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M9480161.TXT
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1994-08-09
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Document 0161
DOCN M9480161
TI [Update of anal-perineal and rectal lesions observed in AIDS]
DT 9410
AU Cope R; College de medecine des hopitaux de Paris.
SO Contracept Fertil Sex. 1994 Mar;22(3):187-94. Unique Identifier :
AIDSLINE MED/94290558
AB Anorectal lesions in patients carrying the HIV virus are uncommon (13%,
in our personal life, 1 women/15 men). The following raise the
possibility of AIDS: Kaposi sarcoma, non Hodgkin's lymphoma and also
with the young patients, intraepithelial dysplasia, in situ carcinoma or
squamous carcinoma of the anus. Other anorectal lesions encountered in
proctology, should lead to suspicion of HIV infection: anal involvement
in STD, florid papillomatosis, the most frequent lesion in his serious
form which recur on a interminable bases, extensive and chronic herpes,
lesions refractory to standard treatment, megalovirus and ulcers. Date
by history indicating sexual habits, toxicomania as well as the
existence of chronic diarrhea and full physical examination scoking
enlarged lymph nodes are all factors to be taken into consideration in
support of the diagnosis. Apart from painful emergencies justifying
immediate surgery, indications for surgery should be weighed in terms of
the patient's general condition, the stage of advancement of the disease
and expected benefit in terms of patient comfort.
DE Acquired Immunodeficiency Syndrome/*COMPLICATIONS Anus
Diseases/CLASSIFICATION/DIAGNOSIS/EPIDEMIOLOGY/ETIOLOGY/ THERAPY
Biopsy Diagnosis, Differential Emergencies English Abstract Female
Human Male Medical History Taking Perineum Physical Examination
Rectal Diseases/CLASSIFICATION/*COMPLICATIONS/*DIAGNOSIS/
EPIDEMIOLOGY/THERAPY JOURNAL ARTICLE REVIEW REVIEW, TUTORIAL
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).