Creatine (/ËkriËÉtiËn/ or /ËkriËÉtÉªn/) is a nitrogenous organic acid that occurs naturally in vertebrates and helps to supply energy to all cells in the body, primarily muscle. This is achieved by increasing the formation of adenosine triphosphate (ATP).
Condylomata lata are painless, soft, flat, pink lesions caused by secondary syphilis that may appear in the perianal region.7 The lesions often occur at the same time as the maculopapular rash of secondary syphilis, can produce a large amount of copious discharge, and are highly infectious.
Perianal disease is the initial sign of Crohn's disease in approximately 20 to 36 percent of persons and can precede active intestinal disease by months to years.4 In this patient, the usual symptoms of Crohn's disease (e.g., diarrhea, weight loss, fever, abdominal pain) were absent at initial presentation.