Sexually transmitted infections of the anus and rectum

被引:32
作者
Assi, Roland [1 ]
Hashim, Peter W. [1 ]
Reddy, Vikram B. [1 ]
Einarsdottir, Hulda [1 ]
Longo, Walter E. [1 ]
机构
[1] Yale Univ, Sch Med, Dept Surg, New Haven, CT 06510 USA
关键词
Sexually transmitted disease; Rectal disease; Sexual behavior; Human papillomavirus; Human immunodeficiency virus; Perianal disease; Highly active antiretroviral therapy; Human papilloma virus vaccines; Anal cytology; HUMAN-IMMUNODEFICIENCY-VIRUS; SQUAMOUS INTRAEPITHELIAL LESIONS; HIV-POSITIVE MEN; HUMAN-PAPILLOMAVIRUS INFECTION; ACTIVE ANTIRETROVIRAL THERAPY; KAPOSIS-SARCOMA; INTRALESIONAL VINBLASTINE; LYMPHOGRANULOMA-VENEREUM; SURGICAL-MANAGEMENT; COST-EFFECTIVENESS;
D O I
10.3748/wjg.v20.i41.15262
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Sexually transmitted infections (STIs) represent a significant public health concern. Several STIs, once thought to be on the verge of extinction, have recently reemerged. This change is thought to be partially related to an increase in STIs of the anus and rectum. Importantly, the global human immunodeficiency virus and acquired immunodeficiency syndrome (HIV/AIDS) epidemic has contributed to the emergence of particular anorectal lesions that require specialized approaches. In this report, we review common anorectal STIs that are frequently referred to colorectal surgeons in the United States. Epidemiology, clinical presentation, and management are summarized, including the latest treatment recommendations. The particularity of anorectal diseases in HIV/AIDS is addressed, along with recent trends in anal cytology and human papillomavirus vaccination. (C) 2014 Baishideng Publishing Group Inc. All rights reserved.
引用
收藏
页码:15262 / 15268
页数:7
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