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BalanitisN48.10
Synonym(s)
Balanoposthitis
DefinitionThis section has been translated automatically.
Common, polyetiological inflammation of the glans penis; usually occurring in combination with inflammation of the inner foreskin leaf (posthitis). Therefore, differentiation of the terms balanitis and posthitis is not necessary.
ClassificationThis section has been translated automatically.
Pathogenetic classification of balanitis:
Infectious balanitis:
- Mycotic conditioned:
- Bacterially caused:
- Bacterial balanitis (causative agents are: group A and B streptococci ; Haemophilus parainfluenzae, Klebsiellen, Enterococci, Morganella, Escherichia coli, Gardnerella vaginalis, anaerobic Bacteroides species).
- Balanitis erosiva circinata
- Balanitis gangraenosa
- Balanitis nigricans.
- Ulcerative bacterial balanitis:
- Syphilis (primary effect)
- Ulcus molle
- Tuberculosis
- diphtheria.
- Virally caused:
- Herpes genitalis ( Herpes simplex recidivans)
- Condylomata acuminata
- Parasitic conditioned:
- Scabies
- Pediculosis pubis
- Concomitant with urethritis caused by amoebic trichomonads.
Non-infectious balanitides:
- Balanitis simplex (reactive, usually toxic-irritant triggered balanitis).
- Contact allergic balanitis
- Balanitis plasmacellularis (zoon)
- Fixed drug exanthema (balanitis/balanoposthitis acuta)
- Balanitis parakeratotica circinata
- Balanitis in lichen sclerosus et atrophicus
- Secondary involvement of glans and/or prepuce in various skin and general diseases(balanitis symptomatica):
- Psoriasis vulgaris
- lichen planus
- Erythema multiforme (involvement in the context of an exanthema)
- Balanitis diabetica
- Pemphigus vulgaris
- Cicatrizing pemphigoid
- M. Behçet.
Clinical featuresThis section has been translated automatically.
Clinically, balanoposthitis is characterized by itching or burning, redness and swelling, weeping, punctiform or extensive erosion, rarely ulceration.
Differential diagnosisThis section has been translated automatically.
TherapyThis section has been translated automatically.
The treatment depends on the underlying disease. If the penile inflammation is persistent and persistent, a circumcision may be recommended (Morris BJ et al. 2017).
LiteratureThis section has been translated automatically.
- Morris BJ et al (2017) Penile Inflammatory Skin Disorders and the Preventive Role of Circumcision. Int J Prev Med 8:32.