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Japanese

Chlamydia trachomatis Proctitis Saori Matsui 1 , Shinya Yoshida 1 , Chiaki Noguchi 1 , Satoshi Urakami 1 , Risa Matsuoka 1 , Akihiro Nishio 1 , Naohiko Indoh 1 , Yasuaki Kitamura 1 , Shinako Tochitani 1 , Yasuko Miyanaga 2 , Kouichi Fujita 1 , Takahiro Anami 1 , Akihiko Watanabe 1 , Atsushi Sugahara 1 , Tsuyoshi Fujita 2 , Hidekazu Mukai 1 1Department of Gastroenterology, Yodogawa Christian Hospital, Osaka, Japan 2Department of Health Management, Yodogawa Christian Hospital, Osaka, Japan Keyword: クラミジア , Chlamydia trachomatis , 直腸炎 , 性行為感染症 , 大腸内視鏡 pp.441-445
Published Date 2018/4/25
DOI https://doi.org/10.11477/mf.1403201328
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 The typical endoscopic view of Chlamydia trachomatis proctitis is known as “salmon roe-like rectal mucosa” or “semispherical nodules”. However, we observed an atypical view of Chlamydia trachomatis proctitis. Here we report these endoscopic findings. We studied 46 patients with a diagnosis of Chlamydia trachomatis proctitis infection.

 Many patients with Chlamydia trachomatis proctitis infection show atypical nodular lesions. In the first endoscopic examination of 46 patients, nodular lesions were observed in 42. “Short nodules” were observed in 27 patients(58.7%), “irregular nodules” were observed in 17(37.0%), and “semispherical nodules” were observed in 4(8.7%). No nodule was observed in four patients(8.7%)at their first endoscopic examination, and “erosion”, “aphtha”, or “erythema” was observed in these patients.

 We believe that atypical endoscopic findings of Chlamydia trachomatis proctitis can be found in most patients, if carefully observed.


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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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