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Correspondence |

Schistosomiasis in an HIV-Positive Patient Presenting as an Anal Fissure and Giant Anal Polyp

Patrick Gholam, MD; Frank Autschbach, MD; Wolfgang Hartschuh, MD
Arch Dermatol. 2008;144(7):950-952. doi:10.1001/archderm.144.7.950.
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Segun  AOAlebiosu  COAgboola  AO  et al.  Schistosomiasis—an unusual cause of abdominal pseudotumor. J Natl Med Assoc 2006;98 (8) 1365- 1368
PubMed
Javid  BAliyu  SHSave  VE  et al.  Schistosomal colonic polyposis in an HIV-positive man. AIDS 2007;21 (3) 386- 388
PubMed
Abe  YInamori  MFujita  K  et al.  Gastrointestinal: rectal polyp associated with schistosomiasis. J Gastroenterol Hepatol 2006;21 (7) 1216
PubMed
Secor  WE Interactions between schistosomiasis and infection with HIV-1. Parasite Immunol 2006;28 (11) 597- 603
PubMed
Brown  MKizza  MWatera  C  et al.  Helminth infection is not associated with faster progression of HIV disease in coinfected adults in Uganda. J Infect Dis 2004;190 (10) 1869- 1879
PubMed
Karanja  DMBoyer  AEStrand  M  et al.  Studies on schistosomiasis in western Kenya: II. Efficacy of praziquantel for treatment of schistosomiasis in persons coinfected with human immunodeficiency virus-1. Am J Trop Med Hyg 1998;59 (2) 307- 311
PubMed
Yasawy  MIEl Shiekh Mohamed  ARAl Karawi  MA Comparison between stool examination, serology and large bowel biopsy in diagnosing Schistosoma mansoni. Trop Doct 1989;19 (3) 132- 134
PubMed
Lawn  SDWilkinson  RJ Immune reconstitution disease associated with parasitic infections following antiretroviral treatment. Parasite Immunol 2006;28 (11) 625- 633
PubMed
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Figure 1.

Intraoperative view of the 4-cm anal polyp (asterisk) in the region of the anorectal junction, pulled out with forceps for demonstration.

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Figure 2.

Histologic analysis of the fibrous anal polyp bounded by keratinized, stratified, squamous epithelium with focally accentuated chronic inflammation. In the stroma, calcified ova of Schistosoma mansoni with the characteristic lateral spine (arrowhead) were discovered (hematoxylin-eosin, original magnification ×20).

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