The most common symptoms observed are urethritis, cervicitis, epididymitis, pelvic inflammatory disease (PID), vaginal discharge, papular anal/genital lesions, genital ulcers, and intestinal and enteric syndromes (proctitis,
proctocolitis, enteritis).
A girl (GA=37 wk and BW=1820 g [<the 3rd percentile]) born from non-consanguineous parents of Iranian origin with no family history of IBD presented at the age of 7 days with feeding intolerance, severe bloody diarrhea, non-bilious vomiting, abdominal distention, anorexia, and dehydration, mimicking a serious
proctocolitis owing to an allergy to the protein of cow's milk.
Such patients may also have eosinophilic
proctocolitis. In general, prominent tissue eosinophilia is suggestive of a non-gluten-induced enteropathy.
Babbini, "Double-blind comparison of the effectiveness of azathioprine and sulfasalazine in idiopathic
proctocolitis. Preliminary report," The American Journal of Digestive Diseases, vol.
Antonioli, "Allergic
proctocolitis in infants: A prospective clinicopathologic biopsy study," Human Pathology, vol.
Food protein-induced allergic
proctocolitis and food protein-induced enteropathy are also non-IgE-mediated food allergies, but they often have subacute to chronic presentations ranging from hemoccult-positive stools in healthy infants to chronic diarrhea causing failure to thrive [1].
In the past 2 decades, another manifestation of LGV has emerged in North America and Europe: rectal LGV infection causing
proctocolitis among men who have sex with men (MSM) (1).
An epidemiological study of idiopathic
proctocolitis in Japan.
In an immunocompromised patient, CMV infection of colon can present in a variety of ways: ulcers,
proctocolitis, pseudotumors, pseudomembranes, appendicitis, perforation, pneumatosis intestinalis, or toxic megacolon [1].
Lennard-Jones, "Variation Between Observers in Describing Mucosal Appearances in
Proctocolitis," British Medical Journal, vol.
Hendl, "Incidence of colorectal cancer in
proctocolitis: a retrospective study of 959 cases over 40 years," Gut, vol.