If you have any concerns with your skin or its treatment, see a dermatologist for advice. Retamar RA et al (2003) Zoon's balanitis: presentation of 15 patients, five treated with a carbon dioxide laser. It presents as bright red moist lesions in uncircumcised males. Plasma cell balanitis/vulvitis images, . Password. "Lozenge"-shaped (diamond-like shape). With your help, we can update and expand the website. Zoon's plasma cell balanitis: clinical and dermoscopic features in pediatric patients. 4. H&E stain. Plasma cell (Zoon's) balanitis with concomitant HIV infection. In women, this condition is called plasma cell vulvitis. Download : Download full-size image; FIGURE 2. Plasma cell balanitis affects the head of the penis (the glans) and is also known as balanitis circumscripta plasmacellularis and Zoon balanitis. The cause is unknown. Balanitis therefore means inflammation of the glans penis. DiscussionPlasma Cell balanitis (PCB) or "balanitis circumscripta plasma cellularis" is a benign, idiopathic condition first recognized by Zoon in 1952. 1988 Jan-Feb;75(1):50-3. Search for more papers by this author Jolly BB, Krishnamurty S, Vaidyanathan S. Zoon's balanitis. Balanitis Photo Source – wastington. Plasma cell disorders usually present as persistent, well-defined irritable red patches on the genitals. Penis Anatomy Source – most-effective-solution. BZ is a frequent diagnosis in mature men and lesions are generally localized on the glans but may involve the prepuce2. At a Glance - Lichen sclerosus versus Zoon's balanitis. Would you like email updates of new search results? Check if you have balanitis. @article{Houser2005PlasmaC, title={Plasma cell (Zoon's) balanitis with concomitant HIV infection. [Article in Italian] Amerio PL, Banchieri RF, Provana A, Zarrella M. The cause is unknown. The finding of plasma cells in a skin biopsy may be quite non-specific and may be a reactive response to an infection, irritation or injury. 2001 Feb. 12 (2):75-8. . Contributed by Dr Jean Watkins, a retired GP in Hampshire. superficial dermis. In males, plasma cell balanitis is usually a single glistening orange-red plaque. Question 5. Authoritative facts from DermNet New Zealand. Related information . Analogous to plasma cell vulvitis in women. Kornelishin NF, Vikaliuk IuF, Savchak VI. Erythroplasia of Queyrat with Zoon's balanitis: a diagnostic dilemma. When the foreskin is also affected, the proper term is balanoposthitis. The lesions are round to oval, and have a moist velvety appearance. DermNet provides Google Translate, a free machine translation service. Contributed by Dr Jean Watkins, a retired GP in Hampshire. Numerous IgG4 plasma cells and a high IgG4/IgG plasma cell ratio are important criteria in the diagnosis of IgG4-related sclerosing disease (IgG4-RSD), a steroid-responsive fibroinflammatory disorder. 5. This showed focal lymphocytic infiltration, spongiosis and plasma cells; there was no evidence of malignancy. The cause of Zoon’s balanitis is unknown. Balanitis circumscripta plasmacellularis, See images of plasma cell balanitis/vulvitis. AKA plasma cell balanitis. Indian Dermatol Online J 9:96-100. Patients attending the penile dermatosis clinic between October 1996 and October 1999 with the clinical and histological features diagnostic of Zoon's balanitis were included in this study. What is the likely diagnosis? A biopsy of Zoon´s plasma cell balanitis is a chronic inflammatory dermatosis affecting the glans and foreskin of uncir-cumcised men. Register FREE . The viral and bacterial cultures were negative. Home Password. We assume that either the former biopsy specimens were taken from a plasma cell-rich reactive infiltrate around the neoplastic lesion, or that carcinoma in situ may have arisen due to the chronic inflammation of Zoon's balanitis plasmacellularis. Australas J Dermatol. Ezra, N., Binder, S. W., & Behroozan, D. (2012). Balanitis is inflammation of the glans penis. Just weeks ago, I was sent to get a urine culture. Its etiology and pathogenesis remains speculative. Privacy, Help Plasma cell balanitis. Want to make sure about the appearance of Balanitis? [Sponsored content], Vulvovaginal Disorders: an algorithm for basic adult diagnosis and treatment —ISSVD. Sponsored content: melanomas are notoriously difficult to discover and diagnose. A 28-year-old male asked: i got zoon balanitis, tried antibiotics, fluconazole 100mg/day for 10 days, now tacrolimus 0.03% works great but as soon as slightest friction occurs ? Zoon's balanitis, or plasma