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Diagnosis of Hirschsprung's Disease by Immunostaining Rectal Suction Biopsies for Calretinin, S100 Protein and Protein Gene Product 9.5
Published on: April 26, 2019
Rectal syphilis mimicking rectal cancer
Jae Myung Cha1, Sung Il Choi, Joung Il Lee
1Department of Internal Medicine, East-West Neo Medical Center, Kyung Hee University College of Medicine, Seoul, Korea.
Yonsei Medical Journal
|March 2, 2010
Summary
Rectal syphilis can mimic rectal cancer, presenting diagnostic challenges due to varied symptoms. Early recognition by gastroenterologists, considering sexual history, is crucial for accurate diagnosis and treatment of this great masquerader.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Syphilology
Background:
- Rectal syphilis is often misdiagnosed due to its diverse clinical presentations.
- Gastroenterologists must consider rectal syphilis in patients with anorectal ulcers.
- A thorough sexual history, including practices and sexual orientation, is essential for diagnosis.
Observation:
- A rare case of primary rectal syphilis is presented.
- The condition mimicked rectal cancer on radiologic imaging.
- Clinical, endoscopic, and radiologic features were documented.
Findings:
- Rectal syphilis can present with symptoms that closely resemble rectal cancer.
- Diagnostic imaging may be misleading in cases of rectal syphilis.
- Variable symptoms necessitate a high index of suspicion.
Implications:
- Increased awareness among gastroenterologists can improve early detection of rectal syphilis.
- Prompt diagnosis prevents delayed treatment and potential complications.
- Understanding the masquerading nature of rectal syphilis is key for effective patient management.
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