between 21 and 40 years of age. Females were more affected than males by both primary and secondary disease. The most commonly involved anatomical sites were tongue and gums in primary herpetic gingivostomatitis and lip vermilion in recurrent herpes. Fever and pain were the major symptoms in primoinfection as well as pain and burning in recurrent lesions. Treatment most often employed for primary herpetic gingivostomatitis included analgesics and antipyretics, but recurrent herpes was most often treated with antiseptics and antiviral drugs. UNITERMS: herpes simplex; recurrent herpes; herpes labialis; gingivostomatitis; herpesviridae.