Zoon’s Balanitis – Update of Clinical Spectrum and Management

Zoon’s balanitis or balanitis plasmacellularis circumscripta is a chronic inflammatory disorder of the genital mucosa that can affect both males and females (Zoon’s vulvitis). It is not a sexually transmitted disease but can still cause anxiety to the patients because of its chronic nature. Hence, p...

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Main Authors: Vineet Relhan, Abhinav Kumar, Aneet Kaur
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-01-01
Series:Indian Journal of Dermatology
Subjects:
Online Access:https://journals.lww.com/10.4103/ijd.ijd_834_22
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author Vineet Relhan
Abhinav Kumar
Aneet Kaur
author_facet Vineet Relhan
Abhinav Kumar
Aneet Kaur
author_sort Vineet Relhan
collection DOAJ
description Zoon’s balanitis or balanitis plasmacellularis circumscripta is a chronic inflammatory disorder of the genital mucosa that can affect both males and females (Zoon’s vulvitis). It is not a sexually transmitted disease but can still cause anxiety to the patients because of its chronic nature. Hence, proper diagnosis and early management are necessary. It is a clinical mimicker of other commoner genital dermatoses and is mostly a diagnosis of exclusion when other diseases have been ruled out. It is characterised by a well-demarcated shiny erythematous patch or plaque over the genital mucosa. Histopathological examination becomes necessary when we are unable to differentiate it from premalignant lesions. It reveals lozenge-shaped keratinocytes with siderophages, haemorrhages and variable plasma cell infiltrate in the dermis. Dermoscopy shows spermatozoa-like, convoluted vessels with structureless red orange areas. Response to topical therapy alone is not always satisfactory. However, lasers and surgical management can provide long-term remission.
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publishDate 2024-01-01
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spelling doaj-art-33cf0645d4934c79a05ccb5c73efecc02025-01-20T10:33:21ZengWolters Kluwer Medknow PublicationsIndian Journal of Dermatology0019-51541998-36112024-01-01691637310.4103/ijd.ijd_834_22Zoon’s Balanitis – Update of Clinical Spectrum and ManagementVineet RelhanAbhinav KumarAneet KaurZoon’s balanitis or balanitis plasmacellularis circumscripta is a chronic inflammatory disorder of the genital mucosa that can affect both males and females (Zoon’s vulvitis). It is not a sexually transmitted disease but can still cause anxiety to the patients because of its chronic nature. Hence, proper diagnosis and early management are necessary. It is a clinical mimicker of other commoner genital dermatoses and is mostly a diagnosis of exclusion when other diseases have been ruled out. It is characterised by a well-demarcated shiny erythematous patch or plaque over the genital mucosa. Histopathological examination becomes necessary when we are unable to differentiate it from premalignant lesions. It reveals lozenge-shaped keratinocytes with siderophages, haemorrhages and variable plasma cell infiltrate in the dermis. Dermoscopy shows spermatozoa-like, convoluted vessels with structureless red orange areas. Response to topical therapy alone is not always satisfactory. However, lasers and surgical management can provide long-term remission.https://journals.lww.com/10.4103/ijd.ijd_834_22diagnosisrecent updatestreatmentzoon’s balanitis
spellingShingle Vineet Relhan
Abhinav Kumar
Aneet Kaur
Zoon’s Balanitis – Update of Clinical Spectrum and Management
Indian Journal of Dermatology
diagnosis
recent updates
treatment
zoon’s balanitis
title Zoon’s Balanitis – Update of Clinical Spectrum and Management
title_full Zoon’s Balanitis – Update of Clinical Spectrum and Management
title_fullStr Zoon’s Balanitis – Update of Clinical Spectrum and Management
title_full_unstemmed Zoon’s Balanitis – Update of Clinical Spectrum and Management
title_short Zoon’s Balanitis – Update of Clinical Spectrum and Management
title_sort zoon s balanitis update of clinical spectrum and management
topic diagnosis
recent updates
treatment
zoon’s balanitis
url https://journals.lww.com/10.4103/ijd.ijd_834_22
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AT aneetkaur zoonsbalanitisupdateofclinicalspectrumandmanagement