The Experts below are selected from a list of 297 Experts worldwide ranked by ideXlab platform
Philip R. Cohen - One of the best experts on this subject based on the ideXlab platform.
-
Successful Management of Zoon’s Balanitis with Topical Mupirocin Ointment: A Case Report and Literature Review of Mupirocin-Responsive Balanitis Circumscripta Plasmacelluaris
Dermatology and Therapy, 2017Co-Authors: Omar Bari, Philip R. CohenAbstract:Introduction Zoon’s Balanitis, also referred to as Balanitis circumscripta plasmacellularis (BCP), is an idiopathic, benign inflammatory condition of the glans penis and foreskin most often seen in elderly uncircumcised men. A patient with a biopsy-confirmed diagnosis of BCP who was successfully treated with topical mupirocin ointment is described. Methods The PubMed database was searched with the key words: bactroban, Balanitis, cell, circumscripta, mupirocin, plasma, plasmacellularis, penisme/topic-tacrolimus/">tacrolimus, Zoon. The papers generated by the search and their references were reviewed. Results Treatments for BCP have previously included circumcision and topical calcineurin inhibitors. Our patient with BCP rapidly resolved after initiating treatment with mupirocin 2% ointment. Conclusion BCP is a benign dermatosis affecting the glans penis and foreskin. We confirm an earlier observation demonstrating successful management of this condition with topical mupirocin 2% ointment. Previously reported therapies include circumcision, topical calcineurin inhibitors, phototherapy, and laser therapy. However, based on our observations, topical mupirocin 2% ointment therapy may be considered for the initial management of patients with suspected BCP. Prompt response to mupirocin 2% ointment is highly suggestive of the diagnosis of BCP since morphologically similar skin conditions do not respond to this treatment.
-
Erratum to: Successful Management of Zoon's Balanitis with Topical Mupirocin Ointment: A Case Report and Literature Review of Mupirocin-Responsive Balanitis Circumscripta Plasmacellularis.
Dermatology and therapy, 2017Co-Authors: Omar Bari, Philip R. CohenAbstract:Zoon’s Balanitis, also referred to as Balanitis circumscripta plasmacellularis (BCP), is an idiopathic, benign inflammatory condition of the glans penis and foreskin most often seen in elderly uncircumcised men. A patient with a biopsy-confirmed diagnosis of BCP who was successfully treated with topical mupirocin ointment is described. The PubMed database was searched with the key words: bactroban, Balanitis, cell, circumscripta, mupirocin, plasma, plasmacellularis, penisme/topic-tacrolimus/">tacrolimus, Zoon. The papers generated by the search and their references were reviewed. Treatments for BCP have previously included circumcision and topical calcineurin inhibitors. Our patient with BCP rapidly resolved after initiating treatment with mupirocin 2% ointment. BCP is a benign dermatosis affecting the glans penis and foreskin. We confirm an earlier observation demonstrating successful management of this condition with topical mupirocin 2% ointment. Previously reported therapies include circumcision, topical calcineurin inhibitors, phototherapy, and laser therapy. However, based on our observations, topical mupirocin 2% ointment therapy may be considered for the initial management of patients with suspected BCP. Prompt response to mupirocin 2% ointment is highly suggestive of the diagnosis of BCP since morphologically similar skin conditions do not respond to this treatment.
-
Zoon Balanitis Revisited: Report of Balanitis Circumscripta Plasmacellularis Resolving With Topical Mupirocin Ointment Monotherapy.
Journal of drugs in dermatology : JDD, 2017Co-Authors: Michael A Lee, Philip R. CohenAbstract:INTRODUCTION: Zoon Balanitis is an idiopathic benign inflammatory condition of the glans penis and penisme/topic-prepuce/">prepuce. A patient with biopsy confirmed diagnosis of Zoon Balanitis who was successfully treated with topical mupirocin ointment monotherapy is described. METHOD: A search using PubMed database was performed using the following terms: Zoon Balanitis (cases, diagnosis, treatment of), Balanitis circumscripta plasmacellularis, and mupirocin. Relevant papers and their reference citations were reviewed and evaluated. RESULTS: The gold standard of treatment for Zoon Balanitis has previously been circumcision. More recently, topical calcineurin inhibitors have been shown to be effective. Our patient had successful resolution of his Zoon Balanitis after 3 months of mupirocin ointment monotherapy. DISCUSSION: Zoon Balanitis is a benign inflammatory dermatosis. Previous successful treatment modalities include circumcision, phototherapy, laser therapy, and topical calcineurin inhibitors. Topical mupirocin ointment twice daily resulted in resolution of Zoon Balanitis in our patient. Additional evaluation of mupirocin ointment as a penisme/topic-therapeutic-agent/">therapeutic agent should be considered as a potential first-line therapy in patients with Zoon Balanitis. J Drugs Dermatol. 2017;16(3):285-287. .
