Anorectal Diseases in Rheumatology

Editor

Tadros, M., Shapiro, L., Frech, T., Wu, G.Y.

Department

Gastroenterology

Document Type

Book Chapter

Publication Title

GI Diseases Associated with Rheumatological and Vasculitic Conditions

Abstract

Although rare, anorectal involvement in rheumatic diseases (RD) can significantly impair quality of life. This chapter outlines normal anorectal anatomy and discusses how systemic sclerosis (SSc) causes sphincter dysfunction, neuropathy, and fecal incontinence through multiple mechanisms. Sarcoidosis, systemic lupus erythematosus (SLE), and antiphospholipid syndrome may present with anorectal plaques, ulcers, stenosis, or hemorrhoidal disease, often driven by granulomatous or vascular pathology. Treatment often focuses on sphincter muscle training in fecal incontinence form SSc and steroid therapy for SLE-related pathology, though further research is still needed. Recognizing anorectal symptoms may aid early diagnosis and facilitate coordinated care.

First Page

133

Last Page

141

DOI

10.1007/978-3-032-07868-1_9

Publication Date

1-1-2026

Publisher

Springer, Cham

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