Сообщение от Dr.Vad
Не понимаю, почему из десятков причин анального зуда посетители РМС так упорно ищут именно глисты??? (кое-какие надуманные причины подчеркнул):
Causes of Pruritus ani
Faecal soiling
Dietary factors
• More common: coffee (caffeinated and decaffeinated), tea, cola, alcohol, chocolate, tomato, including tomato sauce
(histamine)
• Less common: milk, peanuts, citrus fruits, grapes, spicy foods, prunes, figs
Anorectal disease
• Haemorrhoids
• Abscesses
• Anal fissures
• Fistulae
• Crohn disease
Benign tumours
• Seborrhoeic keratoses
• Angiokeratomas
• Anal intraepithelial neoplasia (rarely causes pruritus, generally asymptomatic)
• Bowenoid papulosis (may contribute to faecal soiling)
Malignant tumours
• Squamous cell carcinoma
• Extramammary Paget disease
• Melanoma
Skin conditions
• Contact dermatitis – commonly (see text)
• Hidradenitis suppurativa
• Seborrhoeic dermatitis, atopic dermatitis
• Psoriasis
• Lichen simplex chronicus, lichen sclerosus et atrophicus, lichen planus
• Connective tissue disease
• Drug eruptions
• Trauma (eg. waxing burns, shaving injuries and injuries secondary to anal insertion of foreign bodies)
Infection
• Worms, commonly threadworm
• STIs – genital warts, genital herpes, syphilis, gonorrhoea, chlamydia, molluscum contagiosum, scabies, pubic lice
• Tinea, candida
• Streptococcal and staphylococcal infections, erythrasma
Other medical conditions
• Coeliac disease
• Diabetes mellitus
• Leukaemia/lymphoma
• Renal failure
• Iron deficiency anaemia
• Hyperthyroidism
• Hypovitaminosis (deficiencies of vitamin A, B and D have been associated with anal pruritus)
Iatrogenic
Chemotherapy
Psychological
• Anxiety
• Sexual abuse
• Fear of STI or cancer
• Delusional parasitosis
Idiopathic
• Up to 25% of cases
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