Anal fissure laboratory findings: Difference between revisions
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==Overview== | ==Overview== | ||
Primary anal fissure is usually diagnosed and confirmed by clinical history and physical examination. Laboratory findings are needed to rule out the causes of secondary anal fissures e.g. [[Crohn's disease]],[[tuberculosis]], [[sarcoidosis]] and [[HIV]] which include | Primary anal fissure is usually diagnosed and confirmed by clinical history and physical examination. Laboratory findings are needed to rule out the causes of secondary anal fissures e.g. [[Crohn's disease]], [[tuberculosis]], [[sarcoidosis|sarcoidosis,]] and [[HIV]] which include [[lymphocytosis]], [[Enzyme linked immunosorbent assay (ELISA)]]. | ||
==Laboratory Findings== | ==Laboratory Findings== | ||
*Primary anal fissure is usually diagnosed and confirmed by clinical history and physical examination. Usually, laboratory findings are needed to rule out the causes of secondary anal fissures e.g. [[Crohn's disease]],[[tuberculosis]],[[sarcoidosis]] and [[HIV]]. | *Primary anal fissure is usually diagnosed and confirmed by clinical history and physical examination. Usually, laboratory findings are needed to rule out the causes of secondary anal fissures e.g. [[Crohn's disease]], [[tuberculosis]], [[sarcoidosis]] and [[HIV]]. | ||
*Laboratory findings consistent with the diagnosis of a secondary anal fissure include:<ref name="pmid27041801">{{cite journal |vauthors=Schlichtemeier S, Engel A |title=Anal fissure |journal=Aust Prescr |volume=39 |issue=1 |pages=14–7 |year=2016 |pmid=27041801 |pmc=4816871 |doi=10.18773/austprescr.2016.007 |url=}}</ref> | *Laboratory findings consistent with the diagnosis of a secondary anal fissure include:<ref name="pmid27041801">{{cite journal |vauthors=Schlichtemeier S, Engel A |title=Anal fissure |journal=Aust Prescr |volume=39 |issue=1 |pages=14–7 |year=2016 |pmid=27041801 |pmc=4816871 |doi=10.18773/austprescr.2016.007 |url=}}</ref> | ||
**[[Leukocytosis]]- [[lymphocytosis]] | **[[Leukocytosis]]- [[lymphocytosis]] | ||
**[[ | **[[Erythrocyte sedimentation rate|ESR]] | ||
**[[Human Immunodeficiency Virus (HIV)|HIV]] tests | |||
**[[Tuberculosis|TB]] tests ([[IGRA]], or biopsy) | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
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Latest revision as of 20:24, 29 July 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Amandeep Singh M.D.[2]
Overview
Primary anal fissure is usually diagnosed and confirmed by clinical history and physical examination. Laboratory findings are needed to rule out the causes of secondary anal fissures e.g. Crohn's disease, tuberculosis, sarcoidosis, and HIV which include lymphocytosis, Enzyme linked immunosorbent assay (ELISA).
Laboratory Findings
- Primary anal fissure is usually diagnosed and confirmed by clinical history and physical examination. Usually, laboratory findings are needed to rule out the causes of secondary anal fissures e.g. Crohn's disease, tuberculosis, sarcoidosis and HIV.
- Laboratory findings consistent with the diagnosis of a secondary anal fissure include:[1]
- Leukocytosis- lymphocytosis
- ESR
- HIV tests
- TB tests (IGRA, or biopsy)
References
- ↑ Schlichtemeier S, Engel A (2016). "Anal fissure". Aust Prescr. 39 (1): 14–7. doi:10.18773/austprescr.2016.007. PMC 4816871. PMID 27041801.