CANDIDAL BALANITIS. DEFINITION. Balanitis refers to inflammation of the glans . The most common cause of balanitis is Candida albicans. In common usage, “balanitis” and “balanoposthitis” are interchangeable, although balanoposthitis occurs only in uncircumcised males. For the. Zoon balanitis (ZB) is one of the benign nonvenereal dermatoses, which presents as a solitary, persistent erythematous plaque usually on the glans penis.
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No evidence of human papillomavirus infection in balanitis circumscripta plasmacellularis Zoon.
Fusidic acid cream in the treatment of plasma cell balanitis. Hematospermia Retrograde ejaculation Postorgasmic illness syndrome.
Balanitis – Wikipedia
Changes in dermal vasculature which include vascular dilatation with proliferated individual vessels. Korting GW, Theisen H. J Dermatol Surg Oncol. YAG laser can be finely adapted to this clinical scenario. Because ablation is directly proportional to fluence, Er: It may be associated with siderophages i.
Zoon balanitis: A comprehensive review
Dermoscopy [ 26 ]. Report of three cases.
Case series and review of the literature. However, long-term controlled studies are needed to confirm its effect and to know the dose and duration of therapy for complete clearance in ZB [ Table 2 ]. Lysosome granules biogenic amines Histamine Serotonin.
J Cosmet Laser Ther. Etiology Etiology and pathogenesis of this condition are still speculative.
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According to these studies, moderately potent steroid preparation with or without balanopstitis antibiotics is effective alternative to surgical management although these studies did not raise the level of evidence [ Table 2 ]. Patients should be instructed to retract the foreskin regularly and perform gentle cleansing of entire glans, preputial sac, and foreskin. YAG laser to produce complete resolution in ZB. Reflectance confocal microscopy [ 25 ].
It has been postulated that tacrolimus may affect the plasma cell response via its action on helper T-cells or a possible underlying T-cell dysfunction. Therapeutic efficacy of topical calcineurin inhibitors in plasma cell balanitis: An earlier study by Mallon et al.
Zoon balanitis: A comprehensive review
ZB is an entity of utmost importance both for the patients due to their concern regarding its prognosis and for the demato-venereologists due to its management being really challenging. Table 1 Clinical criteria for diagnosing Zoon balanitis[ 18 ].
There is only one case report of ZB treated with oral dapsone without any side effect although the mechanism of action was not clear. Furthermore, a regular careful clinical and histopathological monitoring is definitely required in the management of this complex and demanding entity. Retireved 19 April The clinical differentiation between ZB and its clinically equivocal dermatosis may be sometimes challenging.
Zoon’s plasma cell balanitis: Follow-up The exact follow-up regime for ZB after treatment is still unclear.
J Dermatol Surg Oncol. Erbium-YAG-laser treatment of balanoposthitis chronica circumscripta benigna plasmacellularis Zoon.
Views Read Edit View history. ZB has very distinct histopathological balanopowtitis affecting both epidermis and dermis. Furthermore, pimecrolimus leads to inhibition of histamine release by mast cells, which may result in improvement of the symptoms. The treatment of Zoon’s balanitis with the carbon dioxide laser.
Circumcision and genital dermatoses. Clinical criteria for diagnosing Zoon balanitis[ 18 ]. Clinical and histopathological features — Response to circumcision. Zoon’s balanitis treated with Erbium: Promotion of good hygiene is an easy and potentially beneficial measure.