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985 IV. Smith Introduction, 247 Pruritic Conditions, 247 Idiopathic Pruritus Ani, 247 History, 247 Physical Findings, 248 Physiologic Testing, 248 Histopathology, 249 Treatment, 249 Follow-Up, 249 Primary Etiologies, 250 Poor Hygiene, 250 Anorectal Binary Brokers‎ Beyendorf, 250 Infections, 250 Skin Diseases, 254 Diarrheal States, 257 Dietary Factors, 257 Gynecologic Conditions, 257 Antibiotics, 257 Systemic Diseases, 257 Miscellaneous Causes, 258 Nonpruritic Lesions, 258 Infections, 258 Hidradenitis Suppurativa, 258 Leprosy, 258 Amebiasis, 258 Actinomycosis, 258 Lymphogranuloma Venereum, 258 Neoplastic Lesions, 258 Acanthosis Nigricans, 258 Bowens Disease, 259 Squamous Cell Carcinoma, 259 Melanoma, 259 Perianal Pagets Disease, 259 Inflammatory Bowel Disease, 259 References, 259 INTRODUCTION Patients with primary perianal dermatologic conditions and secondary perianal involvement in systemic diseases are initially seen with a variety of symptoms and macro- scopic appearances.

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