Dermoscopic characterization of zoon balanitis: First case series from Asia

Jindal, Rashmi; Chauhan, Payal; Meena, Durga Shankar; Chugh, Robin

doi:10.4103/idoj.idoj_247_21

Cited by 1 publication

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“…Chauhan et al . [ 24 ] observed yellow-white areas in patients of Zoon’s balanitis having disease duration of more than 6 months which they attributed to underlying dermal fibrosis. Red blotches were also seen in two out of seven patients, that could be due to erosions, haemorrhage and red blood cell extravasation.…”

Section: Discussionmentioning

confidence: 99%

Zoon’s Balanitis – Update of Clinical Spectrum and Management

Relhan,

Kumar,

Kaur

2024

Indian Journal of Dermatology

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Zoon’s balanitis or balanitis plasmacellularis circumscripta is a chronic inflammatory disorder of the genital mucosa that can affect both males and females (Zoon’s vulvitis). It is not a sexually transmitted disease but can still cause anxiety to the patients because of its chronic nature. Hence, proper diagnosis and early management are necessary. It is a clinical mimicker of other commoner genital dermatoses and is mostly a diagnosis of exclusion when other diseases have been ruled out. It is characterised by a well-demarcated shiny erythematous patch or plaque over the genital mucosa. Histopathological examination becomes necessary when we are unable to differentiate it from premalignant lesions. It reveals lozenge-shaped keratinocytes with siderophages, haemorrhages and variable plasma cell infiltrate in the dermis. Dermoscopy shows spermatozoa-like, convoluted vessels with structureless red orange areas. Response to topical therapy alone is not always satisfactory. However, lasers and surgical management can provide long-term remission.

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Section: Discussionmentioning

confidence: 99%