cell balanitis, is a chronic erosive process of the uncircumcised penis. Sign in to continue. Zoon’s Balanitis begins with plasma cell inflammation in the glans penis, which clinically appears as a moist red patch on the glans penis. Balanitis on boys still in diapers must be distinguished from redness caused by ammoniacal dermatitis. Erythroplasia of Queyrat of the glans penis on a background of Zoon's plasma cell balanitis. Balanitis Pictures. Balanitis Redness Source – blogspot. Plasma cell balanitis/vulvitis images — codes and concepts open > Go to the image library. Patients may have no symptoms but they may complain of tenderness and/or slight itchiness. Author: Vanessa Ngan, Staff Writer, 2003. Zoon's (plasma cell) balanitis This was first described by Zoon in 1952 69 and is a main differential diagnosis with erythoplasia of Queyrat. Balanitis is when the head of the penis is swollen and sore. Subsequently it has been referred to as plasma cell balanitis of Zoon and balanitis circumscripta plasmacellularis. Zoon balanitis. CASE SERIES Zoon’s plasma cell balanitis associated with male genital lichen sclerosus Jeremie Delaleu, MD,a ,b cBenedicte Cavelier-Balloy, MD,d Martine Bagot, MD, PhD,a, Sebastien Fouere, MD, a,b and Jean-No€el Dauendorffer, MD a,b Paris, France Key words: genital lichen sclerosus; plasma cell balanitis. Our objective was to evaluate the response to Trimovate cream in patients with Zoon's balanitis. An early symtom is itching. Email us. Gross. Copied with kind permission from Dermatoweb. Check out these Balanitis images to know how this condition looks like. Plasma cell balanitis presenting in a patient with a history of syphilis. Plasma cell balanitis of Zoon: response to Trimovate cream. The viral and bacterial cultures were negative. Download Citation | Plasma cell balanitis of Zoon: Response to Trimovate cream | Our objective was to evaluate the response to Trimovate cream in patients with Zoon's balanitis. Download : Download full-size image; FIGURE 2. Urol Int 1993;50:182-4. Int J STD AIDS. Clinical: Pruritis. Division of Dermatology, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy. The ending ‘-itis’ stands for inflammation. Microscopic. Plasma cell vulvitis . A plasma cell is a type of white blood cell found in some inflammatory conditions. Radiotherapy was performed with good clinical response and subsequent histopathologic proof of complete remission of the lesion. We assume that either the former biopsy specimens were taken from a plasma cell-rich reactive infiltrate around the neoplastic lesion, or that carcinoma in situ may have arisen due to the chronic inflammation of Zoon's balanitis plasmacellularis. Balanitis plasmacellularis; Other names: Balanoposthitis chronica circumscripta plasmacellularis, Balanitis circumscripta plasmacellularis, Plasma cell balanitis, Plasma cell vulvitis, Vulvitis circumscripta plasmacellularis, Zoon's balanitis, Zoon's erythroplasia, Zoon's vulvitis Micrograph of plasmacytosis mucosae. slide 1 of 2: Tweets by @WebPathology. Balanitis circumscripta plasmacellularis or Zoon's balanitis is an idiopathic, benign condition of the genitalia that mostly presents as a solitary, persistent plaque on the glans of primarily uncircumcised, middle-aged to older men. Radiotherapy was performed with good clinical response and subsequent histopathologic proof of complete remission of the lesion. This is applied as a thin smear on the patch for a few days. Penis Anatomy Source – most-effective-solution. Rare. Our objective was to evaluate the response to Trimovate cream in patients with Zoon's balanitis. In women there are usually several patches. Our objective was to evaluate the response to Trimovate cream in patients with Zoon's balanitis. It is called plasma cell balanitis in men and plasma cell vulvitis in women because of the numerous plasma cells seen on skin biopsy.A plasma cell is a type of white blood cell found in some inflammatory conditions. We report the use of pimecrolimus, a homologue of tacrolimus, with good response. Polymerase chain reaction assay did reveal indeterminate herpes simplex virus DNA. » How would this patient be managed? There is a female counterpart to Zoon’s Balanitis called Vulvitis Plasmacellularis. Sign In. Topics A–Z Plasma cell balanitis/vulvitis can look similar to other skin conditions affecting the penis or the vulva. by Dr Jean Watkins. Ann Dermatol Venereol. Plasma cell vulvitis is most commonly found on the inside of the. 1 This chronic, benign, rare inflammatory disorder most frequently occurs as lesions localized on the glans penis and prepuce, typically in middle-aged and elderly uncircumcised men. In women, this condition is called plasma cell vulvitis. Sign in to continue. The leading primary care society for dermatology and skin surgery. The word Balanitis is derived from the Greek word Balanos, which means ‘acorn’. I have been battling this inflammation for almost 2 years now. Overall, the biopsy was interpreted as consistent with Zoon’s balanitis (plasmacytosis mucosae). What causes Zoon’s balanitis? » Additional analysis revealed a dense dermal plasma cell infiltrate. 