Management of Balanitis
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Abstract
Balanitis set in practice an aetiological and therapeutical problem.
The clinical aspect is not specific except for the pustules which evoke a candidiasis. The mycological and bacteriological cultures should be performed in accordance with the clinical context. The biopsy is useful in case of chronic balanitis resistant to the treatment. Irritation and candidal infection are the main causes. Herpes and primary syphilis should be systematically ruled out. The treatment should not be aggressive and must take into account the possible psychological impact.
Keywords:
Balanitis, balanoposthitis, candida albicans, bacterial balanitis, syphilis##plugins.themes.academic_pro.article.details##
References
- Abdennader S, Casin I, Janier M, Zavaro A, et al. Balanites et agents infectieux: étude prospective de 100 cas. Ann Dermatol Venereol 1995; 122: 580-584.
- Lisboa C, Ferreira A, Resende C, Rodrigues AC. Infectious balanoposthitis: management, clinical and laboratory features. Int J Dermatol 2009; 48: 121-124.
- Abdullah AN, Drake SM, Wade AH, Walzman M. Balanitis (balanoposthitis) in patients attending a department of genitourinary medicine. Int J STD AIDS 1992; 3: 128-129.
- Dockerty WG, Sonnex C. Candidal balano-posthitis: a study of diagnostic methods. Genitourin Med 1995; 71: 44-46.
- Piot P, Duncan M, Van Dyck E, Ballard R. Ulcerative balanoposthitis associated with non-syphilitic spirochetal infection. Genitourin Med 1986; 62: 44-46.
- Abdennader S, Casin I, Janier M, Morel P. Balanitis and balanoposthitis: a review. Genitourin Med 1996; 72: 453-454.
- Palamaras I, Hamill M, Sethi G, Wilkinson D, Lamba H. The usefulness of a diagnostic biopsy clinic in a genitourinary medicine setting: recent experience and a review of the literature. J Eur Acad Dermatol Venereol 2006; 20: 905-910.
- Ive FA. The umbilical, perianal and genital regions. In: Champion RH, Burton JL, Egling FJ, editors. Texbook of dermatology (Rook, Wilkinson, Ebling). Oxford: Blackwell scientific publication, 1992: 2810-2813.
- Alsterholm M, Flytström I, Leifsdottir R, Faergemann J, Bergbrant IM. Frequency of Bacteria, Candida and Malassezia Species in Balanoposthitis. Acta Derm Venereol 2008; 88: 331-36.
- Abdennader S. Conduite à tenir devant une balanite supposée infectieuse. Dermatologie pratique 1996 ; 172 : 4-6.
- Birley HD, Walker MM, Luzzi GA, et al. Clinical features and management of recurrent balanitis; association with atopy and genital washing. Genitourin Med 1993; 69: 400-403.
- English JC, Lows RA, Keough GC, Wilde JL, Foley JP, Elston DM. Dermatoses of the glans penis and prepuce. J Am Acad Dermatol 1997; 37: 1-24.
- Lisboa C, Santos A, Dias C, Azevedo F, Pina-Vaz C, Rodrigues A. Candida balanitis: risk factors. J Eur Acad Dermatol Venereol 2010 (in press).
- Sakuma S, Komiya H. Balanitis caused by Streptococcus pyogenes: a report of two cases. Int J STD AIDS 2005; 16: 644-645.
- Kyriazi NC, Costenbader CL. Groupe A ‚-hemolytic streptococcal balanitis: it may be more common than you think. Pediatrics 1991; 88: 154-156
- Chaine B, Janier M. Diagnostic et traitement des balanites. Ann Urologie 2006 ; 40 : 126-138.
- Kinghorn GR, Jones BM, Chowdhury FM, Geary I. Balanoposthitis associated with Gardnerella infection in men. Br J Vener Dis 1982; 58: 127-129.
- Gardner HL. Haemophilus vaginalis after 25 years. Am J Obstet Gynecol 1980; 137: 385-391.
- Abdennader S, Casin I, Brunat N, Janier M, Perol Y, Morel P. Sexual transmission of Gardnerella vaginalis. Genitourin Med 1990; 66: 45.
- Follman E. Le problème de la balanite syphilitique. La vulvo-vaginite primaire syphilitique. Ann Dermatol Syph 1948; 8: 470-483.
- Lejman K, Starzycki Z. Syphilitic balanitis of Follmann developing after the appearance of the primary chancre. A case report. Br J Vener Dis 1975; 51: 138-40.
- Babu CS, Vitharana S, Higgins SP. Primary syphilis presenting as balanitis. Int J STD AIDS 2007; 18: 497-498.
- Degos R. Les aspects actuels de la syphilis primo-secondaire. Rev Medecine 1970; 23: 1333-1341.
- Waugh MA. Balanitis. Dermatol Clin Dis 1998; 16: 757-762.
- Michelet N, Spenatto N, Viraben R, et al. BCGite du gland post BCG therapie intravesicale. Ann Dermatol Venereol 2008 ; 135: 479-483.
- Michalowski R. Balano-posthites à trichomonas. Ann Dermatol Venereol 1981 ; 108 : 731-738.
- Abdennader S. Les infections uro-génitales à Chlamydia trachomatis. Sem Hôp Paris 1987; 63: 610-615.
- Wu IB, Schwartz RA. Reiter's syndrome: the classic triad and more. J Am Acad Dermatol 2008; 59: 113-121.
- Kumar B, Norang T, Dass Radotra B, Gupta S. Plasma cell balanitis: clinicopathologic study of 112 cases and treatment modalities. J Cutan Med Surg 2006; 10: 11-15.
- Perry D, Lynch PJ, Fazel N. Pseudoepitheliomatous, keratotic, and micaceous balanitis: case report and review of the literature. Dermatol Nurs 2008; 20: 117-120.
- Jenkins D, Jakubovic HR. Pseudoepitheliomatous, keratotic, micaceous balanitis. J Am Acad Dermatol 1988; 18: 419-422.
- Kinghon GR, Woolley PD. Single-dose fluconazole in the treatment of Candida albicans balanoposthitis. Int J STD AIDS 1990; 1: 366- 367.
- Baldwin H, Geronemus RG. The treatment of Zoon's balanitis with the carbon dioxide laser. J Dermatol Surg Onc 1989; 15: 491-494.
- Roé E, Dalmau J, Peramique L, Pérez M, López-Lozano HE, Alomar A. Plasma cell balanitis of Zoon treated with topical tacrolimus 0,1%: report of three cases. J Eur Acad Dermatol Venereol 2007; 21: 24-285.
- Georgala S, Gregoriou S, Georgala C, et al. Pimecrolimus 1% cream in non-specific inflammatory recurrent balanitis. Dermatology 2007; 215: 209-212.