Balanitis

Jump to: navigation, search

Balanitis Microchapters

Patient Information

Overview

Classification

Infectious balanitis
Non-infectious balanitits
Zoon's balanitis
Balanitis xerotica obliterans

Causes

Differential Diagnosis

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Vishal Devarkonda, M.B.B.S[2]

Synonyms and Keywords: Balanoposthitis


Overview

Balanitis is inflammation of glans penis. When inflammation involves the foreskin and prepuce, it is termed as balanoposthitis. Based on the etiology, balanitis can be mainly categorized into infectious, inflammatory dermatoses, and penile carcinoma in situ. Patients with balanitis may present with asymptomatic or symptomatic lesions with itch or pain in the genital region. Risk factors, pathogenesis, clinical presentation, diagnosis and management varies from etiology to etiology.

Classification

There is no established classification system for Balantis. Based on the etiologies, Balanitis can be classified into:[1]

Causes

Infectious balanitis

Common causes of infectious balanitis

Fungal

Protozoal

spirochaetes

Viral

Less common causes of infectious balanitis

Fungal

Viral

Protozoal

Parasitic

Bacterial

Gram negative bacteria

Spirochaetes

Gram positive organism

Acid fast bacilli

Anaerobes

Non-infectious balanitis

Inflammatory dermatoses conditions causing balanitis

Penile carcinoma in situ causing balanitis

Differential Diagnosis

Symptoms Signs
Malaise Pruritus Skin lesions Regional lymphadenopathy Erythema Swelling
Candida balanitis - + Erythematous rash with soreness and/or itch + + -
Trichomonas vaginalis - + Superficial erosive balanitis  - + -
Treponema pallidum - - Multiple circinate lesions + - -
Herpes simplex + + Grouped vesicles on erythematous base + + -
Human papilloma virus - + Warts - - -
Lichen sclerosus - + White patches on glans - - -
Lichen planus - + Purplish lesions on the penis - - -
Psoriasis - + Red scaly plaques - + -
Circinate + + Greyish white areas on the glans - - -
Zoon's balanitis - + Well-circumscribed orange-red glazed areas - - -
Eczema - + Mild non-specific erythema to wide spread edema of penis. - + +
Fixed drug eruption - + Well demarcated and erythematous lesions - + -
Bowen's disease - + Multiple, small, well-demarcated papillomatous papules - - -
Bowenoid papulosis - + Single or multiple, sharply demarcated associated with scaling and crusting - - -
Erythroplasia of Queyrat - + Velvety patches and plaques of keratinization on penis. + - -

References

  1. Edwards SK, Bunker CB, Ziller F, van der Meijden WI (2014). "2013 European guideline for the management of balanoposthitis". Int J STD AIDS. 25 (9): 615–26. doi:10.1177/0956462414533099. PMID 24828553.

Linked-in.jpg