Proctologic management of the HIV-positive patient.
With the adoption of mandatory testing for human immunodeficiency virus (HIV) in military personnel, a large number of HIV-positive individuals have been identified. From January 1986 to February 1988, 677 HIV-positive patients were evaluated at Wilford Hall USAF Medical Center. Most of these patients had disease in the Armed Forces Walter Reed stage I or II. Other sexually transmitted diseases were found in 407 patients (more than 60%). Of 163 patients (24%) with treatable anorectal conditions, 44 had nonsexually related anorectal conditions and 119 had anal condylomata. Patients with disease in early Walter Reed stages I and II did well with therapy of their anorectal diseases. We present our methods of evaluation, infection control, treatment, and results.
Beck
D E
DE
Department of General Surgery, Wilford Hall USAF Medical Center, Lackland AFB, TX 78236.
Jaso
R G
RG
Zajac
R A
RA
D000163:Acquired Immunodeficiency Syndrome / Q000517:prevention & control; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003108:Colonic Diseases / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D003107:Colorectal Surgery / Q000379:methods; D005069:Evaluation Studies as Topic; D005260:Female; D005500:Follow-Up Studies; D006679:HIV Seropositivity / Q000150:complications* / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D012002:Rectal Diseases / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D012189:Retrospective Studies; D012749:Sexually Transmitted Diseases / Q000150:complications / Q000175:diagnosis / Q000628:therapy