Advertisement

Dermatological Anal Diseases

  • M. Harms
Chapter

Abstract

Numerous cutaneous diseases (Table 22.1) are localized in the perianal and perineal area. This may be partly explained by the fact that many external irritative and infectious factors increase the probability of dermatosis becoming established in this intertriginous area. Other dermatoses are very often situated in this region for unknown reasons, and finally dermatoses may be localized in the perianal area by chance. This last group will not be discussed here. Differential diagnosis is made difficult by the great number of diseases and their similarity in appearance, as external factors may transform the characteristic signs of many of them. However, only an exact diagnosis allows the correct treatment to be chosen and avoids the use of combined topical treatments that are often responsible for chronic diseases. Table 22.2 should be used for differential diagnosis.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Alrabiah FA, Sacks SL (1996) New antiherpesvirus agents. Their targets and therapeutic potential. Drugs 52:17–32PubMedCrossRefGoogle Scholar
  2. 2.
    Alexander-Williams J (1983) Pruritus ani. Br Med J [Clin Res] 287(2):159–160CrossRefGoogle Scholar
  3. 3.
    Dafforn-Ierodiaconou E (1983) Greek babies’ bottoms. Br Med J 287: 764CrossRefGoogle Scholar
  4. 4.
    Flynt J, Gallup DG (1979) Childhood lichen sclerousus. Ob-stet Gynecol 53 [Suppl 3]:79S–81SGoogle Scholar
  5. 5.
    Gross G, Gissmann L (1986) Urogenitale and anale Papillom-virusinfektion. Hautarzt 37:587–596PubMedGoogle Scholar
  6. 6.
    Gross G, Roussaki A, Schoepf E (1986) Successful treatment of condylomata acuminata and bowenoid papulosis with subcutaneous injections of low-dose recombinant interferon. Arch Dermatol 122:749–750PubMedCrossRefGoogle Scholar
  7. 7.
    Grosshans E (1986) Thalidomide. In: Saurat JH, Grosshans E, Laugier P, Lachapelle JM (eds) Precis de dermatologie et venerologie. Masson, Paris, p 640Google Scholar
  8. 8.
    Habif TP (1985) Clinical dermatology: a color guide to diagnosis and therapy. Mosby, St Louis, pp 214–215Google Scholar
  9. 9.
    Laplance G, Grosshans E, Heid E, Jaeck D, Welsch M (1984) Ulcerations ano-rectovaginales par suppositoires contenant du dextropropoxyphene. Ann Dermatol Venereol 11:347–355Google Scholar
  10. 10.
    Lowenhagen GB, Michaelsson G, Mobacken H et al. (1982) Effect of etretinate (RO 10–9359) on Darier’s disease. Der-matologica 165: 123–130Google Scholar
  11. 11.
    Lyman CA, Walsh TJ (1992) Systemically administered antifungal agents. A review of their clinical pharmacology and therapeutic applications. Drugs 44:9–35PubMedCrossRefGoogle Scholar
  12. 12.
    Michel B (1982) Commentary: Hailey-Hailey disease. Familial benign chronic pemphigus. Arch Dermatol 118:781–783CrossRefGoogle Scholar
  13. 13.
    Neiger A (1985) Manifestations anales et perianales de la maladie de Crohn. Hexagone Roche 13 [Suppll]:I–IVGoogle Scholar
  14. 14.
    Orfanos CE (1987) The retinoid: a review of their clinical pharmacology and therapeutic use. Drugs 34:459–503PubMedCrossRefGoogle Scholar
  15. 15.
    Penneys NS, Hicks B (1985) Unusual cutaneous lesions associated with acquired immunodeficiency syndrome. J Am Acad Dermatol 13:845–852PubMedCrossRefGoogle Scholar
  16. 16.
    Poffet D, Harms M (1983) Pratique de la corticotherapie locale. Praxis 72:721–726PubMedGoogle Scholar
  17. 17.
    Raab WPF (1980) The treatment of mycosis with imidazole derivatives. Springer, Berlin Heidelberg New York, p. 122CrossRefGoogle Scholar
  18. 18.
    Reuler JB, Cooney TG (1981) The pressure sore: pathophysiology and principals of management. Ann Intern Med 94:661–666PubMedCrossRefGoogle Scholar
  19. 19.
    Richtsmeier WJ, Johns ME (1979) Actinomycosis of the head and neck. CRC Crit Rev Clin Lab Sci 11:175–202PubMedCrossRefGoogle Scholar
  20. 20.
    Saurat JH (1986) Le psoriasis. In: Saurat JH, Grosshans E, Laugier P, Lachapelle JM (eds) Precis de dermatologie et venerologie. Masson, Paris, p 149Google Scholar
  21. 21.
    Saurat JH (1986) Inosine, acedobene, dimepranol (Isopri-nosine). In: Saurat JH, Grosshans E, Laugier P, Lachapelle JM (eds) Precis de dermatologie et venerologie. Masson, Paris, p 636Google Scholar
  22. 22.
    Seigal TB, Lopez C, Hammer GS, Brown AE, Komfeld SJ (1981) Severe acquired immunodeficiency in male homosexuals manifested by chronic perianal ulcerative herpes simplex lesions. N Engl J Med 305:1439–1444CrossRefGoogle Scholar
  23. 23.
    Silva PD, Micha JP, Silva DG (1985) Management of condyloma acuminatum. J Am Acad Dematol 13:457–463CrossRefGoogle Scholar
  24. 24.
    Steger JW, Lzuno GT (1979) Acute zinc depletion syndrome during parenteral hyperalimentation. Int J Dermatol 18: 472–479PubMedCrossRefGoogle Scholar
  25. 25.
    Stein E (1986) Proktologie. Lehrbuch und Atlas. Springer, Berlin Heidelberg New YorkGoogle Scholar
  26. 26.
    Strauss SE (1985) Herpes simplex virus infection: biology, treatment, and prevention. Ann Intern Med 103:404–419CrossRefGoogle Scholar
  27. 27.
    Wienert V (1985) Diagnose und Therapie des Analekzems. Hautarzt 36:232–233PubMedGoogle Scholar
  28. 28.
    Wienert V, Grussendorf EI (1980) Anokutaner Ergotismus gangraenosus. Hautarzt 31:668–670PubMedGoogle Scholar
  29. 29.
    Wong RC, Ellis CN, Diaz LA (1984) Behçet’s disease. Int J Dermatol 23:25–32PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1998

Authors and Affiliations

  • M. Harms

There are no affiliations available

Personalised recommendations