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Zoon's balanitis

P Huet, G Barnéon, B Cribier
No abstract text is available yet for this article.
September 24, 2016: Annales de Dermatologie et de Vénéréologie
Enzo Errichetti, Giuseppe Stinco
Over the last few years, dermoscopy has been shown to be a useful tool in assisting the noninvasive diagnosis of various general dermatological disorders. In this article, we sought to provide an up-to-date practical overview on the use of dermoscopy in general dermatology by analysing the dermoscopic differential diagnosis of relatively common dermatological disorders grouped according to their clinical presentation, i.e. dermatoses presenting with erythematous-desquamative patches/plaques (plaque psoriasis, eczematous dermatitis, pityriasis rosea, mycosis fungoides and subacute cutaneous lupus erythematosus), papulosquamous/papulokeratotic dermatoses (lichen planus, pityriasis rosea, papulosquamous sarcoidosis, guttate psoriasis, pityriasis lichenoides chronica, classical pityriasis rubra pilaris, porokeratosis, lymphomatoid papulosis, papulosquamous chronic GVHD, parakeratosis variegata, Grover disease, Darier disease and BRAF-inhibitor-induced acantholytic dyskeratosis), facial inflammatory skin diseases (rosacea, seborrheic dermatitis, discoid lupus erythematosus, sarcoidosis, cutaneous leishmaniasis, lupus vulgaris, granuloma faciale and demodicidosis), acquired keratodermas (chronic hand eczema, palmar psoriasis, keratoderma due to mycosis fungoides, keratoderma resulting from pityriasis rubra pilaris, tinea manuum, palmar lichen planus and aquagenic palmar keratoderma), sclero-atrophic dermatoses (necrobiosis lipoidica, morphea and cutaneous lichen sclerosus), hypopigmented macular diseases (extragenital guttate lichen sclerosus, achromic pityriasis versicolor, guttate vitiligo, idiopathic guttate hypomelanosis, progressive macular hypomelanosis and postinflammatory hypopigmentations), hyperpigmented maculopapular diseases (pityriasis versicolor, lichen planus pigmentosus, Gougerot-Carteaud syndrome, Dowling-Degos disease, erythema ab igne, macular amyloidosis, lichen amyloidosus, friction melanosis, terra firma-forme dermatosis, urticaria pigmentosa and telangiectasia macularis eruptiva perstans), itchy papulonodular dermatoses (hypertrophic lichen planus, prurigo nodularis, nodular scabies and acquired perforating dermatosis), erythrodermas (due to psoriasis, atopic dermatitis, mycosis fungoides, pityriasis rubra pilaris and scabies), noninfectious balanitis (Zoon's plasma cell balanitis, psoriatic balanitis, seborrheic dermatitis and non-specific balanitis) and erythroplasia of Queyrat, inflammatory cicatricial alopecias (scalp discoid lupus erythematosus, lichen planopilaris, frontal fibrosing alopecia and folliculitis decalvans), nonscarring alopecias (alopecia areata, trichotillomania, androgenetic alopecia and telogen effluvium) and scaling disorders of the scalp (tinea capitis, scalp psoriasis, seborrheic dermatitis and pityriasis amiantacea)...
September 9, 2016: Dermatology and Therapy
F M Köhn, D Schultheiss, K Krämer-Schultheiss
The urological examination of male patients includes an inspection of the external genitalia whereby a variety of dermatological alterations can be found. Not all dermatological findings are of clinical relevance. Pearly penile papules and heterotopic sebaceous glands are examples of normal physiological variations. Most penile melanotic macules, angiokeratomas, fibromas and angiomas do not have to be treated; however, penile skin lesions may also be symptoms of other diseases, such as circinate balanitis in Reiter's syndrome and multiple angiokeratomas in Fabry's disease...
June 2016: Der Urologe. Ausg. A
Somenath Sarkar, Sarmistha Ghosh, Dipayan Sengupta
Plasma cell cheilitis, also known as plasma cell orificial mucositis is a benign inflammatory condition clinically characterized by erythematous plaque on lips that may be ulcerated. Histopathologically it is characterized by dense plasma cell infiltrates in a band-like pattern in dermis, which corresponds to Zoon's plasma cell balanitis. On the other hand, granulomatous cheilitis, as a part of orofacial granulomatosis, manifests as sudden diffuse or nodular swelling involving lip and cheek. Initial swelling is soft to firm, but with recurrent episodes swelling gradually become firm rubbery in consistency...
March 2016: Indian Dermatology Online Journal
Hyang-Suk You, Gun-Wook Kim, Won-Jeong Kim, Je-Ho Mun, Margaret Song, Hoon-Soo Kim, Hyun-Chang Ko, Byung-Soo Kim, Moon-Bum Kim
BACKGROUND: A variety of infectious, inflammatory, and neoplastic dermatoses can develop on the glans penis, and definitive diagnosis in such cases may be difficult owing to their non-specific symptoms and clinical appearance. Furthermore, data on dermatoses of the glans penis in Korea are limited. OBJECTIVE: In the present study, we aimed to determine the prevalence of dermatoses of the glans penis in Korea and provide clinical data to assist in making an accurate diagnosis...
