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[Anorectal manifestations in systemic diseases].

A Egal1, J London2, O Lidove2

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|August 12, 2019
PubMed
Summary

Systemic diseases like vasculitis and sarcoidosis can affect the perianal area, rectum, and anus. Early detection and specialist follow-up are crucial for managing these rare but serious anorectal manifestations.

Keywords:
AnusConnectivitesFecal incontinenceIncontinence analeRectumSarcoïdoseSarcoïdosisUlcerationsUlcérationsVascularitesVasculitiscConnective tissue diseases

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Area of Science:

  • Gastroenterology
  • Proctology
  • Rheumatology

Background:

  • Systemic diseases frequently involve the perianal skin, rectum, and anus.
  • Anorectal manifestations of systemic diseases can lead to severe complications like perforation and fistulas.
  • Recognizing these signs is vital for comprehensive patient management.

Purpose of the Study:

  • To highlight the importance of identifying systemic disease involvement in the anorectum.
  • To emphasize the need for specific treatment and management strategies.
  • To underscore the necessity of regular proctological and gastroenterological follow-up.

Main Methods:

  • Review of clinical presentations of systemic diseases affecting the anorectum.
  • Differential diagnosis considerations, including infectious and inflammatory conditions.
  • Case examples illustrating specific manifestations like anal incontinence in scleroderma.

Main Results:

  • Systemic diseases (vasculitis, connective tissue disease, sarcoidosis) can manifest in the perianal region.
  • Anorectal lesions may result in serious complications, including perforation and fistulization.
  • Specific conditions like scleroderma can cause anal incontinence.

Conclusions:

  • Awareness of anorectal manifestations of systemic diseases is essential for effective patient care.
  • Prompt detection and specialist consultation (proctologist, gastroenterologist) are critical.
  • Integrated management is necessary for patients with complex systemic diseases impacting the anorectum.