Perianal diseases in HIV-positive patients compared with a seronegative population

PURPOSE: The aim of this report was to present our cases showing the preval ence and cause of perianal diseases in human immunodeficiency virus-positiv e patients. METHODS: We compared 1,860 human immunodeficiency virus-positiv e patients to 1,350 human immunodeficiency virus-negative outpatients with perianal diseases, examined from January 1989 to December 1996, and the res ults obtained with the treatment methods for seropositive patients. Among t hem, 88.7 percent were males, mostly in the age range from 30 to 50 years o ld. RESULTS: Condylomas, ulcers, hemorrhoids, fistulas, fissures, abscesses , and tumors were the most frequently diagnosed diseases. Two or more anal diseases occurred in 16.7 percent of patients. Among the human immunodefici ency virus-negative patients we noticed the same incidence of gender, and m ost were in the age range of 40 to 60 years old. Hemorrhoids, fistulas, ski n tags, and fissures were diagnosed. CONCLUSIONS: From statistical analysis we may conclude that human immunodeficiency virus-positive patients have m ore condylomas, ulcers, tumors, fistulas, and abscesses than human immunode ficiency virus-negative patients, who have more hemorrhoids. Incidence of f issures was similar in the two groups.