Balanitis xerotica obliterans
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Balanitis xerotica obliterans (BXO) is lichen sclerosus of the foreskin, a fibrotic condition of the foreskin first described by Stühmer[1],[2] in 1928
The aetiology is unclear. It can be considered the male foreskin equivalent of lichen sclerosus et atrophicus.[3] There is a small risk of dysplasia and progression to squamous cell carcinoma.
Contents |
Clinical Features
- Occurs later in life
- Foreskin is:
- thickened
- stenosed
- depigmented
- adherent to glans
Histological Features
- Epidermal atrophy, but orthokeratotic hyperkeratosis
- Expanded, hyalinised lamina propria
- Vacuolar basal degeneration
- Lichenoid band-like chronic inflammatory infiltrate
Treatment
References
- ↑ Stühmer, A.: Balanitis xerotica obliterans (post-operationem) und ihre Beziehungen zur “Kraurosis glandis et praeputii penis,” Arch f. Dermat. u. Syph. 156:613, 1928.
- ↑ http://www.cirp.org/library/treatment/BXO/freeman1/
- ↑ ARCHIVES OF DERMATOLOGY AND SYPHILOLOGY, Volume 49: Page 57-59 http://www.cirp.org/library/treatment/BXO/laymon1/#n2
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