...Zoon Balanitis FIGURE 58-16. Shallow asymptomatic erosion of Zoon balanitis. Epidemiology, Etiology, and Pathogenesis Zoon balanitis, or plasma cell balanitis, has an unknown etiology but generally occurs in older uncircumcised men of any racial group. It is thought...
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...PLASMA CELL BALANITIS AND VULVITIS FIGURE 34-4 A, B. Plasma cell balanitis Solitary red glistening plaque in two different uncircumcised men. Two examples of the clinical appearance of plasma cell balanitis. Asymptomatic red glistening plaque(s) on glans penis ( Fig. 34-4...
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... glans. Zoon’s balanitis is due to a plasma cell infiltration of unknown cause; it occurs mostly in uncircumcised middle-aged men. Circinate balanitis is characteristic of reactive arthritis (Reiter syndrome). Primary cutaneous diseases such as psoriasis, lichen planus, and lichen sclerosis et...
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... Table 64-4 Differential Diagnosis of Lichen Sclerosus Genital Manifestations Consider Zoon balanitis Child abuse (sexual) Radiation dermatitis (for vulvar cancer) Contact dermatitis, including excessive genital hygiene Lichen planus...
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...DIFFERENTIAL DIAGNOSIS Table 64-4 Differential Diagnosis of Lichen Sclerosus Genital Manifestations Consider Zoon balanitis Child abuse (sexual) Radiation dermatitis (for vulvar cancer) Contact dermatitis, including excessive genital hygiene...
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... • Tinea cruris • Zoon balanitis plasmacellularis The first-line treatment for psoriasis, topical corticosteroid therapy, is more effective on the genitalia than elsewhere because the skin is thin and occluded by clothing. High-potency topical steroids should be avoided on the genitalia. Topical...
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... of topical steroids or topical calcineurin inhibitors. 64 Systemic therapy should be considered only after failure of these topical modalities and, even then, only for as short a time as possible [ e-Table 58-12 ]. Zoon balanitis • SCC in situ • SCC (invasive) • Candida and Pseudomonas...
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... at large may also appear orange or red-orange. Zoon’s plasma cell balanitis and plasma cell vulvitis may appear orange. This usually presents as one or more glistening plaques on the glans penis and prepuce. It may also be bright red, or rust-colored. Similarly, the benign pigmented purpuras may have...
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