Zoon’s Balanitis

Jolly, B.B.; Krishnamurty, S.; Vaidyanathan, S

doi:10.1159/000282480

Cited by 23 publications

(10 citation statements)

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“…The lesion often exhibits pinpoint purpuric cayenne pepper surface spotting with a yellow hue. Vegetative, erosive variants and multiple lesions have been reported [4]. PCB tends to be chronic and is often present for months to years before the patient reports for consultation.…”

Section: Discussionmentioning

confidence: 99%

“…A viral cause of PCB has been rejected after both PCR and electron microscopy failed to show evidence of viral particles in PCB lesions. Kossard et al postulated a causal relation between certain PCB variants and lichen aureus, in the light of similar vascular fragility and histologic abnormalities [4].…”

Section: Discussionmentioning

confidence: 99%

“…The treatment of choice for PCB is circumcision [4,5,10,11]. Successful ablation of PCB has been achieved with carbondioxide laser and Erbium:YAG laser [12,13].…”

Section: Discussionmentioning

confidence: 99%

“…Successful treatment of vulvar anologue of PCB with intralesional interferon α has also been reported. Treatment with topical agents including corticosteroids and antifungals cause mild improvement, but the lesion usually recurs following discontinuation of treatment and are generally not curative [3,4,16]. Petersen et al found topical fusidic acid 2% cream to be beneficial [14].…”

Section: Discussionmentioning

confidence: 99%

“…Symptoms are minimal, but patients may complain of mild pruritus or tenderness. Some patients present for evaluation because of cosmetic concerns or anxiety [1][2][3][4][5].…”

Section: Introductionmentioning

confidence: 99%

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Plasma cell balanitis (Zoon`s balanitis): A clinicopathological study of 8 cases

Rao¹,

Yadalla²

2012

Our Dermatol Online

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A disorder first described by Zoon in 1952, Zoon`s balanitis or Plasma cell balanitis (PCB), is an uncommon clinical disorder seen in middleaged uncircumcised men. It is characterized by one or more indolent well demarcated, glazed, reddish brown patches on the glans penis or prepuce. The etiology of this disease is unknown. This balanitis does not respond to routine topical antifungals, steroid creams and systemic antifungals. Diagnosis is confirmed by biopsy. Herein we report 8 cases of PCB, presenting with a characteristic clinical picture of the disease. In all cases circumcision was done and histopathology confirmed the diagnosis of PCB. All patients were followed up for a period of 6 months and no recurrences were observed. Development of malignancy is not seen. In conclusion. We believe that for all cases of balanitis, not responding to routine topical antifungals, steroid creams and systemic antifungals, the diagnosis of Zoon`s balanitis should be considered. StreszczenieChoroba po raz pierwszy została opisana przez Zoon`a w 1952 roku. Zapalenie żołędzi typu Zoona lub też plazmacytowe zapalenie żołędzi (PCB) jest rzadkim, klinicznym zaburzeniem obserwowanym u nieobrzezanych mężczyzn w średnim wieku. Charakteryzuje się ono jedną lub większą ilością łagodnych, dobrze odgraniczonych, połyskujących, czerwonawych plamek na żołędzi penisa lub napletku. Etiologia zmian pozostaje nieznana. Ten rodzaj zapalenia żołędzi nie odpowiada na typowe leczenie przeciwgrzybicze: miejscowe czy systemowe oraz na maści sterydowe. Diagnoza jest potwierdzana biopsją. W tym artykule opisujemy 8 przypadków PCB oraz ich obraz kliniczny. We wszystkich przypadkach został wykonany zabieg obrzezania a badanie histopatologiczne potwierdziło diagnozę. Wszyscy pacjenci byli obserwowani przez okres 6 miesięcy, nie zanotowano nawrotu choroby. Nie zanotowano transformacji nowotworowej. Wszystkie przypadki zapalenia żołędzi nie odpowiadające na leczenie przeciwgrzybicze miejscowe lub systemowe oraz na maści sterydowe powinny zostać ponownie rozpatrzone pod kątem diagnozy PCB.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…The treatment of choice for PCB is circumcision [4,5,10,11]. Successful ablation of PCB has been achieved with carbondioxide laser and Erbium:YAG laser [12,13].…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Symptoms are minimal, but patients may complain of mild pruritus or tenderness. Some patients present for evaluation because of cosmetic concerns or anxiety [1][2][3][4][5].…”

Section: Introductionmentioning

confidence: 99%

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