Libeskind M, Malbran J, Agard D, Pannetier C, Lecouillard C, Ivanovic A
Ann Gastroenterol Hepatol (Paris). 1984 Oct-Nov;20(5):265-70.
The proctologist is above all concerned with the known recrudescence of venereal diseases. Examples reviewed are diseases of bacterial origin (syphilis, gonorrhea, soft chancre, donovanosis and chlamydiosis), appropriate antibiotic therapy and diseases of viral origin (herpes, condyloma acuminatum). Also noted are other bacterial, viral and parasitic diseases and, indeed, cancers of which Kaposi's sarcoma is the example, even though these are not manifested anorectally. New data on Kaposi's sarcoma, its' relationships with venereal disease and AIDS are presented. With these complex problems, the central role of male homosexuality and lowered cellular immunity widens considerably the professional scope of the proctologist.
直肠科医生首先关注的是已知的性病复发情况。回顾的例子包括细菌性疾病(梅毒、淋病、软性下疳、腹股沟肉芽肿和衣原体病)、适当的抗生素治疗以及病毒性疾病(疱疹、尖锐湿疣)。还提到了其他细菌、病毒和寄生虫疾病,以及以卡波西肉瘤为例的癌症,尽管这些疾病并非在肛门直肠部位表现出来。文中介绍了卡波西肉瘤的新数据、它与性病及艾滋病的关系。面对这些复杂问题,男性同性恋和细胞免疫功能降低所起的核心作用大大拓宽了直肠科医生的专业范围。