Inflammatory dermatoses
Inflammatory dermatoses Microchapters |
Inflammatory dermatoses effecting penis |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Vishal Devarkonda, M.B.B.S[2]
Overview
Inflammatory dermatosis of penis represents a group of inflammatory conditions which effect the penis causing Balanitis. Pathogenesis, risk factors, clinical features, laboratory findings and treatment vary from condition to condition.
Distinguishing clincal features, diagnosis, and management inflammatory dermatosis of penis
Distinguishing clincal features, diagnosis, management of balanitis due to inflammatory dermatosis, include:[1][2][3][4][5][6][7][8][9]
Distinguishing clincal features, diagnosis, and management of balanitis due to inflammatory dermatosis | |||||
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Distinguishing clinical features shown on the penis | Diagnosis | Management | |||
Recommended regimen | Alternative regimens | Follow-up | |||
Lichen sclerosus |
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Biopsy
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Lichen planus |
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Biopsy
Irregular saw-toothed acanthosis, increased granular layer and basal cell liquefaction. Dermis: Band-like dermal infiltrate (mainly lymphocytic). |
Moderate to ultrapotent topical steroids depending on severity |
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Zoon’s (plasma cell) balanitis |
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Biopsy
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Psoriasis | Circumcised male
Red scaly plaques Uncircumcised
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Biopsy
Parakeratosis and acanthosis with elongation of rete ridges. Collections of neutrophils in the epidermis may be present. |
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Circinate balanitis |
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Biopsy
Epidermis: Spongiform pustules in the upper epidermis. |
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Follow up may be needed in persistent symptomatic lesions. | |
Eczema | Eczema may present has mild non-specific erythema to wide spread edema on penis . | Biopsy
Eczematous with spongiosis and non-specific inflammation. |
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Seborrhoeic dermatitis | Mild itch or redness | Antifungal cream with a mild to moderate steroid. |
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Fixed drug eruption |
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Biopsy
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Non-specific balanoposthitis | Chronic symptomatic presentation with relapses and remissions or persistence. |
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Circumcision is curative. |
References
- ↑ 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.
- ↑ Kishimoto M, Lee MJ, Mor A, Abeles AM, Solomon G, Pillinger MH (2006). "Syphilis mimicking Reiter's syndrome in an HIV-positive patient". Am J Med Sci. 332 (2): 90–2. PMID 16909057.
- ↑ Neill SM, Lewis FM, Tatnall FM, Cox NH, British Association of Dermatologists (2010). "British Association of Dermatologists' guidelines for the management of lichen sclerosus 2010". Br J Dermatol. 163 (4): 672–82. doi:10.1111/j.1365-2133.2010.09997.x. PMID 20854400.
- ↑ Chi CC, Kirtschig G, Baldo M, Brackenbury F, Lewis F, Wojnarowska F (2011). "Topical interventions for genital lichen sclerosus". Cochrane Database Syst Rev (12): CD008240. doi:10.1002/14651858.CD008240.pub2. PMID 22161424.
- ↑ Porter WM, Francis N, Hawkins D, Dinneen M, Bunker CB (2002). "Penile intraepithelial neoplasia: clinical spectrum and treatment of 35 cases". Br J Dermatol. 147 (6): 1159–65. PMID 12452865.
- ↑ Weyers W, Ende Y, Schalla W, Diaz-Cascajo C (2002). "Balanitis of Zoon: a clinicopathologic study of 45 cases". Am J Dermatopathol. 24 (6): 459–67. PMID 12454596.
- ↑ Kumar B, Sharma R, Rajagopalan M, Radotra BD (1995). "Plasma cell balanitis: clinical and histopathological features--response to circumcision". Genitourin Med. 71 (1): 32–4. PMC 1195366. PMID 7750950.
- ↑ Nast A, Kopp I, Augustin M, Banditt KB, Boehncke WH, Follmann M; et al. (2007). "German evidence-based guidelines for the treatment of Psoriasis vulgaris (short version)". Arch Dermatol Res. 299 (3): 111–38. doi:10.1007/s00403-007-0744-y. PMC 1910890. PMID 17497162.
- ↑ Zawar V, Kirloskar M, Chuh A (2004). "Fixed drug eruption - a sexually inducible reaction?". Int J STD AIDS. 15 (8): 560–3. doi:10.1258/0956462041558285. PMID 15307969.