PMC4766383_01
A 24-year-old male presented with fatigue, malaise, diarrhea and bloating. Colonoscopy demonstrated a 1 cm flat lesion in the distal rectum with pathology showing anal intraepithelial neoplasia II.
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OFW014F1
HIV viral load was 506 210 copies/mL. His colonoscopy showed a 1 cm flat lesion in the distal rectum (Figure 1), and the subsequent biopsy showed AIN II.
A 28-year-old male presented with fatigue and loose stools. Colonoscopy showed a 1 cm sessile, flat lesion in the distal rectum with pathology showing anal intraepithelial neoplasia II.
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OFW014F2
HIV viral load was low at baseline 1621 copies/mL and then 136 copies/mL 3 weeks later at time of colonoscopy. His colonoscopy showed a 1 cm sessile, flat lesion in the distal rectum (Figure 2) with the pathology showing AIN II.
PMC4766383_02
PMC4766383_03
PMC4766383_04
A 25-year-old male without gastrointestinal symptoms. Colonoscopy showed a 4 mm clean-based rectal ulcer with pathology showing cytomegalovirus proctitis with ulceration.
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OFW014F3
HIV viral load was 3256 copies/mL. His colonoscopy showed a 4 mm clean-based rectal ulcer (Figure 3), and the biopsy demonstrated cytomegalovirus (CMV) proctitis with ulceration.