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Zoon Balanitis
Balanitis Circumscripta Plasmacellularis

Presentation

Publication Analysis Top Keywords histopathological features 4 presentation histopathological 4 uncircumcised middle-aged 4 [pubfacts.com]

In the dermis, a dense bandlike or lichenoid infiltrate is present, frequently extending to mid reticular dermis. [indianjurol.com]

Presentation Patient usually presents with concerns about penile changes; often history >1 year. Mild symptoms: itching, tenderness, bloodstained underwear. [gponline.com]

This article provides an overview of the epidemiology, clinical presentation, histopathological features, and diagnostic criteria and diagnostic methods of ZB... [readbyqxmd.com]

Entire Body System

  • Burning Pain

    Allergic contact dermatitis Symptoms are pain, burning, or itching. Signs include erythema, swelling, vesiculation and exudation, or erythematous scaling and lichenification, depending on severity. [online.epocrates.com]

Skin

  • Pruritus

    […] oral antihistamines allergic contact dermatitis allergen avoidance + supportive measures + topical corticosteroids with significant pruritus oral antihistamines severe with exudate/weeping wet soaks psoriasis topical corticosteroid or topical calcineurin [online.epocrates.com]

    Zoon plasma cell balanitis is usually asymptomatic, but pruritus may occur. It is seen much more frequently in men between the ages of 40 and 80. It is seen mostly in uncircumcised men and is associated with poor hygiene and chronic irritation. [visualdx.com]

    It was increased in size over 1 month associated with mild pruritus. Patient had no history of multiple sexual partners, no co-morbid illness, and no previous similar complaint. [urologyannals.com]

    Zoon balanitis is usually asymptomatic but may be associated with pruritus and tenderness. [consultant360.com]

Urogenital

  • Dysuria

    Early symptoms include itching, burning, dysuria, painful intercourse, urethritis with or without discharge; late symptoms include phimosis or paraphimosis. A sclerotic white ring at the tip of the prepuce is diagnostic. [gponline.com]

    Case Report A 71-year-old uncircumcised man presented with a 3-month history of extremely painful genital sores associated with swollen foreskin and dysuria, not preceded by any flu-like symptoms. [ncbi.nlm.nih.gov]

    Prognosis Prognosis is usually good with treatment. [10] Diagnosis History and symptoms Patients with Zoon's balanitis could present with asymptomatic or symptomatic lesions with: [11] Itching ( pruritis ) in the genitalia region Discomfort in urination ( dysuria [wikidoc.org]

    Dysuria. Interference with urinary flow in severe cases. Obscuration of glans/external urethral meatus. Impotence or pain during coitus. Regional lymphadenopathy. Investigations Blood/urine testing for glucose if diabetes mellitus is possible. [patient.info]

  • Genital Lesions

    CASE REPORT Case 1: Male, 37 years old, uncircumcised, was referred to the STD Clinic with a 1 year history of genital lesions and no prior treatment. [scielo.br]

    Non-infectious inflammatory genital lesions. Clin Dermatol. 2014 Mar-Apr. 32(2):307-14. [Medline]. Pileggi Fde O, Nogueira PL, de Melo Coelho MF, da Silveira Orsi G, de Fatima Gali Sorita Tazima M, Vicente YA, et al. [emedicine.medscape.com]

    Key words: Circumcision, lasers, nonvenereal disease, topical calcineurin inhibitors, Zoon balanitis INTRODUCTION All the genital lesions are not sexually transmitted. [ncbi.nlm.nih.gov]

Treatment

You continue your treatment as advised, because you are already taking the treatment for balanoposthitis and in between get a biopsy done. Circumcision of the prepuce is the treatment option in this case. [icliniq.com]

treatment of this disorder. [emedicine.medscape.com]

The treatment modalities have also been reviewed in details, and the importance of circumcision as the treatment of choice has been emphasized. [ncbi.nlm.nih.gov]

Weight loss, topical therapy and laser ablation represent treatment options, but these patients are often refractory to treatment. Wollina, U. [dermatologyadvisor.com]