February 2016: Annals of Dermatology
Mihai Dorin Vartolomei, Ovidiu Simion Cotoi, Mihail Alexandru Badea, Calin Bogdan Chibelean, Titiana Cotoi, Violeta Morariu, Cosmin Albu, Silviu Horia Morariu
No abstract text is available yet for this article.
2015: Acta Dermatovenerologica Croatica: ADC
Francesco Borgia, Mario Vaccaro, Antonio Foti, Roberta Giuffrida, Serafinella P Cannavò
Zoon's balanitis (ZB) is an idiopathic chronic condition usually presenting as a solitary erythematous plaque on the glans of primarily uncircumcised, middle-aged to older men. The different treatment options for this condition often achieve partial results, with frequent recurrence after treatment withdrawal. Recently, photodynamic therapy (PDT) has been proposed as therapeutic option with discordant results. We treated a thirty-five year-old man affected by Zoon's balanitis, resistant to conventional treatments, with 3 sessions of topical ALA-PDT at two weeks intervals...
March 2016: Photodiagnosis and Photodynamic Therapy
Jeremy M Hugh, Kendra Lesiak, Laura A Greene, Joseph C Pierson
Zoon's balanitis, is typically found in older, uncircumcised males and can be asymptomatic, pruritic, or cause dysuria. The typical appearance is erythematous, discrete, moist plaques with a "cayenne pepper" speckled appearance and an orange hue on the glans penis and sometimes prepuce, which may display "kissing lesions" on areas that are in direct contact with the lesions.These may eventually erode and leave a "rusty stain". Histologically, these have a dense lichenoid infiltrate in the upper and mid dermis with abundant plasma cells...
October 2014: Journal of Drugs in Dermatology: JDD
J Pearce, I Fernando
We undertook a retrospective case note review of our monthly multi-specialty penile dermatoses clinic (which includes clinicians from Genitourinary medicine, Dermatology and Urology), to examine conditions presenting to the service, and compare clinical management and outcomes with other similar services in the UK. Over the 3-year study period, 226 patients were reviewed over 240 individual episodes. Lichenoid conditions were the most common category of genital pathologies seen (n = 60, 24%), but non-specific balanitis was the most common individual diagnosis (n = 55, 22%)...
September 2015: International Journal of STD & AIDS
Nidhi Aggarwal, Anil V Parwani, Jonhan Ho, James R Cook, Steven H Swerdlow
Numerous IgG4 plasma cells and a high IgG4/IgG plasma cell ratio are important criteria in the diagnosis of IgG4-related sclerosing disease (IgG4-RSD), a steroid-responsive fibroinflammatory disorder. There is also a growing list of other inflammatory disorders that may mimic IgG4-RSD with many IgG4 plasma cells; however, limited data exist concerning whether plasma cell (Zoon) balanitis (PCB) is among these disorders. We, therefore, reviewed the clinical, histologic, and immunohistochemical features of PCB in 17 patients, including evaluation of CD3, CD20, CD138, κ, λ, IgG, IgG4, IgM, IgA, and IgD...
October 2014: American Journal of Surgical Pathology
H Adégbidi, F Atadokpèdé, B Dégboé, B Saka, F Akpadjan, H Yédomon, F do Ango Padonou
Balanitis of Zoon (BZ) characterized by an important plasma cell infiltration occurs exclusively in uncircumcised men aged between 40-80 years. We report here a case of BZ in an HIV infected patient who was circumcised since birth. A 43-year old man consulted in 2009 for itchy and not painful glans erosion evolving for one year. He is HIV1 infected and has been under didanosine, lamiduvine and nelfinavir for three years. Under this treatment, his CD4 count increased from 26 cells/mm(3) in 2007 to 206 cells/mm(3) at the time of the consultation...
August 2014: Bulletin de la Société de Pathologie Exotique
Lucio Andreassi, Roberta Bilenchi
The genitalia may be the site of non-infectious inflammatory lesions that are generally manifested as balanoposthitis and vulvovaginitis. In men, these forms constitute 50% of all balanoposthitis forms, and in women, vulvovaginitis frequency is even higher. They consist of genital locations of general skin diseases, such as psoriasis, lichen planus, lichen sclerosus, and other clinical entities with their own physiognomy, such as Zoon's balanitis-vulvitis. Diagnosis of genital non-infectious inflammatory lesions is usually made on clinical criteria...
