. Diseases of the rectum and anus: designed for students and practitioners of medicine. / Fig. 97.—Primary Tuberculosis of the Skin and Mucous Membraneat the Anal Outlet. stages of chronic hypertrophie proctitis and which may be com-plicated by polypoid-like growths (Plate XVIII). Tubercular Ulceration is frequently encountered in the ano-rectal region (Plate XIX), and is usually secondary to tuber-culosis in some other part of the body, especially phthisispulmonalis. On the other hand, it may be primary (Figs. 96and 97), the infection having been introduced directly or withthe food; this, how
. Diseases of the rectum and anus: designed for students and practitioners of medicine. / Fig. 97.—Primary Tuberculosis of the Skin and Mucous Membraneat the Anal Outlet. stages of chronic hypertrophie proctitis and which may be com-plicated by polypoid-like growths (Plate XVIII). Tubercular Ulceration is frequently encountered in the ano-rectal region (Plate XIX), and is usually secondary to tuber-culosis in some other part of the body, especially phthisispulmonalis. On the other hand, it may be primary (Figs. 96and 97), the infection having been introduced directly or withthe food; this, however, is extremely rare. It may attack anypart of the rectum, or the skin about the anus; its most usuallocation, however, is at the muco-cutaneous junction. Of the 31 cases recorded by Ouenu and Hartmann, the. I I 8 NON-MALIGNANT ULCERATION AND ESTHIOMENE 325 disease extended through the anal canal in all but 2, whichwere cutaneous. Tubercular ulcers of the rectum may besingle or multiple, large or small, superficial or deep. Mensuffer from them more often than women, and they are mostcommon in young adults. Of 31 cases reported by Quenuand Hartmann, 24 were men, 6 women, and 1 child, sex notgiven. Ulceration of the rectum in tubercular subjects is of twokinds: (a) simple ulceration, occurring in persons sufferingfrom general tuberculosis, and (b) ulcers due to the breakingdown of local tubercular deposits. In the first variety there
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectanusdis, bookyear1910
