RESUMEN
Balanoposthitis is a common inflammatory disease of the male genitals, which occurs more often in uncircumcised men. The cause of balanoposthitis can be an infectious, inflammatory or autoimmune process, as well as traumatization. In most cases, after proper intimate hygiene and the use of neutral moisturizers, the symptoms of balanoposthitis are completely stopped. In the case of torpid course of balanoposthitis and in the absence of improvement after drug therapy, it is necessary to exclude the malignant process. In the review article, the authors present the data of modern scientific research on the qualitative and quantitative composition of the microbiome in balanoposthitis. Differences in the composition of the microbiome were revealed in patients with balanoposthitis and healthy patients from the control group with excess foreskin. It was found that in patients with balanoposthitis, a impaired in hydration of the skin of the glans penis was revealed. Staphylococcus warneri and Prevotella bivia are the most common species associated with balanoposthitis and positively correlate with the severity of the disease. Candida infection, as an etiological factor of balanoposthitis, often occurs in children and may be associated with diaper rash. The prevalence of Gardnerella vaginalis as a pathogen in the male urogenital tract has not been fully studied. Currently, there are no reliable scientific studies that make it possible to attribute G. vaginalis to the etiological factor of balanoposthitis in men. However, it should be borne in mind that balanoposthitis may have a polymicrobial and synergistic etiology with the participation of G. vaginalis and anaerobic bacteria in the lower genital tract of men. The review article is clearly illustrated with clinical examples of the disease from the personal practice of the authors.
Asunto(s)
Balanitis , Urólogos , Niño , Humanos , Masculino , Balanitis/diagnóstico , Balanitis/tratamiento farmacológico , Balanitis/microbiología , PeneRESUMEN
Candidal balanitis typically affects sexually active adult males and may present as eroded papules, pustules, whitish discharge or erythema with dry glazed appearance. We report an unusual presentation of this common infection in an uncommon demographic, candidal balanitis presenting as coalescent vesicles and erosions arranged in an arcuate pattern in a pre-school child.
Asunto(s)
Balanitis , Candidiasis Cutánea , Candidiasis , Adulto , Balanitis/diagnóstico , Balanitis/tratamiento farmacológico , Preescolar , Humanos , MasculinoAsunto(s)
Balanitis , Ciclosporina , Balanitis/diagnóstico , Balanitis/tratamiento farmacológico , Emolientes , Humanos , MasculinoAsunto(s)
Balanitis , Ciclosporina , Balanitis/diagnóstico , Balanitis/tratamiento farmacológico , Emolientes , Humanos , MasculinoAsunto(s)
Balanitis , Ciclosporina , Balanitis/diagnóstico , Balanitis/tratamiento farmacológico , Humanos , Masculino , PomadasAsunto(s)
Balanitis/tratamiento farmacológico , Carcinoma de Células Escamosas/prevención & control , Imiquimod/administración & dosificación , Neoplasias del Pene/prevención & control , Lesiones Precancerosas/tratamiento farmacológico , Administración Tópica , Adulto , Balanitis/diagnóstico , Balanitis/patología , Carcinoma de Células Escamosas/patología , Progresión de la Enfermedad , Humanos , Masculino , Neoplasias del Pene/patología , Lesiones Precancerosas/diagnóstico , Lesiones Precancerosas/patología , Resultado del TratamientoAsunto(s)
Balanitis/tratamiento farmacológico , Condones , Sistemas de Liberación de Medicamentos/métodos , Fluorouracilo/administración & dosificación , Enfermedades de la Piel/tratamiento farmacológico , Esteroides/administración & dosificación , Administración Tópica , Antiinflamatorios , Antimetabolitos Antineoplásicos/administración & dosificación , Balanitis/diagnóstico , Humanos , Masculino , Apósitos Oclusivos , Lesiones Precancerosas/diagnóstico , Lesiones Precancerosas/tratamiento farmacológico , Enfermedades de la Piel/diagnóstico , Resultado del TratamientoAsunto(s)
