Open in a separate window A detailed anorectal exam is warranted for patients who present with pruritus. Physical findings can be quite variable, and depend not only on the underlying pathology, but also on the steps taken by the patient to alleviate symptoms. The perianal skin can display a wide range of signs, from being completely normal to having severe, widespread excoriations. A staging system has been developed by the Washington Hospital Center:
Department of Dermatology, N. Abstract Perianal dermatosis can encompass lesions from benign eczematous processes to advanced malignancies. It is important for the colorectal surgeon to be able to distinguish common problems from more serious pathology. This article covers nonsexually transmitted diseases occurring in the intergluteal fold and perianal region.
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Have you had any stool leaking from your rectum for more than 2 days? Yes Leakage of stool for more than 2 days No Have you tried any home treatment for the itching for more than 1 week? Yes Tried home treatment for more than 1 week for rectal itching No Tried home treatment for more than 1 week for rectal itching Have you had other signs of illness, such as weight loss, fatigue, or a rash, for more than 1 week? Yes Other signs of illness present for more than 1 week No Other signs of illness present for more than 1 week Have your symptoms lasted longer than 2 weeks?