Abstract
Proctology is a medical discipline that includes diseases of the perianal/anal region and the distal rectum. Proctological diseases are treated by different medical specialties. Dermatology has a special importance in the field of proctology asinflammatory, pathogen-induced, sexually transmitted, (pre-)malignant and malignant diseases of the perianal/anal region represent a dermatological core competence and therefore is often patients’ first introduction to the dermatologist. Proctological diseases are frequent and increase with increasing age. Despite the multitude of different proctological diseases, there are only few cardinal symptoms, which, together with a detailed anamnesis and simple examination techniques, help to make the correct diagnosis. Owing to the taboo of the perianal/anal region, proctological diseases are frequently seen in an advanced stage by proctologists. Pretreatments with various household remedies and over-the-counter preparations often lead to problems in diagnosis because of a change in morphology. This chapter provides an overview of the diseases of the perianal/anal region relevant to dermatology.
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References
Dietrich A, Ruzicka T, Hermans C (2015) Differenzialdiagnose des Analekzems. Hautarzt 66:400–407
Esser S, Kreuter A, Oette M et al (2015) Deutsch-Österreichische S2k-Leitlinie: anale Dysplasien und Analkarzinome bei HIV-Infizierten: Prävention, Diagnostik und Therapie – Kurzfassung 1302–1308
Gibson GE, Ahmed I (2001) Perianal and genital basal cell carcinoma: a clinicopathologic review of 51 cases. J Am Acad Dermatol 45:68–71
Kreuter A (2016) Proktologie – Erkrankungen der Analregion. J Dtsch Dermatol Ges 14:352–373
Lenhard BH (2016) Peri- und intraanale Dermatosen sowie venerische Erkrankungen des Anorektums (STI). In: Schwandner O (ed) Proktologische Diagnostik. Springer, Berlin
Proske S, Lenhard BH, Hartschuh W (2004) Das Analekzem und seine benignen Simulatoren. Hautarzt 55:259–264
Schauber J, Weisenseel P, Ruzicka T (2009) Topical treatment of perianal eczema with tacrolimus 1%. Br J Dermatol 161:1384–1386
Stein E (2003) Proktologie, Lehrbuch und Atlas, 4. vollständig überarbeitete Aufl. Springer, Berlin
Wagner G, Sachse MM (2011) Extramammärer Morbus Paget – Klinik, Histogenese, Therapiemöglichkeiten. J Dtsch Dermatol Ges 9:448–455
First Describer
Barron J (1963) Office ligation treatment of hemorrhoids. Dis Colon Rectum 6:109–113
Crocker HR (1888–1889) Paget’s disease affecting the scrotum and penis. Trans Pathol Soc Lond 40:187–191
Darier J (1892) Lichen plan scléreux. Ann Dermatol Syph 3:835–837
Hallopeau FH (1887) Du lichen plan, et particulièrement de sa forme atrophique. Union Méd (Paris) 43:729–733
Moser KH, Mosch C, Walgenbach M (2013) Efficacy and safety of sclerotherapy with polidocanol foam in comparison with fluid sclerosant in the treatment of first-grade haemorrhoidal disease: a randomised, controlled, single-blind, multicentre trial. Int J Color Dis 28:1439–1447
Myrtle AS (1883) Some common affections of the anus often neglected by medical men and patients. Br Med J 1:1061–1062
Willan R (1796–1808) Description and treatment of cutaneous diseases, vol 1. Johnson, London, pp 152–188
Wilson E (1869) On lichen planus. J Cutan Med 3:117–132
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Kreuter, A., Dietrich, A. (2022). Proctology. In: Plewig, G., French, L., Ruzicka, T., Kaufmann, R., Hertl, M. (eds) Braun-Falco´s Dermatology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-63709-8_80
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DOI: https://doi.org/10.1007/978-3-662-63709-8_80
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