6. This is the second in a series adding up to an annotated atlas of penile dermatoses Clinical features •Zoon’s balanitis occurs in middle-aged and elderly men who have not been circumcised. Stay signed in. Other treatments reported to be of benefit in some cases include: See smartphone apps to check your skin. BZ is a frequent diagnosis in mature men and lesions are generally localized on the glans but may involve the prepuce2. Zoon’s balanitis describes a form of chronic inflammation of the glans penis and foreskin, which affects middle-aged to elderly men who have not been circumcised. Zoon plasma cell balanitis is usually asymptomatic, but pruritus may occur. Division of Dermatology, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy. Trouble signing in? It is believed to be a reactive process. The .1% is more effective. Lesions may extend to the distal end of the shaft. Abundant plasma cells - esp. Search for more papers by this author 2008 May;49(2):103-5. doi: 10.1111/j.1440-0960.2008.00440.x. Plasma cell disorders usually present as persistent, well-defined irritable red patches on the genitals. Need help? Balanitis plasmacellularis is a cutaneous condition characterized by a benign inflammatory skin lesion characterized histologically by a plasma cell infiltrate. Plasma cell balanitis (Zoon’s balanitis, balanitis circumscripta plasmacellularis) is a relatively common genital dermatosis of uncircumcised older males characterised by a solitary or mirrored moist, orange-red plaque of the glans and foreskin, with an increase in the number of plasma cells on histology. Overall, the biopsy was interpreted as consistent with Zoon’s balanitis (plasmacytosis mucosae). Moreno-Arias GA et al. Int J STD AIDS. J Cutan Med Surg 10: 11-15; Marcos-Pinto A et al (2018) Nonvenereal Penile Dermatoses: A Retrospective Study. 8600 Rockville Pike Author information: (1)Division of Dermatology, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy. Balanitis Redness Source – blogspot. Register FREE . [Zoon's chronic benign plasma-cell balanoposthitis]. Additional analysis revealed a dense dermal plasma cell infiltrate. Orange colouration. Limited free articles a month ; Free email bulletins; Register Now. Zoon plasma cell balanitis. Features: Squamous epithelium with: Spongiosis. The ending ‘-itis’ stands for inflammation. DermNet NZ does not provide an online consultation service. Zoon’s balanitis describes a form of chronic inflammation of the glans penis and foreskin, which affects middle-aged to elderly men who have not been circumcised. Plasma cell balanitis presenting in a patient with a history of syphilis. I have been diagnosed with Zoon's Balanitis, or Plasma Cell Balanitis. Balanitis is not usually serious but it's important to see a GP to find out what's causing it. Features: Erythematous macules or papules. Reports have shown therapeutic success using topical tacrolimus. Topical steroid cream can be useful in some cases. It has also been called ‘balanitis circumscripta plasmacellularis’ because the patches are well defined, and ‘plasma cell balanitis’ because many plasma cells (a type of white blood cell) may be seen when the affected skin is examined under the microscope. Treatment: Circumcision. Contact us to sponsor a DermNet newsletter. I have been diagnosed with Zoon's Balanitis, or Plasma Cell Balanitis. Patients attending the penile dermatosis clinic between October 1996 and October 1999 with the clinical and histological features diagnostic of Zoon's balanitis were included in this study. Note that this may not provide an exact translation in all languages, breadcrumbs Uncircumsized men. Plasma cell balanitis/vulvitis. Acta Dermatovenerol Croat 2004;12:268-73. zoon balanitis pictures. [A case of Zoon's balanoposthitis plasmacellularis in a young man]. A study of 10 cases. 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