Prognosis

Also Read Myositis - Types, Symptoms, Causes, Treatment, and Prognosis The term "myositis" refers to a set of uncommon diseases. To know more about myositis, read the full article below. [icliniq.com]

Natural History, Complications, and Prognosis Natural history If left untreated, patients with Zoon's balanitis may develop pain, phimosis and paraphimosis. [wikidoc.org]

However, for severe conditions and cosmetic concerns, topical creams, topical lotions, and even surgery may be considered The prognosis of Plasma Cell Balanitis is excellent with suitable treatment, including surgery or laser therapy Who gets Plasma Cell [dovemed.com]

Prognosis The prognosis is excellent if appropriate treatment is rendered. Patient Education For patient education resources, visit the Men's Health Center. Also, see the patient education article Foreskin Problems. Zoon JJ. [emedicine.medscape.com]

Prognosis Zoon balanitis is considered a benign entity, although isolated cases have been found in association with squamous cell carcinoma. In 1999, a case of penile carcinoma arising in a patient with Zoon balanitis was described by Joshi. [statpearls.com]

Etiology

Terminology Also known as balanitis circumscripta plasmacellularis, Zoon balanitis Balanitis: inflammation of glans Epidemiology Middle aged and elderly uncircumcised men Etiology Etiology unknown but probably reactive Clinical features Disease tends [pathologyoutlines.com]

Although of unknown etiology, different factors have been reported to be involved in its genesis (local infections, poor hygiene, heat, friction, and constant rubbing). [ncbi.nlm.nih.gov]

[…] surfaces) Definitions Idiopathic lymphoplasmacellular mucositis-dermatitis is generic term for any inflammatory accumulation of plasma cells at mucosal or cutaneous sites Zoon balanitis is reserved for localized involvement of prepuce or glans penis ETIOLOGY [basicmedicalkey.com]

See also in: Overview Alerts and Notices Synopsis   Zoon plasma cell balanitis, or balanitis plasmacellularis, is characterized by chronic red patches or plaques of unknown etiology involving the glans penis and the foreskin. [visualdx.com]

Epidemiology

This article provides an overview of the epidemiology, clinical presentation, histopathological features, and diagnostic criteria and diagnostic methods of ZB. [pubfacts.com]

Terminology Also known as balanitis circumscripta plasmacellularis, Zoon balanitis Balanitis: inflammation of glans Epidemiology Middle aged and elderly uncircumcised men Etiology Etiology unknown but probably reactive Clinical features Disease tends [pathologyoutlines.com]

Epidemiology and Demographics There are no comprehensive studies studying the epidemiology and demographics of Zoon's disease in general population. [wikidoc.org]

Epidemiology It is described as an infrequent entity; however, it is probably underreported or underdiagnosed. Mallon et al. reported 27 cases of Zoon balanitis among 357 patients with the genital disease. [statpearls.com]

Epidemiology Balanitis is more common in men than in boys. [patient.info]

Pathophysiology

Pathophysiology Pathogenesis The exact pathogenesis of Zoon's balanitis is not clearly known, but following theories have been postulated: [5] Accumulation of epithelial debris and secretions between foreskin and penis proximal to coronal sulcus, smegma [wikidoc.org]

Prevention

Read more» Osteoporosis: an Important Public Health Problem Osteoporosis is a problem that is largely preventable. This article focuses on the causes of osteoporosis and the availa... [icliniq.com]

Primary Prevention There is no established primary prevention measures for preventing of Zoon's balanitis. [wikidoc.org]

In 1863, Virchow noted a connection between inflammation and cancer and sustained that this link may have implications for cancer prevention and treatment [8]. [ncbi.nlm.nih.gov]

Currently, there are no specific methods or guidelines to prevent Plasma Cell Balanitis Practice good personal hygiene, which can help prevent infections and the condition from getting worse A careful and periodic monitoring or follow-up of the condition [dovemed.com]

It can be treated, and it’s often easy to prevent with some TLC. You can get balanitis at any age. If you're circumcised, you’re not likely to get it. But if you still have your foreskin, you need to take extra care of the head of your penis. [webmd.com]

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