March 2014: Clinics in Dermatology
A Kyriakou, A Patsatsi, C Patsialas, D Sotiriadis
Plasma cell balanitis of Zoon (PCBZ) and plasma cell vulvitis (PCV) are characterized as idiopathic, benign, chronic irritant mucositis. The clinical symptoms and signs usually persist or reappear after treatment withdrawal. Therefore, many therapies have been tried and are available. Recently, several reports of PCBZ and PCV treated with calcineurin inhibitors, tacrolimus and pimecrolimus, have been reported in the literature. We present 9 cases of PCBZ treated with tacrolimus 0.1% ointment (Protopic, Toyama, Japan) that showed good therapeutic results within 4 weeks of treatment, and we review the literature of PCBZ and PCV and their response to these topical immunomodulators...
2014: Dermatology: International Journal for Clinical and Investigative Dermatology
Flávio de Oliveira Pileggi, Paulo Luis Batista Nogueira, Maria Fernanda de Melo Coelho, Gustavo da Silveira Orsi, Maria de Fatima Gali Sorita Tazima, Yvone A M V A Vicente, Maria Celia Cervi, Bento Vidal de Moura Negrini
In this report we describe a case of the Zoon's balanitis in a boy with HIV (AIDS B2). The clinical presentation, failure of topical treatment, cure by circumcision, and the histopathology findings are presented.
October 2013: International Journal of STD & AIDS
Edith Arzberger, Peter Komericki, Verena Ahlgrimm-Siess, Cesare Massone, Dmitry Chubisov, Rainer Hofmann-Wellenhof
IMPORTANCE: Zoon plasma cell balanitis is a benign inflammatory disease of genital skin. It may be difficult to clinically distinguish between balanitis and carcinoma in situ (CIS); thus, a biopsy may be needed to exclude malignant disease. Reflectance confocal microscopy (RCM) is an in vivo imaging method to get morphologic information about architecture and single cells in the skin. OBJECTIVE: To evaluate the ability of RCM to differentiate between balanitis and CIS compared with the gold standard histopathologic methods...
April 2013: JAMA Dermatology
Pier Giacomo Calzavara-Pinton, Maria Teresa Rossi, Erica Aronson, Raffaella Sala
Experimental investigations have demonstrated that photodynamic therapy (PDT) with methyl aminolevulinate (MAL) may be a useful treatment in several inflammatory skin disorders and aesthetic indications. To assess the effectiveness, tolerability and safety of off-label MAL-PDT in daily clinical practice in 20 Italian hospital centers, a retrospective observational study of medical records of patients treated for off-label inflammatory and aesthetic indications was carried out. In all patients standard treatment options had been either ineffective, unacceptably toxic, or medically contraindicated...
January 2013: Photochemical & Photobiological Sciences
Livia Delgado, Hebert Roberto Clivati Brandt, Damaris G Ortolan, Régia Celli Ribeiro Patriota, Paulo Ricardo Criado, Walter Belda Junior
UNLABELLED: Initially called (in French) "Balanoposthite chronique circonscrite benigne a plasmocytes", Zoon's plasma cell balanitis is a chronic inflammatory dermatosis affecting the glans and foreskin of uncircumcised men. The different treatment options for this condition often present partial results. Reports have shown therapeutic success using topical tacrolimus. We report the use of pimecrolimus, a homologue of tacrolimus, with good response. Two male patients diagnosed with Zoon's plasma cell balanitis, confirmed by biopsy, were subjected to daily treatment with topical pimecrolimus1%...
July 2011: Anais Brasileiros de Dermatologia
Navid Ezra, Scott W Binder, Daniel Behroozan
Plasma cell balanitis (PCB), also knows as Zoon balanitis, is a benign asymptomatic but chronic and erosive inflammatory condition of the glans penis and prepuce that generally affects uncircumcised men in later years. Clinical presentation involves a single, shiny, well defined reddish patch. We describe the first case of PCB ever reported in a patient with a previous history of syphilis, and include a review of the current literature. A 57-year-old Hispanic man with a remote history of syphilis presented with a 6-month nonhealing, granulating ulcer of the foreskin and glans penis that had been repeatedly mistaken for syphilis and treated unsuccessfully with circumcision 3 weeks previously...
April 1, 2012: American Journal of Clinical Dermatology
Ram Chander, Taru Garg, Sushil Kakkar, Saurabh Mittal
No abstract text is available yet for this article.
January 2009: Indian Journal of Sexually Transmitted Diseases
Nicola Balato, Massimiliano Scalvenzi, Serena La Bella, Luisa Di Costanzo
Zoon's balanitis or balanitis circumscripta plasmacellularis is a chronic disease of unknown origin. This condition usually manifests in middle-aged or elderly uncircumcised men. Although of unknown etiology, different factors have been reported to be involved in its genesis (local infections, poor hygiene, heat, friction, and constant rubbing). It is generally considered to be a benign condition, and its association with malignancies has been rarely reported. We report the case of an uncircumcised man, who developed clinically and histopathologically evident squamous cell carcinoma of the penis in an area affected by Zoon's balanitis...
2009: Case Reports in Dermatology
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