INTRODUCTION: Condylata lata in secondary syphilis is well known presentation and needs to be considered in differential diagnosis of @entity75 . In England between 2013 and 2014 the overall incidence of @entity166 increased by 33% and is mainly seen in @entity1 who have sex with @entity1 . PRESENTATION OF CASE: We report the management of a 49-years-old Caucasian homosexual @entity1 with @entity75 that were suspicious of @entity5 . After biopsies, colonoscopy, staging with computed tomography, magnetic resonance imaging and syphilis serology @entity5 was excluded and a diagnosis of syphilis was confirmed. He was referred to the @entity458 for the appropriate investigations and treatment. DISCUSSION: This case highlights the consideration of treatable @entity166 pathology. The main differential diagnosis of perianal growths to consider is condylomata acuminata (warts caused by @entity1082 ), @entity5 , syphilis, chancroid, haemorrhoids, @entity378 and @entity50677 . To differentiate a biopsy is needed for histopathological examination. A dense plasma cell infiltrate and numerous spirochetes visualised by immunostaining confirms @entity3502 . CONCLUSION: In UK, it is important for colorectal surgeons to be aware of syphilitic @entity3502 and consider this when dealing with @entity75 . It is advisable to refer @entity1 suspected of or diagnosed with syphilis to sexual health clinics to help improve outcome. In sexual health clinics additional investigations and treatment are available in addition to partner notification and follow-up can be offered.

A case of syphilitic anal XXXX mimicking @entity5 .

@entity1 :: ('9606', 'Species') :: ['patients', 'man', 'men'] @entity75 :: ('MESH:D001927', 'Disease') :: ['perianal lesions'] @entity5 :: ('MESH:D009369', 'Disease') :: ['anal cancer', 'malignancy'] @entity50677 :: ('MESH:D008219', 'Disease') :: ['lymphogranuloma venereum'] @entity3502 :: ('MESH:D003218', 'Disease') :: ['condylomata lata'] @entity458 :: ('MESH:D020018', 'Disease') :: ['sexual health clinic'] @entity1082 :: ('10566', 'Species') :: ['human papillomavirus'] @entity378 :: ('MESH:D014376', 'Disease') :: ['tuberculosis'] @entity166 :: ('MESH:D003141', 'Disease') :: ['infectious syphilis']
@entity3502 :: (MESH:D003218,Disease) :: ['condylomata lata']
