Balanitis Xerotica Obliterans and Its Differential Diagnosis

Isaac M. Neuhaus, and Robert A. Skidmore, MD,


J Am Board Fam Med. 1999;12(6) 

In This Article


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.


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