Balanitis in the vast majority of cases is a simple intertrigo, with no specific cause. Sometimes, an overgrowth of commensal anaerobes or candida is seen. It responds to the simple measures of retraction of the prepuce, saline baths and a drying powder, rather than a cream. Occasionally there are underlying conditions, such as lichen sclerosus et atrophicus, lichen planus or manifestations of a systemic dermatoses. Biopsy is mandatory in all cases that do not respond to simple measures. Except where specifically indicated, steroids should be avoided, as they may induce an expression of HPV as genital warts. A sexually transmitted disease screen is mandatory where there has been an infection acquisition opportunity.
KeywordsBalanitis Candida Thrush Genital dermatitis
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