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JAMA. 1941;117(14):1169-1171. doi:10.1001/jama.1941.02820400027007.
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Anal tuberculosis does not occur very frequently unless it is complicated by rectal involvement, and primary tuberculous fistula in ano is scarcely ever seen. F. C. Smith1 found only 6 instances of anal tuberculosis in the records of 3,700 patients with rectal disease. Petter and Fansler2 reported that among tuberculous patients the incidence of perianal tuberculosis was 0.8 per cent and the incidence of tuberculous abscess and fistula was 5.8 per cent. In a series of 551 cases of tuberculosis these authors found 12 cases of tuberculous anal ulcer, 2 cases of tuberculosis cutis orificialis and 1 case of lupoid cutaneous tuberculosis. Berry3 stated that fistula and abscess comprised 85.9 per cent of all perianal tuberculous lesions and listed only 2 tuberculous ulcers in 18 instances of perianal tuberculosis. The disease occurs most frequently among young adults and, according to Quénu and Hartman,4 is more common


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