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.
(See also Evaluation of Anorectal Disorders.) The perianal skin tends to itch, which can result from numerous causes (see Table: Some Causes of Pruritus Ani). This condition is also known as pruritus ani. Occasionally, the irritation is misinterpreted by the patient as pain, so other causes of perianal pain (eg, abscess or cancer) should be ruled out.