Van Kemseke C
Department of Gatroenterology, Centre Hospitalier Universitaire de Liège, Domaine Universitaire du Sart Tilman B35, 4000 Liège, Belgium.
Acta Gastroenterol Belg. 2009 Oct-Dec;72(4):413-9.
Sexually transmitted diseases (STD) are a major public health problem because their incidence is increasing worldwide despite prevention campaigns and because they raise the risk of HIV infection. Anorectal localisations of STD are common among men who have sex with men (MSM) but can also be seen among heterosexuals (men or women). Transmission of such infections is due to anal sex or to other sexual behaviours like "fisting". Although some pathogens (like Human Papillomavirus-HPV) are common in gastroenterologist/proctologist consultations, others are not so well-known. Furthermore during the last years, sexual risky behaviours have led to resurgence of old affections (like syphilis) or to emergence of unknown diseases (like lymphogranuloma venereum) in our countries. This presentation tends to focus on clinical manifestation, diagnosis and treatment of different STD: HPV, Herpes Simplex Virus, Neisseria gonorrhoeae, Chlamydia trachomatis (in particularly lymphogranuloma venereum) and Treponema pallidum.
性传播疾病（STD）是一个重大的公共卫生问题，因为尽管开展了预防运动，但其在全球范围内的发病率仍在上升，而且它们会增加感染艾滋病毒的风险。性传播疾病的肛门直肠部位感染在男男性行为者（MSM）中很常见，但在异性恋者（男性或女性）中也可见到。此类感染的传播是由于肛交或其他性行为，如“拳交”。尽管一些病原体（如人乳头瘤病毒-HPV）在胃肠病学家/直肠科医生的会诊中很常见，但其他病原体并不那么为人所知。此外，在过去几年中，危险性行为导致我国一些旧病（如梅毒）复发或出现了一些未知疾病（如性病性淋巴肉芽肿）。本报告倾向于关注不同性传播疾病的临床表现、诊断和治疗：HPV、单纯疱疹病毒、淋病奈瑟菌、沙眼衣原体（特别是性病性淋巴肉芽肿）和梅毒螺旋体。
