Spectrum of anorectallesion among HIV positive patients in Lagos Nigeria

Abstract

Background:  Anorectal diseases are more common in human immunodeficiency virus-infected individuals. The aim of this prospective study was to assess the clinical presentation of anorectal diseases in this human immunodeficiency viruspositive population

Objective: To evaluate the spectrum of anorectal lesion on HIV positive patients

Method:  A total of one hundred and thirty five  patients that presented to the SOPD of General  hospital Ikorudu with confirmed history of positive
HIV test and anorectal lesions were included in the study. All patients had rectal examination with digital examination, proctoscopy and biopsy when
necessary.

Results: Data from 135 consecutive human immunodeficiency virus-seropositive patients with  anorectal symptoms were analyzed. They were 93
males and 42 females giving M;F ratio of 2,1:1 .Fifty four patents had haemorrhoid, 27 had fissure in Ano while 15 had fistula in Ano ,11 patients had anal warts,11 had rectal prolaspe ,one had pilonidal sinus ,17 had Anorectal Abscess,8 had rectal cancer and 2 had solitary anal syndrome

Conclusion: Human immunodeficiency virus infection is associated with a wide spectrum of anorectal disease of which anorectalinfection,fissure in Ano.,anal warts and fistula in Ano as well as rectal cancer are common.We recommend that patients who presented with anorectal lesion should be screen for retroviral infection.