Clinico-biological and endoscopic aspects of anorectal lesions in HIV-infected patients in Kinshasa

Context and objective. Anorectal lesions (ARLs) in patients living with HIV (PLHIV) are poorly documented. The aim of the present study was to describe the clinico-biological and endoscopic profiles of ARLs in PLHIV. Methods. This was a consecutive, descriptive series of PVV cases with at least one proctological complaint at the Kinshasa university hospital and the Centre Amo-Congo. Parameters of interest included clinical, biological and endoscopic LAR data. Results. A total of 168 PVVs were examined. Mean age was 45.2±9.1 years (20 to 71 years), with a female preponderance of 74% (n=124). Of the 71.4% (n=120) of PLWH with ARL, 4% (n=5) were in stage I, 13% (n=15) in stage II, 67% (n=80) in stage III and 17% (n=20) in WHO stage IV. The preeminent LARs were hemorrhoidal disease 60.3% (n=73) and anal fissure 24.2% (n=29). Conclusion. LARs are common and should be systematically investigated in PVV, for early diagnosis and appropriate management. Received: October 1st, 2024 Accepted: February 1st, 2025 https://dx.doi.org/10.4314/aamed.v18i2.14