Inflammation of the rectal mucosa
Pain on defecation
Tenesmus
Mucoid discharge
Inguinal lymphadenopathy (may be seen with T. pallidum)
Condyloma Acuminata
Gonorrhea
Symptoms vary from none to severe rectal pain with yellow, bloody discharge
Unlike nonvenereal cryptitis, infection is not confined to the posterior crypt
Chlamydia
Infection due to direct anorectal infection or via vaginal seeding to perirectal lymphatics
Symptoms range from asymptomatic to anal pruritus, pain, purulent discharge
Lymphogranulomatous variety
Acutely painful anal ulcerations associated with unilateral lymph node enlargement
Fever and flulike symptoms
May result in rectal scarring, stricturing, perirectal abscesses, chronic fistulas
Syphilis
Primary
Anal chancres appear ~2-6 weeks after intercourse, are often painful
May be misdiagnosed as simple fissure
Symmetric lesion on opposite side of anal margin is distinguishing feature
Inguinal adenopathy is often present
Secondary
Condylomata lata (flatter and firmer than condylomata acuminata)
Herpes Simplex Virus-2
Itching and soreness in perianal area progressing to severe anorectal pain
Accompanied by flulike illness, inguinal adenopathy
Early lesions are small, discrete vesicles on erythematous base
Vesicles then enlarge, coalesce, and rupture, forming exquisitely tender ulcers
Symptoms vary from none to severe rectal pain with yellow, bloody discharge
Unlike nonvenereal cryptitis, infection is not confined to the posterior crypt
Infection due to direct anorectal infection or via vaginal seeding to perirectal lymphatics
Symptoms range from asymptomatic to anal pruritus, pain, purulent discharge
Lymphogranulomatous variety
Acutely painful anal ulcerations associated with unilateral lymph node enlargement
Fever and flulike symptoms
May result in rectal scarring, stricturing, perirectal abscesses, chronic fistulas
Acutely painful anal ulcerations associated with unilateral lymph node enlargement
Fever and flulike symptoms
May result in rectal scarring, stricturing, perirectal abscesses, chronic fistulas
Primary
Anal chancres appear ~2-6 weeks after intercourse, are often painful
May be misdiagnosed as simple fissure
Symmetric lesion on opposite side of anal margin is distinguishing feature
Inguinal adenopathy is often present
Secondary
Condylomata lata (flatter and firmer than condylomata acuminata)
Anal chancres appear ~2-6 weeks after intercourse, are often painful
May be misdiagnosed as simple fissure
Symmetric lesion on opposite side of anal margin is distinguishing feature
Inguinal adenopathy is often present
May be misdiagnosed as simple fissure
Symmetric lesion on opposite side of anal margin is distinguishing feature
Inguinal adenopathy is often present
Symmetric lesion on opposite side of anal margin is distinguishing feature
Inguinal adenopathy is often present
Condylomata lata (flatter and firmer than condylomata acuminata)
Itching and soreness in perianal area progressing to severe anorectal pain
Accompanied by flulike illness, inguinal adenopathy
Early lesions are small, discrete vesicles on erythematous base
Vesicles then enlarge, coalesce, and rupture, forming exquisitely tender ulcers
Accompanied by flulike illness, inguinal adenopathy
Vesicles then enlarge, coalesce, and rupture, forming exquisitely tender ulcers
Proctitis
Anal fissure
Prostatitis
Anal fistula
Cervicitis
Anal malignancy
Vulvovaginitis
Anal tags