Related Experiment Video
Updated: Feb 18, 2026
12:34
Author Spotlight: Exploring ShiDuGao's Multi-Target Approach in Anus Eczema Treatment
Published on: January 12, 2024
1.3K
Perianal Ulcer in an Asian Man
Nilanthy Sharon Anthony Pillai1, Choon Chiat Oh2, Michelle Chan Mei Fung3
1Department of Dermatology, Singapore General Hospital, Singapore.
Skinmed
|November 16, 2017
Summary
A persistent, itchy perianal ulcer in an elderly man resisted standard antibiotics. This case highlights the need for considering less common diagnoses for refractory perianal lesions.
Area of Science:
- Dermatology
- Infectious Diseases
Background:
- A 79-year-old male presented with a 2-month history of pruritic and tender perianal ulceration.
- Initial treatment with amoxicillin/clavulanic acid and vancyclovir yielded no improvement.
Observation:
- Physical examination revealed a solitary, 1.5-cm shallow ulcer with an erythematous base on the buttock cleft.
- The ulcer was described as pink and tender.
Findings:
- The patient's history included hypertension.
- The refractory nature of the ulcer suggests a diagnosis beyond typical bacterial infections.
Implications:
- This case underscores the importance of a comprehensive differential diagnosis for persistent perianal ulcers.
- Further investigation is warranted to determine the underlying etiology and guide appropriate treatment.
Related Concept Videos
01:25Assessment of the Rectum and Anus
1.4K
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
1.4K
01:21Inflammatory Bowel Disease V: Surgical Management
728
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
728
01:30Peptic Ulcer Disease I: Introduction
905
Peptic Ulcer Disease (PUD) is characterized by mucosal excavation in the esophagus, stomach, pylorus, or duodenum. It can manifest as acute or chronic based on the extent and duration of mucosal involvement.
An acute ulcer, marked by superficial erosion and minimal inflammation, swiftly resolves upon identifying and addressing the underlying cause. In contrast, a chronic ulcer persists, potentially eroding through the muscular wall and forming fibrous tissue.
Peptic ulcers can also be...
An acute ulcer, marked by superficial erosion and minimal inflammation, swiftly resolves upon identifying and addressing the underlying cause. In contrast, a chronic ulcer persists, potentially eroding through the muscular wall and forming fibrous tissue.
Peptic ulcers can also be...
905
01:26Peptic Ulcer Disease IV: Management
546
Medical treatment strategies for peptic ulcers encompass various methods. The primary goal of treatment is to diminish gastric acidity and strengthen mucosal defense mechanisms.
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
546