Can proctological procedures resolve perianal pruritus and mycosis? A prospective study of 23 cases
| Autor: | Mario Lise, F. Melega, Giuseppe Dodi, A. Masin, E. Pirone, P Pianon, A. Infantino |
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| Rok vydání: | 1992 |
| Předmět: |
Adult
Male medicine.medical_specialty Econazole Adolescent Anal Disorder Pruritus Ani Internal medicine medicine Dermatomycoses Humans Prospective Studies Prospective cohort study Mycosis Aged business.industry Gastroenterology Candidiasis Hepatology Middle Aged Anus medicine.disease Occult Dermatology medicine.anatomical_structure Rectal Diseases Female business medicine.drug |
| Zdroj: | International journal of colorectal disease. 7(1) |
| ISSN: | 0179-1958 |
| Popis: | Twenty-three patients with pruritus ani associated with anal mycosis underwent primary treatment of a concurrent anal disorder. The anal disorders included haemorrhoids (n = 9), fissure (n = 8), anal spasm without fissure (n = 5), and occult mucosal prolapse (n = 1). Pretreatment investigation of faeces for parasites was negative. The glucosal tolerance test and white blood cell count were normal in all cases. Culture of skin smears from the perianal region was positive for Candida only in 16 patients, Dermatophytes only in 6 and a combination of both in 1 patient. Following the appropriate proctological procedure, pruritus resolved or markedly improved in 20 patients. The remaining three patients required antifungal treatment with econazole. Two of these, however, continued to complain of pruritus. It is suggested that in patients with pruritus ani associated with perianal mycosis, antimycotic therapy should be used only if fungal infection persists after treatment of the underlying proctological disease. |
| Databáze: | OpenAIRE |
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