๐ ็ธฝ็ฎ้ ๏ฝ ๐ ่ฑๆๅๆ๏ผๆฌ็ฏ๏ผ ๏ฝ ๐ ๅฎๆด็ฟป่ญฏ ๏ฝ โญ ็ฒพ่ฏ็ญ่จ
Non-specific balanoposthitis
Non-specific balanoposthitis
Clinical experience and histologic evidence indicate that non-specific balanoposthitis is a real entity.1,2 However, in practice it is a diagnosis of exclusion, because sexually transmitted diseases, eczematous dermatoses, psoriasis, Zoon balanitis (ZB), lichen planus (LP), LS, mucous membrane pemphigoid, and penile carcinoma in situ must be excluded. Non-specific balanoposthitis is a manifestation of a dysfunctional foreskin. Patients generally complain of pain during intercourse and may have variable signs, including eczematous, lichenoid, and Zoonoid inflammation, and even scarring. Candida and other organisms can be identified, but they probably represent opportunistic infection. Diabetes should be excluded. In severe cases, medical treatments fail and the only cure is by circumcision. A prior clinical diagnosis may be reversed at this stage by foreskin histology showing LS, LP, or carcinoma in situ. However, experience shows that even where the most thorough histologic examination of the excised prepuce is undertaken, nothing more than non-specific chronic inflammation is found.
478 Diseases of the anogenital skin