Viii.—a Peculiar Fungus Infection of the Skin (Soorpilze?)

Engman, Martin F.

doi:10.1001/archderm.1920.02350040007002

Cited by 9 publications

(3 citation statements)

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“…Balanitis (balanoposthitis) is one of the most common complaints in an STD clinic. Candida balanoposthitis is a well recognized condition, first described by Engman 1 in 1920, which is responsible for up to 35% of all cases of infectious balanitis 2–4 …”

Section: Introductionmentioning

confidence: 99%

Candida balanitis: risk factors

Lisboa

Santos

Dias

et al. 2010

Acad Dermatol Venereol

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Section: Introductionmentioning

confidence: 99%

Candida balanitis: risk factors

Lisboa

Santos

Dias

et al. 2010

Acad Dermatol Venereol

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“…1 Most patients present with penile irritation associated with mild penile erythema and small, irregular eroded papules. An acute, fulminating, oedamatous balano-posthitis is occasionally seen, most commonly associated with diabetes.…”

Section: Introductionmentioning

confidence: 99%

Candidal balano-posthitis: a study of diagnostic methods.

Dockerty

Sonnex

1995

Sexually Transmitted Infections

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Objectives-To compare microscopy with culture for diagnosing candidal balanoposthitis and to document which diagnostic methods are used in genitourinary medicine clinics in Great Britain. Design-(a) Penile material for microscopy and fungal culture were obtained from men with balano-posthitis. A "plain-slide" method of collecting material for microscopy was compared with a novel "adhesive-tape" method of sampling. (b) Questionnaires were sent to all genitourinary medicine clinics in Great Britain.Setting-The Department of Genitourinary Medicine, Addenbrooke's Hospital, Cambridge, England. Main outcome measures-The sensitivity and specificity of microscopy using culture as the "gold standard" for diagnosis. Results-Candida was isolated from 35% of 450 men with balano-posthitis attending the clinic over a three year period. The sensitivity of microscopy compared with culture was 12% ("plain-slide" method of material collection) and 65% ("adhesive-tape" method) (p < 0 0001). The respective specificities were 95% and 81%. The positive predictive values for the two methods of material collection were 50% ("plain-slide" method) and 75% ("adhesive-tape" method). The respective negative predictive values were 71% and 72%. 60% of 250 genitourinary medicine clinics returned questionnaires. 13% routinely diagnosed candidal balanoposthitis by appearance only and 34% sometimes relied only on clinical appearance. Culture was used by 78% and microscopy by 69% of clinics. Material for microscopy was most commonly collected by using a cotton-wool tipped swab and the Gram stain was the favoured method for microscopy. Conclusion-Candida is a common cause of balano-posthitis. Diagnosis by microscopy has a low sensitivity and varies with the method used for collecting material.Although up to one third of genitourinary medicine clinics may rely solely on clinical appearance for diagnosis most continue to use microscopy and culture. (Genitourin Med 1995;71:407-409)

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“…Approximately, 3% of uncircumcised men are affected globally [3] and in 11% of the patients attending STI clinic. [1,3,4] Candidal balanoposthitis is a well-recognised condition, first described by Engman in 1920, [5] being the most common infection which is responsible for up to 30-35% among the infectious balanitis. [6][7][8] Candidal balanoposthitis is a known cutaneous marker of diabetes mellitus; other predisposing factors include uncircumcision, congenital and acquired phimosis, urinary incontinence and immunosuppression [8][9][10] .…”

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confidence: 99%

Candidal Balanoposthitis – A Retrospective Study in a Tertiary Care Centre of South India

Swamiappan¹,

Vijayabhaskar²,

Subbaiya³

et al. 2016

jemds

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BACKGROUNDCandidal balanoposthitis is a known clinical marker and most of the time it may be the presenting feature of diabetes mellitus. It is the most common condition in uncircumcised male patients attending the sexually transmitted infections (STI) clinic in recent times as there is a decline in the tropical sexually transmitted infections.The aim of this study is to determine the prevalence of candidal balanoposthitis in patients attending the STI clinic of a tertiary care centre. MATERIALS AND METHODSA retrospective chart review of the data collected from the clinical records of all patients with candidal balanoposthitis who had attended the STI clinic of Chengalpattu Medical College Hospital, Chengalpattu, Tamil Nadu, during the one year period from January 2015 to December 2015 was carried out. Demographic and clinical data were analysed. RESULTSThe total number of patients with candidal balanoposthitis were 108 (16.39%) among the total 659 male patients who attended the STI clinic during the study period. Among those, newly diagnosed diabetes mellitus were 47 (43.52%) and known diabetes mellitus were 51 (47.22%) patients. The common age group was 31 to 40 years (44.44%). It commonly presents as preputial fissuring in young sexually active patients and glazed erythema with subpreputial discharge in sexually inactive older patients. CONCLUSIONCandidal balanoposthitis is the most common condition in male patients attending the STI clinic. As it serves as a dependable cutaneous marker of diabetes mellitus, screening for diabetes should be done in all patients with balanoposthitis as it would help in the early diagnosis and management thereby decreasing the morbidity and improve the quality of life in them.

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Viii.—a Peculiar Fungus Infection of the Skin (Soorpilze?)

Cited by 9 publications

References 0 publications

Candida balanitis: risk factors

Candida balanitis: risk factors

Candidal balano-posthitis: a study of diagnostic methods.

Candidal Balanoposthitis – A Retrospective Study in a Tertiary Care Centre of South India

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