Plasma cell balanitis: clinical and histopathological features--response to circumcision.

Kumar, Bhushan; Sharma, R. C.; Rajagopalan, Murlidhar; Radotra, BD

doi:10.1136/sti.71.1.32

Cited by 28 publications

(45 citation statements)

References 9 publications

(10 reference statements)

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“…The treatment of choice for PCB is circumcision [4,5,10,11]. Successful ablation of PCB has been achieved with carbondioxide laser and Erbium:YAG laser [12,13].…”

Section: Discussionmentioning

confidence: 99%

“…A dense lichenoid subepidermal infiltrate composed largely of plasma cells is characteristic. Erythrocyte extravasation and hemosiderin deposition are often noted [5][6][7][8][9].…”

Section: Discussionmentioning

confidence: 99%

“…Symptoms are minimal, but patients may complain of mild pruritus or tenderness. Some patients present for evaluation because of cosmetic concerns or anxiety [1][2][3][4][5].…”

Section: Introductionmentioning

confidence: 99%

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Plasma cell balanitis (Zoon`s balanitis): A clinicopathological study of 8 cases

Rao¹,

Yadalla²

2012

Our Dermatol Online

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A disorder first described by Zoon in 1952, Zoon`s balanitis or Plasma cell balanitis (PCB), is an uncommon clinical disorder seen in middleaged uncircumcised men. It is characterized by one or more indolent well demarcated, glazed, reddish brown patches on the glans penis or prepuce. The etiology of this disease is unknown. This balanitis does not respond to routine topical antifungals, steroid creams and systemic antifungals. Diagnosis is confirmed by biopsy. Herein we report 8 cases of PCB, presenting with a characteristic clinical picture of the disease. In all cases circumcision was done and histopathology confirmed the diagnosis of PCB. All patients were followed up for a period of 6 months and no recurrences were observed. Development of malignancy is not seen. In conclusion. We believe that for all cases of balanitis, not responding to routine topical antifungals, steroid creams and systemic antifungals, the diagnosis of Zoon`s balanitis should be considered. StreszczenieChoroba po raz pierwszy została opisana przez Zoon`a w 1952 roku. Zapalenie żołędzi typu Zoona lub też plazmacytowe zapalenie żołędzi (PCB) jest rzadkim, klinicznym zaburzeniem obserwowanym u nieobrzezanych mężczyzn w średnim wieku. Charakteryzuje się ono jedną lub większą ilością łagodnych, dobrze odgraniczonych, połyskujących, czerwonawych plamek na żołędzi penisa lub napletku. Etiologia zmian pozostaje nieznana. Ten rodzaj zapalenia żołędzi nie odpowiada na typowe leczenie przeciwgrzybicze: miejscowe czy systemowe oraz na maści sterydowe. Diagnoza jest potwierdzana biopsją. W tym artykule opisujemy 8 przypadków PCB oraz ich obraz kliniczny. We wszystkich przypadkach został wykonany zabieg obrzezania a badanie histopatologiczne potwierdziło diagnozę. Wszyscy pacjenci byli obserwowani przez okres 6 miesięcy, nie zanotowano nawrotu choroby. Nie zanotowano transformacji nowotworowej. Wszystkie przypadki zapalenia żołędzi nie odpowiadające na leczenie przeciwgrzybicze miejscowe lub systemowe oraz na maści sterydowe powinny zostać ponownie rozpatrzone pod kątem diagnozy PCB.

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“…The treatment of choice for PCB is circumcision [4,5,10,11]. Successful ablation of PCB has been achieved with carbondioxide laser and Erbium:YAG laser [12,13].…”

Section: Discussionmentioning

confidence: 99%

“…A dense lichenoid subepidermal infiltrate composed largely of plasma cells is characteristic. Erythrocyte extravasation and hemosiderin deposition are often noted [5][6][7][8][9].…”

Section: Discussionmentioning

confidence: 99%

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Plasma cell balanitis (Zoon`s balanitis): A clinicopathological study of 8 cases

Rao¹,

Yadalla²

2012

Our Dermatol Online

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“…5 • The condition clears after circumcision, 6 and a study of 27 men treated by circumcision had no evidence of recurrence in three years of follow-up. 7 However, in my experience, most men of this age prefer a more conservative approach to treatment, especially as they are relatively asymptomatic.…”

Section: Managementmentioning

confidence: 99%

Zoon's plasma cell balanitis

McLelland

2007

Trends Urology, Gynecol. Sexual Health

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“…ZB occasionally causes pruritis or discomfort. CO 2 laser ablation of ZB is an effective treatment [11] and may be preferable to circumcision [10,12,13] in the management of this disease. We present a case illustrating that super®cial laser ablation with a newer generation of resurfacing lasers may be as effective as traditional continuous-wave CO 2 ablation, with less morbidity, thermal damage, and risk of scarring.…”

Section: Introductionmentioning

confidence: 99%

Zoon's balanitis treated with Erbium:YAG laser ablation†

2002

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Background and Objective: Zoon's balanitis (ZB) is an uncommon, benign, idiopathic in¯ammatory condition affecting uncircumcised males. De®nitive treatments include circumcision and carbon dioxide (CO 2 ) laser ablation. We describe an alternative laser modality showing ef®cacy in the treatment of ZB. Study Design/Materials and Methods: We report the ®rst case of ZB effectively treated with Erbium:YAG (Er:YAG) laser ablation. We review the pathogenesis and medical, surgical, and laser management of ZB. Results: Our patient demonstrated a long-term clinical and histologic cure after Er:YAG laser ablation of ZB. Conclusions: As an alternative to circumcision or continuous wave CO 2 laser, we propose a trial of Er:YAG laser ablation as a low risk, ®rst line treatment of ZB. Lasers Surg. Med. 30:123±126, 2002.

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Plasma cell balanitis: clinical and histopathological features--response to circumcision.

Abstract: (Genitourin Med 1995;71:32-34)

Cited by 28 publications

References 9 publications

Plasma cell balanitis (Zoon`s balanitis): A clinicopathological study of 8 cases

Plasma cell balanitis (Zoon`s balanitis): A clinicopathological study of 8 cases

Zoon's plasma cell balanitis

Zoon's balanitis treated with Erbium:YAG laser ablation†

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