Differential diagnosis and management of balanitis

Balanitis is a descriptive diagnosis for a heterogeneous group of infectious or inflammatory dermatoses which have to be differentiated from malignant conditions. Balanitis is caused not only by Candida spp. and bacterial infections, including anaerobic bacteria: viral infections, parasites and othe...

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Bibliographic Details
Published in:Hautarzt 2015-01, Vol.66 (1), p.6-11
Main Authors: Borelli, S, Lautenschlager, S
Format: Article
Language:ger
Subjects:
Adrenal Cortex Hormones - therapeutic use
Anti-Infective Agents - therapeutic use
Balanitis - diagnosis
Balanitis - therapy
Circumcision, Male - methods
Humans
Male
Skin Diseases, Infectious - diagnosis
Skin Diseases, Infectious - therapy
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Summary:Balanitis is a descriptive diagnosis for a heterogeneous group of infectious or inflammatory dermatoses which have to be differentiated from malignant conditions. Balanitis is caused not only by Candida spp. and bacterial infections, including anaerobic bacteria: viral infections, parasites and other sexually transmitted infections (STI) also have to be considered. Lichen planus, psoriasis and contact dermatitis can characteristically lead to inflammatory conditions of the glans penis. In addition to a complete skin examination, a thorough patient history with respect to topically applied products and sexual behavior is essential. Infections must be treated and the glans penis should be kept dry. It is important to ensure a balanced genital hygiene in patients. As a last resort therapeutic circumcision can be considered for most forms of chronic balanitis.
ISSN:1432-1173
DOI:10.1007/s00105-014-3554-0