Candidal Balanoposthitis – A Retrospective Study in a Tertiary Care Centre of South India

Abstract

BACKGROUNDCandidal balanoposthitis is a known clinical marker and most of the time it may be the presenting feature of diabetes mellitus. It is the most common condition in uncircumcised male patients attending the sexually transmitted infections (STI) clinic in recent times as there is a decline in the tropical sexually transmitted infections.The aim of this study is to determine the prevalence of candidal balanoposthitis in patients attending the STI clinic of a tertiary care centre. MATERIALS AND METHODSA retrospective chart review of the data collected from the clinical records of all patients with candidal balanoposthitis who had attended the STI clinic of Chengalpattu Medical College Hospital, Chengalpattu, Tamil Nadu, during the one year period from January 2015 to December 2015 was carried out. Demographic and clinical data were analysed. RESULTSThe total number of patients with candidal balanoposthitis were 108 (16.39%) among the total 659 male patients who attended the STI clinic during the study period. Among those, newly diagnosed diabetes mellitus were 47 (43.52%) and known diabetes mellitus were 51 (47.22%) patients. The common age group was 31 to 40 years (44.44%). It commonly presents as preputial fissuring in young sexually active patients and glazed erythema with subpreputial discharge in sexually inactive older patients. CONCLUSIONCandidal balanoposthitis is the most common condition in male patients attending the STI clinic. As it serves as a dependable cutaneous marker of diabetes mellitus, screening for diabetes should be done in all patients with balanoposthitis as it would help in the early diagnosis and management thereby decreasing the morbidity and improve the quality of life in them.

A descriptive study of the clinical and etiological profile of balanoposthitis

“…[ 17 ] had reported that balanitis could be associated with 12% of newly diagnosed diabetics. According to the study conducted by Swamiappan et al .,[ 18 ] 47.22% of patients with candida balanoposthitis were known diabetic and 43.52% were newly diagnosed with diabetes mellitus.…”

Candidiasis presenting as pseudocircinate balanitis in a preschooler

“…Diseases that result in genital ulcerations are rare in children, making the diagnosis of these conditions difficult. Candidal balanitis typically affects sexually active adult males and may present as eroded papules, pustules, whitish discharge or erythema with dry glazed appearance 1 . Candidal balanitis usually affects sexually active males who have sexual partners with vaginal candidosis.…”

“…Candidal balanitis typically affects sexually active adult males and may present as eroded papules, pustules, whitish discharge or erythema with dry glazed appearance. 1 Candidal balanitis usually affects sexually active males who have sexual partners with vaginal candidosis. Genital lesions due to candidiasis have been reported infrequently in children.…”

Balanoposthitis in clinical practice: evaluation of the effectiveness of the Balanex complex.

“…Ведущее значение в развитии кандидоза кожи и его частного про-явления в виде кандидозного баланопостита имеет иммуносупрессия вследствие нерационального применения антибиотиков, кортикостероидов, гормональных контрацептивов и т.д. [6,7]. Обзор литературы демонстрирует важность других возбудителей в этиологии инфекционных баланопоститов -аэробов (Staphylococcus aureus, Streptococcus Group A) и анаэробов (Pseudomonas spp., Gardnerella spp., Bifidobacterium spp.…”