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Case Report
Exuberant condylomata lata in the differential diagnosis of perianal disease
1 Resident, General Surgery Department, Hospital do Espírito Santo de Évora, Évora, Portugal
2 Junior Surgeon, General Surgery Department, Hospital do Espírito Santo de Évora, Évora, Portugal
3 Infectiologist, Infectious Diseases Department, Centro Hospitalar do Baixo Douro e Vouga, Aveiro, Portugal
4 Senior Surgeon, General Surgery Department, Hospital do Espírito Santo de Évora, Évora, Portugal
5 Chief of Department, General Surgery Department, Hospital do Espírito Santo de Évora, Évora, Portugal
Address correspondence to:
Maria Cristina Botelho Hasse Velez
R. Almada Negreiros, 28, 7005-288,
Évora
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Article ID: 100119Z06MV2023
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How to cite this article
Velez MCBH, Lima R, Bolota J, Machado A, Velez J, Silva A, Félix R, Carvalho M. Exuberant condylomata lata in the differential diagnosis of perianal disease. Case Rep Int 2023;12(2):6–9.ABSTRACT
Introduction: Perianal pathology includes a variety of lesions with a vast array of etiologies and therefore the treatment and prognosis are diverse. The negative impact in the quality of life is generally meaningful. Depending on the context where the patient is observed, some causes are not always remembered when the differential diagnosis is discussed.
Case Report: We present the case of a 70-year-old male presenting to the emergency department with painful exuberant perianal lesions, referred to General Surgery observation, whose diagnostic pathway was time consuming. The patient was subjected to excisional biopsies and an abdominal computed tomography before the correct clinical diagnosis was suspected and serologic studies ordered. A clinical diagnosis of condylomata lata was eventually reached when a specialist in infectious diseases was consulted which allowed for correct investigation and treatment.
Conclusion: This case illustrates the importance of considering infectious diseases as causing perianal manifestations and of different specialties working together. This can diminish the delay of treatment, giving back the patients’ quality of life and avoiding time and money consuming exams and treatments.
Keywords: Condylomata lata, Malignancy mimicking, Perianal disease, Syphilis
SUPPORTING INFORMATION
Author Contributions
Maria Cristina Botelho Hasse Velez - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Rita Lima - Acquisition of data, Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Joana Bolota - Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published
Arnaldo Machado - Acquisition of data, Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Jorge Velez - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Artur Silva - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Rosa Félix - Substantial contributions to conception and design, Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Manuel Carvalho - Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2023 Maria Cristina Botelho Hasse Velez et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
