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

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