Waugh M A
J Am Vener Dis Assoc. 1976 Dec;3(2 Pt 1):68-70.
Thirteen cases of anorectal Herpesivirus hominis infection in male homosexuals are described. Symptoms included pruitus ani in 11 cases, while 7 noticed intense and pain. Change of bowel habits and anal discharge were not presenting symptoms in the majority. None had generalized complications. Inguinal lymphadenopathy, a vesicular eruption, and superficial ulceration around the anal margin were commonly found. Some developed vesicular spread to the natal cleft. Treatment with cotrimoxazole to prevent masking of possible coexistent syphilis, though satisfactory in preventing secondary infection seemed to have little effect on early resolution of the lesions. Relapse occurred in over one third of the patients. Infection with Herpesvirus hominis seems an uncommon but increasingly recognized hazard for the passive homosexual and should be included in the differential diagnosis of lesions presenting at the anus.
本文描述了13例男性同性恋者感染人疱疹病毒的肛门直肠病例。症状包括11例肛门瘙痒，7例有剧烈疼痛。大多数患者未出现排便习惯改变和肛门分泌物等症状。无一例有全身性并发症。常见腹股沟淋巴结病、水疱疹及肛门边缘浅表溃疡。部分患者水疱蔓延至臀沟。用复方新诺明治疗以防止可能并存的梅毒被掩盖，虽然在预防继发感染方面效果良好，但对病变的早期消退似乎作用不大。超过三分之一的患者出现复发。人疱疹病毒感染对被动同性恋者而言似乎是一种罕见但日益被认识到的危害，在肛门病变的鉴别诊断中应予以考虑。
