more aggressive approach has therefore been recommended for perianal abscess with a 'lay open' procedure entailing a complete internal sphincterotomy.'1 Because this had not been our clinical impression, and as surgical treatment of perianal abscess is often left to the most junior member of the surgical team, an. 11-year review of the results of incision and drainage for perianal abscess in a ...

Treatment of perianal fistulas in Crohn's disease should be defined on an individual basis. A combined medical and surgical approach is the optimal treatment. Adequate management of perianal fistula disease is based on the presence or absence of active proctitis, anatomic location, and fistula type. Furthermore, the presence of perianal abscesses must be ruled out. This evaluation includes digi...

Dr. Antonio Ledo, Castellana 167, E-28046 Madrid (Spain) In 1966 Amren et al. [1] reported 10 cases of perianal erythema caused by group A ß-hemolytic streptococci. Usually it is observed in prepuberal males and is characterized by well-demarcated perianal erythema without satellite lesions. Occasionally patients have fissures, painful defecation with secondary constipation and rectal bleeding....

Condyloma acuminatum caused by Human Papillomavirus is the most commonly occurring sexually transmitted infection in the anogenital region. Buschke-Löwenstein tumor (BLT) known also as giant condyloma acuminatum is a rare disease. The disease, for which the most important treatment method is the surgical excision, differs from normal condyloma acuminatum cases with its high degree of malignancy...

Primary systemic amyloidosis is a rare entity. We report a case of primary systemic amyloidosis without any associated hematological abnormality who presented with macroglossia and hemorrhagic lesions around eyes and sub mammary region. There were soft lobulated masses around perianal region, labia majora and on external auditory meatus obstructing auditory canal. She was also operated for carp...

Dr. Antonio Ledo, Castellana 167, E-28046 Madrid (Spain) In 1966 Amren et al. [1] reported 10 cases of perianal erythema caused by group A ß-hemolytic streptococci. Usually it is observed in prepuberal males and is characterized by well-demarcated perianal erythema without satellite lesions. Occasionally patients have fissures, painful defecation with secondary constipation and rectal bleeding....

OBJECTIVE To study the effect of tissue specific human papillomavirus (HPV) expression and its effect on local immunity in condylomas from HIV positive individuals. METHODS Biopsy specimens of eight penile and eight perianal condylomas from HIV seropositive individuals were analysed. Expression of viral genes (HIV-tat and HPV E7 and L1) was determined by RT-PCR. The status of local immunity a...

A fistula is defined as a pathological connection between the intestine and an inner (bladder or other intestine) or outer (vagina or skin) epithelial surface. Fistulas are discovered in up to 25% of all Crohn’s disease patients during long term follow-up examinations. Most are perianal fistulas, and these may be classified as simple or complex. The initial investigation of perianal fistulas in...

Specific extraintestinal manifestations of Crohn's disease are rare except the involvement of the anal region. Only few case reports have been published concerning Crohn's disease of the lips, the mouth, the hypopharynx, the skin, urogenital tract, bone and joints. However, Crohn's disease of the anal region is of great significance. About 30 % of the patients develope fistulae, fissures, absce...