Paulet P, Stoffels G
Rev Med Brux. 1989 Oct;10(8):327-34.
Several anorectal diseases are described. Most are sexually transmitted (gay bowel syndrome or heterosexual transmission). The clinical aspect of nearly all of them is similar. Thus, the diagnosis usually cannot be done on clinical grounds alone: one has to request the help of the laboratory. Amebiasis, giardiasis, chancroid and donovanosis are frequent in Africa but rare in our countries, except in male homosexuals. Shigellosis, salmonellosis, pediculosis, scabies and campylobacter infections are seen in male homosexuals because of orofecal contacts. Condylomata acuminata are frequent in our country. The typical clinical aspect leads to an easy diagnosis. Electrocoagulation is the treatment of choice. Anorectal gonococcal are also frequent in our country, both homosexually and heterosexually transmitted. The clinical aspect suggests the diagnosis, but this must be confirmed by the laboratory.
文中描述了几种肛肠疾病。大多数是性传播疾病（同性恋肠道综合征或异性传播）。几乎所有这些疾病的临床症状都相似。因此，通常不能仅根据临床症状做出诊断：必须寻求实验室的帮助。阿米巴病、贾第虫病、软下疳和腹股沟肉芽肿在非洲很常见，但在我们国家很少见，男性同性恋者除外。由于口粪接触，男性同性恋者中可见志贺菌病、沙门菌病、虱病、疥疮和弯曲杆菌感染。尖锐湿疣在我国很常见。典型的临床症状易于诊断。电凝是首选治疗方法。我国肛肠淋病也很常见，可通过同性和异性传播。临床症状提示诊断，但必须经实验室确诊。
