The Experts below are selected from a list of 225 Experts worldwide ranked by ideXlab platform
Vicente Varea - One of the best experts on this subject based on the ideXlab platform.
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Solitary Rectal Ulcer Syndrome in Childhood: A Rare, Benign, and Probably Misdiagnosed Cause of Rectal Bleeding. Report of Three Cases
Diseases of the Colon & Rectum, 2006Co-Authors: Javier Martín De Carpi, Pere Vilar, Vicente VareaAbstract:Solitary Rectal ulcer syndrome is an uncommon and often underdiagnosed condition that usually presents with hematochezia, mucous Discharge, and tenesmus. Its etiology is unknown but it seems related to excessive straining with defecation. Prolonged efforts force the anterior Rectal mucosa into the anal canal with strangulation and appearance of congestion, edema, and ulceration. Histologic findings (fibromuscular obliteration of lamina propria and disorientation of muscle fibers) are characteristic, which helps to differentiate these lesions from other Rectal entities. Although solitary Rectal ulcer syndrome is rarely reported in children, it must be suspected in patients with Rectal Discharge of blood and mucus and previous disorders of evacuation. We present three children (aged 9, 10, and 14 years) with solitary Rectal ulcer syndrome that had presented with Rectal bleeding. A careful inquiry about evacuation habits and a high index of suspicion in children presenting with hematochezia helps to diagnose this possibly unrecognized or misdiagnosed entity in children. Endoscopy and histologic examination confirms this condition.
Amrinder J. Kanwar - One of the best experts on this subject based on the ideXlab platform.
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P1-S1.25 Trend of sexually transmitted diseases diagnosed by syndromic approach in an institute setting
Sexually Transmitted Infections, 2011Co-Authors: Amrinder J. KanwarAbstract:Background The paradigm of research in sexually transmitted diseases (STD) has recently shifted to HIV/AIDS. Recent trend of sexually transmitted diseases in India is lacking. Objective To determine the trend in the syndromic diagnosis of sexually transmitted infections (STI). Methods Data of patients attending our STD clinic between 2008 and 2010 was retrieved. Aetiological diagnosis of individual patients as practiced in our clinic were fit into any of the following syndromic diagnoses—vaginal/cervical Discharge, non-herpetic genital ulcer, herpetic ulcer, lower abdominal pain, urethral Discharge, ano- Rectal Discharge, inguinal bubo, scrotal swelling, genital warts, and other STIs that could not be characterised into above syndromes. The syndromic approach as suggested by National AIDS Control Organization of India was followed. Trend of syndromic diagnosis of STIs was determined. Results In 2008, majority (51.1%) of the new patients registered to the clinic (36, 26.66% herpetic genital ulcer, 33, 24.44% genital warts) had one or the other viral STI. In 2009, 43.68% patients had viral STIs (21.35% herpetic GUD, 22.33% genital warts). In 2010, there was a significant increase in the incidence of viral STIs; 72.6% patients (36.94% herpetic GUD and 35.66% genital warts) had one or the other viral syndromic diagnosis. Conclusion In concurrence to observations worldwide, proportion of viral STIs have increased significantly recently due to widespread use of broad spectrum antibiotics. One more reason could be recurrent or persistent nature of these viral STIs. In our setting, incidences of herpetic GUD and genital warts were almost similar.
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P1-S1.23 Trend of sexually transmitted diseases diagnosed by syndromic approach in an institute setting
Sexually Transmitted Infections, 2011Co-Authors: Amrinder J. KanwarAbstract:Background The paradigm of research in sexually transmitted diseases (STD) has recently shifted to HIV/AIDS. Recent trend of sexually transmitted diseases in India is lacking. Objective To determine the trend in the syndromic diagnosis of sexually transmitted infections (STI). Methods Data of patients attending our STD clinic between 2008 and 2010 was retrieved. Aetiological diagnosis of individual patients as practiced in our clinic were fit into any of the following syndromic diagnoses—vaginal/cervical Discharge, non-herpetic genital ulcer, herpetic ulcer, lower abdominal pain, urethral Discharge, ano-Rectal Discharge, inguinal bubo, scrotal swelling, genital warts, and other STIs that could not be characterised into above syndromes. The syndromic approach as suggested by National AIDS Control Organization of India was followed. Trend of syndromic diagnosis of STIs was determined. Results In 2008, majority (51.1%) of the new patients registered to the clinic (36, 26.66% herpetic genital ulcer, 33, 24.44% genital warts) had one or the other viral STI. In 2009, 43.68% patients had viral STIs (21.35% herpetic GUD, 22.33% genital warts). In 2010, there was a significant increase in the incidence of viral STIs; 72.6% patients (36.94% herpetic GUD and 35.66% genital warts) had one or the other viral syndromic diagnosis. Conclusion In concurrence to observations worldwide, proportion of viral STIs have increased significantly recently due to widespread use of broad spectrum antibiotics. One more reason could be recurrent or persistent nature of these viral STIs. In our setting, incidences of herpetic GUD and genital warts were almost similar.
