Idiopathic Granular Proctitis

Observations on idiopathic proctitis

“…We have not confirmed Brooke's finding (quoted by Cropper, 1955) that the sex incidence is roughly equal in granular proctitis: on the contrary we find that the disease affects women about twice as commonly as men.…”

“…First, idiopathic proctitis represents a local form of procto-colitis ('ulcerative' colitis), and second, the various forms of proctitis described represent different stages of one disease. Some previous writers (Milligan, 1933;Thaysen, 1934;Brooke, 1953a;Hardy, 1953;Rice-Oxley, 1953;Cropper, 1955) have distinguished a relatively benign granular or haemorrhagic proctitis (or procto-sigmoiditis) from the generally recognized procto-(ulcerative) colitis. Distinctions between the two conditions have been based on differences in symptoms, constitutional upset, sigmoidoscopic appearance, histological findings, and prognosis.…”

A ten-year follow-up of haemorrhagic proctitis

“…The age, sex, initial symptomatology and clinical findings, including sigmoidoscopy and barium enema, do not differ significantly from those of other authors (Sparberg, 1968;Farmer and Brown, 1966, 1971, 1972Wilson, 1970;Cropper, 1955;Truelove, 1959;Newell and Avery-Jones, 1958;Freiberger and Muller-Wieland, 1968). The disease is benign in that there were no deaths in this series and few peripheral complications.…”