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Zoon's balanitis

B B Jolly1, S Krishnamurty, S Vaidyanathan

  • 1Department of Urology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Urologia Internationalis
|January 1, 1993
PubMed
Summary
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Zoon's balanitis, a penile inflammation, presents diagnostic challenges. Histological examination and circumcision confirmed plasma cell balanitis, leading to complete lesion healing in a patient with blood-staining.

Area of Science:

  • Dermatology
  • Urology
  • Pathology

Background:

  • Superficial glans penis lesions often pose diagnostic challenges.
  • Zoon's balanitis is characterized by specific epidermal and dermal vascular histological changes.
  • Early and accurate diagnosis is crucial for effective management of penile lesions.

Observation:

  • A 44-year-old male presented with a 5-month history of blood-staining of underclothes.
  • Physical examination revealed a red, moist plaque on the glans penis.
  • The patient underwent circumcision for the persistent lesion.

Findings:

  • Histopathological analysis of the excised tissue confirmed plasma cell balanitis.
  • The histological features were consistent with Zoon's balanitis.

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  • Complete resolution of the lesion was observed post-circumcision.

    • Implications:

    • Circumcision can be an effective treatment for symptomatic Zoon's balanitis.
    • Histological examination is essential for differentiating Zoon's balanitis from other glanular lesions.
    • Understanding the characteristic pathology aids in clinical diagnosis and treatment planning for penile inflammatory conditions.