Javier Martín De Carpi - One of the best experts on this subject based on the ideXlab platform.
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Solitary Rectal Ulcer Syndrome in Childhood: A Rare, Benign, and Probably Misdiagnosed Cause of Rectal Bleeding. Report of Three Cases
Diseases of the Colon & Rectum, 2006Co-Authors: Javier Martín De Carpi, Pere Vilar, Vicente VareaAbstract:Solitary Rectal ulcer syndrome is an uncommon and often underdiagnosed condition that usually presents with hematochezia, mucous Discharge, and tenesmus. Its etiology is unknown but it seems related to excessive straining with defecation. Prolonged efforts force the anterior Rectal mucosa into the anal canal with strangulation and appearance of congestion, edema, and ulceration. Histologic findings (fibromuscular obliteration of lamina propria and disorientation of muscle fibers) are characteristic, which helps to differentiate these lesions from other Rectal entities. Although solitary Rectal ulcer syndrome is rarely reported in children, it must be suspected in patients with Rectal Discharge of blood and mucus and previous disorders of evacuation. We present three children (aged 9, 10, and 14 years) with solitary Rectal ulcer syndrome that had presented with Rectal bleeding. A careful inquiry about evacuation habits and a high index of suspicion in children presenting with hematochezia helps to diagnose this possibly unrecognized or misdiagnosed entity in children. Endoscopy and histologic examination confirms this condition.
Jonathan R. Strayer - One of the best experts on this subject based on the ideXlab platform.
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Diversion colitis: a cause of abdominal discomfort in spinal cord injury patients with colostomy.
Archives of physical medicine and rehabilitation, 1997Co-Authors: Jenny M. Lai, Tien Yow Chuang, Gerard E. Francisco, Jonathan R. StrayerAbstract:Diversion colitis is thought to result from nutritional deficiencies secondary to fecal diversion. Symptoms include hemorrhagic purulent Rectal Discharge, abdominal pain, and tenesmus. 5-Aminosalicylic acid (5-ASA) and N-butyrate enemas have been reported to help this condition in non-spinal cord injury (SCI) patients. We report the case of a 49-year-old C6 ASIA B tetraplegic man who had received colostomy because of intractable ileus 10 years earlier. He presented with a 2-week history of Rectal pain and bleeding. Abdominal and Rectal examination on admission were unremarkable. Colonoscopy showed a partial stricture 70cm proximally to the rectum. The colonic mucosa appeared granular and friable with evidence of linear ulceration. Histopathologic study was consistent with colitis. The patient developed fever, abdominal distention, and extensive retroperitoneal air after endoscopy, suggesting colonic perforation. He was treated with daily 5-ASA suppository and total parenteral nutrition for the presumed diagnosis of diversion colitis, and intravenous antibiotics for perforated colon. After 6 weeks of treatment with 5-ASA, the patient had decreased Rectal pain and bleeding. This experience suggests that diversion colitis may be a cause of abdominal discomfort in SCI patients and that 5-ASA may be used in the management of diversion colitis.
P Sednaoui - One of the best experts on this subject based on the ideXlab platform.
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Ano-Rectal lymphogranuloma venereum: 22 cases reported in a Sexually Transmited Infections center in Paris
European journal of dermatology : EJD, 2006Co-Authors: B. Halioua, Jm Bohbot, L. Monfort, N. Nassar, B. De Barbeyrac, J. Monsonego, P SednaouiAbstract:In January 2004 the European Surveillance of Sexually Transmitted Infections Network (ESSTI) issued an international alert regarding an outbreak of Lymphogranuloma venereum (LGV) in Rotterdam in a sexual network of men who have sex with men (MSM). Further to this alert, a retrospective survey was set up by the Institut de Veille Sanitaire and the reference laboratories for N.gonorrhoeae and Chlamydia in France. Our STI clinic in Paris carried out a clinico-biological retrospective study involving 154 MSM screened for anoRectal sexually transmitted infections (STIs) between January 2002 and May 2004 and a prospective study between May 2004 and August 2004. Out of 216 swabs of Rectal Discharge from homosexual or bisexual males, a total of 32 were positive for C. trachomatis (14.8%) (3 patients in 2002, 11 in 2003 and 18 in 2004). C. trachomatis-positive Rectal strains were genotyped to detect the specific C. trachomatis serovars and revealed serovars L(2) for 22 patients (respectively 1 in 2002, 9 in 2003 and 12 in 2004). Serum antibody titers for Chlamydia trachomatis were determined among 14 subjects and revealed strongly positive in 13 cases (1/512 to 1/16384) titers of IgG. These 22 patients with clinico-biologically confirmed anoRectal lymphogranuloma venereum (ARLGV) were all homosexual men. They ranged from 28 to 52 years (mean age 39.2 years). 12 of 21 (57.1%) subjects with an ARLGV diagnosis were seropositive for human immunodeficiency virus (HIV) (one not done). Although rare, anoRectal lymphogranuloma venereum (ARLGV) still exists in France and should not be forgotten in the differential diagnosis of Rectal problems in male homosexuals.