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[Classical sexually transmitted diseases in the anorectal region].
Hautarzt. 2020 Apr; 71(4):275-283.H

Abstract

BACKGROUND

Sexually transmitted infections (STIs) in the anorectal region are disproportionally detected in risk populations such as men who have sex with men (MSM). However, due to changes in sexual behaviour they are increasingly diagnosed in heterosexual individuals. Due to the recent implementation of oral HIV pre-exposure prophylaxis together with lack of condom use, a further rise in STIs is expected.

OBJECTIVES

This review addresses epidemiology, clinical picture, diagnostic pitfalls and current therapy guidelines of "classical" bacterial STIs involving the anorectum.

CONCLUSIONS

STI manifestations in the anal region are frequently nonspecific or asymptomatic so that the diagnosis may be missed. In an endoscopic examination of the rectum, they can even mimic inflammatory bowel disease or malignancy. Therefore, knowledge of possible symptoms of bacterial STIs in this area is helpful for early diagnosis. Coinfections with other STIs are common and should prompt a search of other pathogens including HIV and hepatitis B/C.

Authors+Show Affiliations

Klinik und Poliklinik für Dermatologie, Universitätsklinikum Carl Gustav Carus, Technische Universität Dresden, Dresden, Deutschland. Petra.Spornraft-Ragaller@uniklinikum-dresden.de.Klinik für Dermatologie und Venerologie, Universitätsklinikum Essen, Essen, Deutschland.

Pub Type(s)

Journal Article
Review

Language

ger

PubMed ID

32025745

Citation

Spornraft-Ragaller, P, and S Esser. "[Classical Sexually Transmitted Diseases in the Anorectal Region]." Der Hautarzt; Zeitschrift Fur Dermatologie, Venerologie, Und Verwandte Gebiete, vol. 71, no. 4, 2020, pp. 275-283.
Spornraft-Ragaller P, Esser S. [Classical sexually transmitted diseases in the anorectal region]. Hautarzt. 2020;71(4):275-283.
Spornraft-Ragaller, P., & Esser, S. (2020). [Classical sexually transmitted diseases in the anorectal region]. Der Hautarzt; Zeitschrift Fur Dermatologie, Venerologie, Und Verwandte Gebiete, 71(4), 275-283. https://doi.org/10.1007/s00105-020-04547-w
Spornraft-Ragaller P, Esser S. [Classical Sexually Transmitted Diseases in the Anorectal Region]. Hautarzt. 2020;71(4):275-283. PubMed PMID: 32025745.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Classical sexually transmitted diseases in the anorectal region]. AU - Spornraft-Ragaller,P, AU - Esser,S, PY - 2020/2/7/pubmed PY - 2020/4/11/medline PY - 2020/2/7/entrez KW - Chlamydia trachomatis KW - Gonorrhea KW - Lymphogranuloma venereum KW - Proctitis KW - Syphilis SP - 275 EP - 283 JF - Der Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete JO - Hautarzt VL - 71 IS - 4 N2 - BACKGROUND: Sexually transmitted infections (STIs) in the anorectal region are disproportionally detected in risk populations such as men who have sex with men (MSM). However, due to changes in sexual behaviour they are increasingly diagnosed in heterosexual individuals. Due to the recent implementation of oral HIV pre-exposure prophylaxis together with lack of condom use, a further rise in STIs is expected. OBJECTIVES: This review addresses epidemiology, clinical picture, diagnostic pitfalls and current therapy guidelines of "classical" bacterial STIs involving the anorectum. CONCLUSIONS: STI manifestations in the anal region are frequently nonspecific or asymptomatic so that the diagnosis may be missed. In an endoscopic examination of the rectum, they can even mimic inflammatory bowel disease or malignancy. Therefore, knowledge of possible symptoms of bacterial STIs in this area is helpful for early diagnosis. Coinfections with other STIs are common and should prompt a search of other pathogens including HIV and hepatitis B/C. SN - 1432-1173 UR - https://www.unboundmedicine.com/medline/citation/32025745/[Classical_sexually_transmitted_diseases_in_the_anorectal_region]_ L2 - https://dx.doi.org/10.1007/s00105-020-04547-w DB - PRIME DP - Unbound Medicine ER -