@article{10.11648/j.ijcd.20230602.11,
  author = {Ivanka Temelkova and Valentina Broshtilova and Svetlana Bezhanova and Atanas Batashki and Yoanna Velevska and Petar Vatov and Irina Iungareva and Sonya Marina},
  title = {Zoon’s Balanitis (Balanitis Circumscripta Plasmacellularis) – a Case Report with a Review of Literature},
  journal = {International Journal of Clinical Dermatology},
  volume = {6},
  number = {2},
  pages = {14-17},
  doi = {10.11648/j.ijcd.20230602.11},
  url = {https://doi.org/10.11648/j.ijcd.20230602.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcd.20230602.11},
  abstract = {Zoon's balanitis or balanitis circumscripta plasmacellularis is a rare, idiopathic, chronic, benign, inflammatory disease of the genital mucosa of non-sexually transmitted nature. Etiopathogenesis is not fully understood, but the moist environment and chronic irritation are considered as important triggers. It occurs mainly in uncircumcised middle- and elderly men, but there are single cases in circumcised men. Affects the glans penis and foreskin. It is also rarely seen in women, such as Zoon's vulvitis, with predilectation involvement of labia minora. The article presented an overview of epidemiology, clinical performance, histopathological characteristics, diagnostic criteria and diagnostic methods of Zoon's balanitis. In addition, the differential diagnosis of the disease is discussed. Treatment methods are considered and circumcision is highlighted as the "gold standard" and first choice. We present a 53-year-old man with a well-circumscribed erythematous plaques on the glans penis and the inner surface of the foreskin from 10 years. Histologically plasmocyte infiltrate is established. Based on the correlation of history, dermatological status and histopathological result was diagnosed Zoon's balanitis. Conservative topical therapy was our preferred way of treatment. On an outpatient basis, we recommended personal genital hygiene, mometasone furoate cream 0.1% for 2 weeks and tacrolimus 0.1% ointment for 1 month. A control examination after 1 and a half months found a good clinical result with mild residual erythema. The patient was explained both the need for regular clinical and histological monitoring due to the carcinogenic potential of the lesions and the option of therapeutic circumcision.},
 year = {2023}
}

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TY  - JOUR
T1  - Zoon’s Balanitis (Balanitis Circumscripta Plasmacellularis) – a Case Report with a Review of Literature
AU  - Ivanka Temelkova
AU  - Valentina Broshtilova
AU  - Svetlana Bezhanova
AU  - Atanas Batashki
AU  - Yoanna Velevska
AU  - Petar Vatov
AU  - Irina Iungareva
AU  - Sonya Marina
Y1  - 2023/08/22
PY  - 2023
N1  - https://doi.org/10.11648/j.ijcd.20230602.11
DO  - 10.11648/j.ijcd.20230602.11
T2  - International Journal of Clinical Dermatology
JF  - International Journal of Clinical Dermatology
JO  - International Journal of Clinical Dermatology
SP  - 14
EP  - 17
PB  - Science Publishing Group
SN  - 2995-1305
UR  - https://doi.org/10.11648/j.ijcd.20230602.11
AB  - Zoon's balanitis or balanitis circumscripta plasmacellularis is a rare, idiopathic, chronic, benign, inflammatory disease of the genital mucosa of non-sexually transmitted nature. Etiopathogenesis is not fully understood, but the moist environment and chronic irritation are considered as important triggers. It occurs mainly in uncircumcised middle- and elderly men, but there are single cases in circumcised men. Affects the glans penis and foreskin. It is also rarely seen in women, such as Zoon's vulvitis, with predilectation involvement of labia minora. The article presented an overview of epidemiology, clinical performance, histopathological characteristics, diagnostic criteria and diagnostic methods of Zoon's balanitis. In addition, the differential diagnosis of the disease is discussed. Treatment methods are considered and circumcision is highlighted as the "gold standard" and first choice. We present a 53-year-old man with a well-circumscribed erythematous plaques on the glans penis and the inner surface of the foreskin from 10 years. Histologically plasmocyte infiltrate is established. Based on the correlation of history, dermatological status and histopathological result was diagnosed Zoon's balanitis. Conservative topical therapy was our preferred way of treatment. On an outpatient basis, we recommended personal genital hygiene, mometasone furoate cream 0.1% for 2 weeks and tacrolimus 0.1% ointment for 1 month. A control examination after 1 and a half months found a good clinical result with mild residual erythema. The patient was explained both the need for regular clinical and histological monitoring due to the carcinogenic potential of the lesions and the option of therapeutic circumcision.
VL  - 6
IS  - 2
ER  - 

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