Abstract
Perianal disease is a well-known complication of Crohn”s disease (CD). It is usually associated with a poorer prognosis and frequently requires an intensive therapeutic approach. However, patients with ulcerative colitis (UC) may also have perianal problems to the extent that they represent a relevant aspect of the disease, associated with patient discomfort and worsening of his or her health. For instance, hemorrhoidal bleeding may mimic a relapse of UC, causing anxiety and the risk of inappropriate treatment. Perianal disease (PAD), in the form of perianal fistulas and abscesses, may develop and progress up to severe perianal septic conditions if unrecognized, especially in patients taking immunosuppressants. Furthermore, in UC patients who are candidates for ileal-pouch-anal-anastomosis (IPAA), the recognition and treatment of perianal conditions may be a prognostically relevant issue.
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Maconi, G., Bezzio, C., Ardizzone, S. (2013). Ulcerative Colitis. In: Tonolini, M., Maconi, G. (eds) Imaging of Perianal Inflammatory Diseases. Springer, Milano. https://doi.org/10.1007/978-88-470-2847-0_5
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DOI: https://doi.org/10.1007/978-88-470-2847-0_5
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