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- W4243896402 abstract "We thank Dr Maltz for his thoughtful comments on our article. Indeed, we did not highlight sexually transmitted diseases caused by anoreceptive intercourse. As you point out, proctitis with disproportionate proctalgia symptoms or inguinal adenopathy should prompt an appropriate clinical evaluation. Common variable immunodeficiency should also be considered in patients with chronic diarrhea, especially when accompanied by a history of recurrent respiratory tract infections. Reduced or absent plasma cells in biopsies might be overlooked, but their presence in normal quantities does not rule out a selective immune defect and should not preclude laboratory evaluation. We appreciate these important additions to the differential diagnosis of colitis. New Onset ColitisClinical Gastroenterology and HepatologyVol. 5Issue 12PreviewIn the March 2007 issue of Clinical Gastroenterology and Hepatology, Abreu and Harpaz1 reviewed the steps needed to make the diagnosis of idiopathic inflammatory bowel disease in the patient presenting with new-onset colitis. A couple of additional entities that were not discussed and that can mimic idiopathic inflammatory should be considered in the evaluation of a patient with acute onset of colitis. Omitted was any mention of taking the sexual history of the patient. Men who have sex with men are at risk of both gonorrheal and chlamydial proctitis, which can be misdiagnosed as idiopathic inflammatory bowel disease after all routine cultures are negative. Full-Text PDF" @default.
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- W4243896402 date "2007-12-01" @default.
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- W4243896402 title "Reply" @default.
- W4243896402 doi "https://doi.org/10.1016/j.cgh.2007.10.002" @default.
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