Lenhard B, Näher H, Petzoldt D
Universitäts-Hautklinik Heidelberg.
Hautarzt. 1987 Jun;38(6):361-3.
Twenty-nine homosexual patients with anorectal symptoms were investigated by sigmoidoscopy. Nineteen patients were anti-HIV antibody positive; in this group severe haemorrhagic proctitis was diagnosed in seven cases and purulent cryptitis with abscess formation and fistulation in three cases. All patients showed a reduced OKT 4/OKT 8 ratio (below 1.0). It is concluded that the immunodeficient condition of HIV patients is the essential pathogenic factor for the occurrence of the anorectal inflammations observed.
对29例有肛肠症状的同性恋患者进行了乙状结肠镜检查。19例患者抗HIV抗体呈阳性;该组中7例被诊断为严重出血性直肠炎,3例为脓性隐窝炎伴脓肿形成和瘘管形成。所有患者的OKT 4/OKT 8比值均降低(低于1.0)。结论是,HIV患者的免疫缺陷状况是所观察到的肛肠炎症发生的关键致病因素。