Débat J, Prévost A G, Coliche V
Ann Gastroenterol Hepatol (Paris). 1986 Jul-Sep;22(4):231-3.
An understanding of anorectal lesions during hemopathy is of value since this disorder can be difficult to identify and treat. The authors report three cases of anorectal lesions during hemopathy. The following points emerged from this study, and from literature data: hemopathic disorders should be born in mind in cases of acute anal syndromes; the relative frequency of acute leukemia of specific lesions: nodules, in patches or aspecific: purpura, hematoma, fissures, ulceration, ulcers; marked neutropenia in leukemia and agranulocytosis; severity of anal surgery, which should be prudent. Atypical anal lesions may indicate hemopathy. They may respond favorably to medical treatment; prognostic severity of these lesions, especially if ulcerous and necrotic.
了解血液病期间的肛肠病变具有重要意义，因为这种病症可能难以识别和治疗。作者报告了三例血液病期间的肛肠病变病例。从本研究以及文献数据中得出以下要点：在急性肛门综合征病例中应考虑血液病；特定病变（结节、斑片状或非特异性病变：紫癜、血肿、肛裂、溃疡形成、溃疡）的急性白血病相对发生率；白血病和粒细胞缺乏症中的显著中性粒细胞减少；肛门手术的严重性，应谨慎进行。非典型肛门病变可能提示血液病。它们可能对药物治疗反应良好；这些病变的预后严重性，尤其是溃疡和坏死性病变。
