![]() Dermatological aspects of anorectal disease. The mycotic flora in proctological patients with and without pruritus ani. Pruritus ani: is anal sphincter dysfunction important in aetiology? Br Med J 1979 2(6204):1549–1551.ĭodi G, Pirone E, BettinA, et al. Abnormal transient internal sphincter relaxation in idiopathic pruritus ani: physiological evidence from ambulatory monitoring. Dis Colon Rectum 1982 25(4):358–363.Īllan A, Ambrose NS, Silverman S, Keighley MR. Prospective studies on the etiology and treatment of pruritus ani. The irritant role of feces in the genesis of perianal itch. Dermographic pruritus: invisible dermographism. J Am Acad Dermatol 1994 31(6): 1040–1041.īernhard JD, Kligman AM, Shelley WB. Clinical pearl: symptomatic dermatographism as a cause of genital pruritus. New York: Thieme Medical Publishers 1998. Itch: mechanisms and management of pruritus. Cambridge: Harvard University Press 1987.īernhard JD. Quiddities: An Intermittently Philosophical Dictionary. Pruritus ani and its management: a study and reappraisal. This process is experimental and the keywords may be updated as the learning algorithm improves.ĭaniel GL, Longo WE, AM Vernava 3rd. These keywords were added by machine and not by the authors. The diagnoses included 11% with rectal cancer, 6% with anal canal cancer, and 2% with colon cancer, although the majority of patients had hemorrhoids or fissure. Louis University series in which a study of 209 patients with the presenting symptom of pruritus over a 2-year period revealed that 75% of patients had coexisting anal or colorectal pathology. The importance of complete, accurate evaluation is emphasized by a St. Implicit in this strategy is the ability to properly examine the anus with appropriate instruments and bright light and to understand diseases peculiar to the anal area, hence, the importance of the colorectal surgeon who has the skills to accomplish this task. This chapter’s objective is to lay out a strategy to facilitate accurate diagnosis and successful treatment of perianal and anal skin conditions. Recognition of important treatable causes requires a disciplined, organized approach to diagnosis with frequent use of biopsy. Successful treatment of perianal disease requires accurate diagnosis to eliminate diseases that have specific cause and treatment (e.g., psoriasis, candida, Bowen’s disease). This list includes a variety of diagnoses, which almost never present as isolated perianal disease, but there are common diseases such as psoriasis that may present in isolation without obvious ties to other areas of the body unless a careful search is made. The differential diagnosis of perianal skin is presented in Table 16-1. Perianal skin is subject to virtually all of the diseases that affect skin in other areas of the body.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |