[Stenosing anal mass and venereal lymphogranuloma].
Anorectal stricture or stenosis can be one of the late manifestations of lymphogranuloma venereum (LGV) and presents symptoms, clinical and/or radiological aspects indistinguishable from rectal neoplasia. In such cases the differential diagnosis of chronic LGV is seldom considered initially. We describe the case of a white male patient travelling frequently to Thaïland, in whom the diagnosis of chronic anorectal LGV was established after exclusion of other causes, in the presence of a positive serology and with a complex clinical and radiological response after 6 weeks' treatment with tetracyclines. We also review a series of similar cases in the literature.
Jeanprêtre
M
M
Clinique et policlinique de dermatologie, Hôpital cantonal universitaire, Genève.
Harms
M
M
Saurat
J H
JH
D000942:Antigens, Bacterial / Q000302:isolation & purification; D001005:Anus Neoplasms / Q000175:diagnosis*; D002692:Chlamydia trachomatis / Q000276:immunology; D003937:Diagnosis, Differential; D006801:Humans; D008219:Lymphogranuloma Venereum / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged; D011349:Proctitis / Q000175:diagnosis* / Q000382:microbiology
D000942:Antigens, Bacterial
Masse anale sténosante et lymphogranulome vénérien.