[Anorectal manifestations in systemic diseases].
Manifestations ano-rectales des maladies systémiques.
Anus
Connectivites
Fecal incontinence
Incontinence anale
Rectum
Sarcoïdose
Sarcoïdosis
Ulcerations
Ulcérations
Vascularites
Vasculitis
cConnective tissue diseases
Journal
La Revue de medecine interne
ISSN: 1768-3122
Titre abrégé: Rev Med Interne
Pays: France
ID NLM: 8101383
Informations de publication
Date de publication:
Nov 2019
Nov 2019
Historique:
received:
25
04
2019
revised:
08
06
2019
accepted:
17
07
2019
pubmed:
12
8
2019
medline:
7
5
2020
entrez:
12
8
2019
Statut:
ppublish
Résumé
Numerous systemic diseases (vasculitis, connective tissue disease or sarcoidosis) can display an involvement of the perianal skin, the rectum and/or the anus. Such knowledge is important in order to treat these complications specifically when possible. Lesions of the anorectum arising from systemic diseases can sometimes cause perforations in the peritoneal cavity (if concerning the higher portion of the rectum) and/or fistulization to the anal margin. Differential diagnosis, mostly infectious or inflammatory (Crohn's disease) must be ruled out in every case. Other systemic diseases can display specific manifestations as this is the case in scleroderma which can lead to anal incontinence. Despite the relative rarity of these manifestations, their ignorance would forbid global management of these complex diseases. It should thus be detected in each consultation and a regular follow-up must be provided with a proctologist and/or a gastroenterologist when needed.
Identifiants
pubmed: 31400822
pii: S0248-8663(19)30610-1
doi: 10.1016/j.revmed.2019.07.009
pii:
doi:
Types de publication
Journal Article
Review
Langues
fre
Sous-ensembles de citation
IM
Pagination
729-732Informations de copyright
Copyright © 2019 Société Nationale Française de Médecine Interne (SNFMI). Published by Elsevier Masson SAS. All rights reserved.