Peri-anal ulceration. Tuberculosis should not be overlooked
Le Bourgeois, P.C.; Poynard, T.; Modai, J.; Marche, C.; Avril, M.F.; Chaput, J.C.
Presse Medicale 13(41): 2507-2509
1984
ISSN/ISBN: 0755-4982 PMID: 6239241 Document Number: 490
Two cases of peri-anal ulceration of tuberculous origin are reported: one revealed an active pulmonary and ileo-caecal tuberculosis, the other complicated a chronic pulmonary tuberculosis of several years' duration. Cutaneous manifestations of tuberculosis are exceptional. In patients with protracted peri-anal ulceration, a biopsy should be performed that will show a typical tuberculoid granuloma. The most frequently encountered anorectal tuberculous lesions are suppurations and fistulae. The main differential diagnosis is Crohn's disease with anorectal manifestations.
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