Presentaciones de la Sífilis Ano Rectal: La Gran Simuladora:

Sofia Mansilla; Andrés Pouy; Noelia Brito; Fabiana Domínguez; Nicolás Muniz; Ricardo Misa

doi:10.46768/racp.v0i0.244

Sofia Mansilla Clínica Quirúrgica B, Hospital de Clínicas Facultad de Medicina https://orcid.org/0000-0002-5881-9284
Andrés Pouy Clínica Quirúrgica B, Hospital de Clínicas Facultad de Medicina https://orcid.org/0000-0002-7136-144X
Noelia Brito Clínica Quirúrgica B, Hospital de Clínicas Facultad de Medicina https://orcid.org/0000-0002-1394-3994
Fabiana Domínguez https://orcid.org/0000-0002-1746-7091
Nicolás Muniz Clínica Quirúrgica B, Hospital de Clínicas Facultad de Medicina https://orcid.org/0000-0002-6235-1303
Ricardo Misa Clínica Quirúrgica B, Hospital de Clínicas Facultad de Medicina https://orcid.org/0000-0002-8282-6863

DOI: https://doi.org/10.46768/racp.v0i0.244

Keywords: PSEUDOTUMOR, SYPHILIS ANORECTAL, LUETIC ULCER

Abstract

Background: Syphilis is a chronic systemic infectious-contagious disease causing illness in dozens of millions of people a year. Its polymorphic manifestation makes it a differential diagnosis of benign and malignant anorectal diseases. Objective: Review of the clinical presentation of anorectal syphilis regarding clinical cases. Method: Observational, retrospective, descriptive and literature review study. Results: Most of the patients were men of active sexual age with HIV co-infection. Most frequent manifestation was anal fissure, followed by ulceration. Pseudotumor presentation was infrequent, and stands out for its high diagnostic suspicion given the consequent risk of overtreatment. Conclusion: Syphilis is considered “the great simulator”. Its anorectal presentation as fissure, ulcer and/or pseudotumor is not uncommon. Treatment is simple with widely available antibiotics.

ANORECTAL SYPHILIS THE GREAT SIMULATOR

PRESENTACIONES DE LA SÍFILIS ANO RECTAL

Abstract