Balanoposthitis Clinical Presentation

Updated: Oct 05, 2020
  • Author: Vladimir O Osipov, MD; Chief Editor: Dirk M Elston, MD  more...
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Presentation

History

In adults, a detailed clinical history focusing on topical irritants and home remedies assists in making the correct diagnosis and in detecting possible contact dermatitides.

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Physical Examination

Examination of the glans and the prepuce often reveals a red, moist macular lesion. Associated erythema is noted, and areas of yellow-to-black discoloration have been described. [34]  The presence of lichenification, irregular borders, or acetowhite changes with 5% acetic acid treatment suggest an HPV infection, which can be seen in association with balanoposthitis.

A superimposed balanoposthitis on a flat condyloma has been described. Such coexisting lesions may be diagnosed based on the clinical history and a culture of fungus or bacteria from the ulcer.

Ulceration and deep erosion have been seen in patients with advanced disease, often in association with fungal infections and in individuals who are immunocompromised.

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