STDと関連する肛門疾患におけるHIV感染 : 総合病院肛門科における経験から  [in Japanese] The Prevalence of HIV Infection in Preoperative Patients with Benign anal Diseases  [in Japanese]

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    • 山名 哲郎 YAMANA T.
    • 社会保険中央総合病院大腸肛門病センター Department of Proctology, Social Health Insurance Hospital



To clarify the prevalence of HIV infection in patients with benign anal diseases, we analyzed the preoperative HIV antibody tests (CLEIA, Western blot) in 8, 609 patients (5, 585 men) at our institution. There were 38 HW positive men. Eight patients had been followed as HIV infection and were referred from other hospitals. The remaining 30 patients were first diagnosed as HIV infection at our institution by preoperative check (0.5% in preoperative male patients). Most patients were in their 20's and 30's, and two thirds of the patients were men who had had sex with other men. Among HIV positive patients, the most frequent preoperative diagnosis was anal warts (20 patients), which is one of the common STDs caused by human papilloma virus infection. The second most frequent preoperative diagnosis was anal fistula (15 patients). HIV positive rate in the patients with anal warts was 29%. HIV positive patients with anal fistula and perianal abscess are considered to be at high risk of developing anal dysplasia and squamous cell carcinoma, and it seems necessary to follow those patients.


  • The Japanese journal of proctology  

    The Japanese journal of proctology 59(10), 827-831, 2006-10-01 

    The Japan Society of Coloproctology

References:  14

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