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Dermatologische Erkrankungen des Anorektums

  • Chapter
Chirurgische Proktologie

Zusammenfassung

Dermatologische Erkrankungen des Anorektums gehören mit zu den häufigsten Beschwerdebildern, mit denen der Proktologe, insbesondere in der Praxis, konfrontiert wird. Häufig ist Juckreiz das Hauptsymptom, das Analekzeme unterschiedlichster Genese auslösen können. Hier ist die Kenntnis der verschiedenen Differenzialdiagnosen entscheidend für die erfolgreiche Therapie. Es muss das Ekzem von Dermatosen und den diversen Infektionen abgegrenzt werden, wobei durch Geschlechtsverkehr übertragene Erkrankungen eine nicht unwesentliche Rolle spielen, wie Herpes-Infektionen oder auch die von humanen Papillomaviren induzierten Erkrankungen wie Condylomata acuminata. Die meisten dermatologischen Erkrankungen des Anorektums sind einer konservativen topischen oder auch systemischen Therapie zugänglich. Ausnahmen bilden die intraepithelialen Neoplasien, Malignome und jene Krankheiten, die unter dem Oberbegriff perianale/perineale Abszesse subsumiert werden können, wie die Akne inversa oder der Pilonidalsinus.

Das Kapitel wurde von G. Weyandt verfasst, mit Ausnahme des Abschnitts 12.8 (G. Weyandt, B. Bauer).

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Authors and Affiliations

  1. Klinikum Bayreuth GMBH, Klinik für Dermatologie und Allergologie, Preuschwitzer Straße 101, 95445, Bayreuth, Deutschland

    PD Dr. med. G. Weyandt

  2. Haßberge, Hautarztpraxis, Hofheimer Str. 3a, 97437, Haßfurt, Deutschland

    Dr. med. B. Bauer

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  1. PD Dr. med. G. Weyandt
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  2. Dr. med. B. Bauer
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Correspondence to G. Weyandt or G. Weyandt .

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Editors and Affiliations

  1. Ärztehaus Lützelmatt, Luzern, Switzerland

    Bernward Mölle

  2. End- und Dickdarm-Zentrum Essen, Essen, Deutschland

    Andreas Ommer

  3. Medkongress AG, St. Gallen, Switzerland

    Jochen Lange

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Weyandt, G., Bauer, B. (2018). Dermatologische Erkrankungen des Anorektums. In: Mölle, B., Ommer, A., Lange, J., Girona, J. (eds) Chirurgische Proktologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-54682-6_12

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