Balanitis xerotica obliterans can be distinguished from most other genital dermatoses that mimic it by a careful history, focused review of symptoms, and physical examination. A Tzanck smear and cutaneous biopsy are office-based procedures that, along with a rapid protein reagin test, will provide a definitive diagnosis. Treatment with high-dose topical corticosteroids is aimed at reducing the inflammatory process. Balanitis xerotica obliterans has been associated with additional genital abnormalities, including phimosis and squamous cell carcinoma. Neonatal circumcision reduces its occurrence.
Robert A. Skidmore, MD, PO Box 100277, Gainesville, FL 32610.
J Am Board Fam Med. 1999;12(6) © 1999 American Board of Family Medicine
Cite this: Balanitis Xerotica Obliterans and Its Differential Diagnosis - Medscape - Nov 01, 1999.