Sexually transmitted infections in men who have sex with men

被引:16
作者
de Vries, Henry J. C. [1 ,2 ,3 ,4 ]
机构
[1] Publ Hlth Serv Amsterdam, STI Outpatient Clin, Amsterdam, Netherlands
[2] Univ Amsterdam, Acad Med Ctr, Dept Dermatol, NL-1100 DE Amsterdam, Netherlands
[3] Univ Amsterdam, Acad Med Ctr, Ctr Infect & Immun Amsterdam CINIMA, NL-1100 DE Amsterdam, Netherlands
[4] Natl Inst Publ Hlth & Environm CIb RIVM, Ctr Infect Dis Control, Bilthoven, Netherlands
关键词
ANAL INTRAEPITHELIAL NEOPLASIA; IMMUNODEFICIENCY-VIRUS-INFECTION; LYMPHOGRANULOMA-VENEREUM; HUMAN-PAPILLOMAVIRUS; ANTIRETROVIRAL THERAPY; EUROPEAN GUIDELINE; HOMOSEXUAL MEN; HIV-INFECTION; POSITIVE MEN; HEPATITIS-C;
D O I
10.1016/j.clindermatol.2013.08.001
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Homosexuality is a global human phenomenon. Although the American Psychiatric Association removed homosexuality from its list of disorders more than 35 years ago, homophobia among physicians is still widely prevalent. Men who have sex with men (MSM) form a relatively new epidemiological risk group for STI. To perform correct management, clinicians evaluating men with male-male sex contacts for STI related complaints or STI screening must obtain a thorough sexual history. Emerging STI like lymphogranuloma venereum, hepatitis C, and multidrug resistant N. gonorrhea strains have been described first in MSM. STI related proctitis often occur in MSM. Within the MSM population, HIV positive patients form a special group affected by STI related diseases, such as anal carcinoma and neurosyphilis. The final part of this review concludes with recommendations to reduce the STI burden in MSM. (C) 2014 Elsevier Inc. All rights reserved.
引用
收藏
页码:181 / 188
页数:8
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