Antígenos CD20/inmunología , Balanitis/tratamiento farmacológico , Factores Inmunológicos/administración & dosificación , Rituximab/administración & dosificación , Balanitis/diagnóstico , Balanitis/inmunología , Diagnóstico Diferencial , Humanos , Factores Inmunológicos/inmunología , Masculino , Persona de Mediana Edad , Rituximab/inmunología , Resultado del TratamientoAsunto(s)
Antibacterianos/administración & dosificación , Balanitis/diagnóstico , Mupirocina/administración & dosificación , Enfermedades de la Piel/diagnóstico , Administración Cutánea , Balanitis/tratamiento farmacológico , Balanitis/patología , Biopsia , Diagnóstico Diferencial , Prepucio/efectos de los fármacos , Prepucio/patología , Humanos , Masculino , Pomadas , Piel/efectos de los fármacos , Piel/patología , Enfermedades de la Piel/tratamiento farmacológico , Enfermedades de la Piel/patología , Resultado del TratamientoAsunto(s)
Balanitis/diagnóstico , Sífilis/diagnóstico , Treponema pallidum/aislamiento & purificación , Anciano de 80 o más Años , Pruebas de Aglutinación , Balanitis/tratamiento farmacológico , Balanitis/microbiología , Prueba de Absorción de Anticuerpos Fluorescentes de Treponema , Humanos , Inyecciones Intramusculares , Masculino , Persona de Mediana Edad , Penicilina G Benzatina/administración & dosificación , Pene , Sífilis/tratamiento farmacológico , Sífilis/microbiología , Treponema pallidum/inmunologíaRESUMEN
Abstract: Zoon's plasma cell balanitis is a chronic genital inflammatory dermatosis that affects uncircumcised men, especially the elderly. It's characterized by painless erythematous plaques of orange hue, located on the glans penis and foreskin. Circumcision is the most effective treatment; however, it can be hard for patients to accept. As an alternative, topical calcineurin inhibitors are used, with good response. This article reports the case of a 32-year-old patient, HIV carrier, diagnosed with Zoon's plasma cell balanitis. Treatment with topical tacrolimus was administered, without improvement. A 6-week course of thalidomide resulted in complete remission of the lesions, without recurrence after eight months of follow-up.
Asunto(s)
Humanos , Masculino , Adulto , Células Plasmáticas/patología , Talidomida/uso terapéutico , Balanitis/tratamiento farmacológico , Infecciones Oportunistas Relacionadas con el SIDA/tratamiento farmacológico , Balanitis/patología , Resultado del Tratamiento , Infecciones Oportunistas Relacionadas con el SIDA/patologíaRESUMEN
No disponible
Asunto(s)
Humanos , Masculino , Persona de Mediana Edad , Balanitis/diagnóstico , Balanitis/tratamiento farmacológico , Hiperqueratosis Epidermolítica/patología , Fluorouracilo/administración & dosificación , Ácido Salicílico/administración & dosificación , Hiperqueratosis Epidermolítica/tratamiento farmacológico , Administración Tópica , Diagnóstico Diferencial , Diagnóstico Precoz , Terapia por Láser/métodosRESUMEN
Zoon's plasma cell balanitis is a chronic genital inflammatory dermatosis that affects uncircumcised men, especially the elderly. It's characterized by painless erythematous plaques of orange hue, located on the glans penis and foreskin. Circumcision is the most effective treatment; however, it can be hard for patients to accept. As an alternative, topical calcineurin inhibitors are used, with good response. This article reports the case of a 32-year-old patient, HIV carrier, diagnosed with Zoon's plasma cell balanitis. Treatment with topical tacrolimus was administered, without improvement. A 6-week course of thalidomide resulted in complete remission of the lesions, without recurrence after eight months of follow-up.
Asunto(s)
Infecciones Oportunistas Relacionadas con el SIDA/tratamiento farmacológico , Balanitis/tratamiento farmacológico , Células Plasmáticas/patología , Talidomida/uso terapéutico , Infecciones Oportunistas Relacionadas con el SIDA/patología , Adulto , Balanitis/patología , Humanos , Masculino , Resultado del TratamientoRESUMEN
No disponible