-
Balanitis Circumscripta Plasmacellularis
The Journal of urology, 1995Co-Authors: David A. Davis, Philip R. CohenAbstract:ABSTRACTBalanitis circumscripta plasmacellularis typically affects the glans penis and/or penisme/topic-prepuce/">prepuce, and presents as chronic shiny smooth red-orange plaques. We report on an uncircumcised man with 2 moist red-orange lesions of Balanitis circumscripta plasmacellularis on the glans and penile shaft, which were refractory to topical therapy and systemic antibiotics, and review the literature. Clinical morphology, microscopic features, differential diagnosis, postulated etiologies and treatments are discussed. When Balanitis circumscripta plasmacellularis is suspected clinically, diagnosis can be readily confirmed by microscopic examination of the lesion. Differentiating this lesion from similar lesions is essential since it is benign and can be treated relatively easily by circumcision.
Omar Bari - One of the best experts on this subject based on the ideXlab platform.
-
Successful Management of Zoon’s Balanitis with Topical Mupirocin Ointment: A Case Report and Literature Review of Mupirocin-Responsive Balanitis Circumscripta Plasmacelluaris
Dermatology and Therapy, 2017Co-Authors: Omar Bari, Philip R. CohenAbstract:Introduction Zoon’s Balanitis, also referred to as Balanitis circumscripta plasmacellularis (BCP), is an idiopathic, benign inflammatory condition of the glans penis and foreskin most often seen in elderly uncircumcised men. A patient with a biopsy-confirmed diagnosis of BCP who was successfully treated with topical mupirocin ointment is described. Methods The PubMed database was searched with the key words: bactroban, Balanitis, cell, circumscripta, mupirocin, plasma, plasmacellularis, penisme/topic-tacrolimus/">tacrolimus, Zoon. The papers generated by the search and their references were reviewed. Results Treatments for BCP have previously included circumcision and topical calcineurin inhibitors. Our patient with BCP rapidly resolved after initiating treatment with mupirocin 2% ointment. Conclusion BCP is a benign dermatosis affecting the glans penis and foreskin. We confirm an earlier observation demonstrating successful management of this condition with topical mupirocin 2% ointment. Previously reported therapies include circumcision, topical calcineurin inhibitors, phototherapy, and laser therapy. However, based on our observations, topical mupirocin 2% ointment therapy may be considered for the initial management of patients with suspected BCP. Prompt response to mupirocin 2% ointment is highly suggestive of the diagnosis of BCP since morphologically similar skin conditions do not respond to this treatment.
-
Erratum to: Successful Management of Zoon's Balanitis with Topical Mupirocin Ointment: A Case Report and Literature Review of Mupirocin-Responsive Balanitis Circumscripta Plasmacellularis.
Dermatology and therapy, 2017Co-Authors: Omar Bari, Philip R. CohenAbstract:Zoon’s Balanitis, also referred to as Balanitis circumscripta plasmacellularis (BCP), is an idiopathic, benign inflammatory condition of the glans penis and foreskin most often seen in elderly uncircumcised men. A patient with a biopsy-confirmed diagnosis of BCP who was successfully treated with topical mupirocin ointment is described. The PubMed database was searched with the key words: bactroban, Balanitis, cell, circumscripta, mupirocin, plasma, plasmacellularis, penisme/topic-tacrolimus/">tacrolimus, Zoon. The papers generated by the search and their references were reviewed. Treatments for BCP have previously included circumcision and topical calcineurin inhibitors. Our patient with BCP rapidly resolved after initiating treatment with mupirocin 2% ointment. BCP is a benign dermatosis affecting the glans penis and foreskin. We confirm an earlier observation demonstrating successful management of this condition with topical mupirocin 2% ointment. Previously reported therapies include circumcision, topical calcineurin inhibitors, phototherapy, and laser therapy. However, based on our observations, topical mupirocin 2% ointment therapy may be considered for the initial management of patients with suspected BCP. Prompt response to mupirocin 2% ointment is highly suggestive of the diagnosis of BCP since morphologically similar skin conditions do not respond to this treatment.
Elizabeth M. Mathew - One of the best experts on this subject based on the ideXlab platform.
-
Study on various types of infections related to Balanitis in circumcised or uncircumcised male and its causes, symptoms and management
African Journal of Pharmacy and Pharmacology, 2012Co-Authors: Kingston Rajiah, Sajesh K. Veettil, Suresh Kumar, Elizabeth M. MathewAbstract:Balanitis generally affects uncircumcised males characterized by the glans and foreskin becoming red and inflamed. In circumcised men, who lack a foreskin, these symptoms only affect the tip of the penis. The condition often occurs due to the fungus Candida albicans, the same organism that causes vaginal yeast infections in women. The objective of the study is to give a study on various types of infections related to Balanitis in circumcised or uncircumcised male and its causes, symptoms and management. A data search was performed using the OVID CD plus Medline 1990 to 2010, using Balanitis and balanoposthitis as text word search strategy. Specific subjects, such as anaerobic infection, Zoon's Balanitis were sought separately and subgroups combined. Original articles and abstracts were referenced to illustrate each condition. These were English language articles. Balanitis is a common condition among genitourinary medicine clinic attendees, the cause often remaining undiagnosed. Many cases are caused by infection, with Candida being the most frequently diagnosed. However, Gardnerella and anaerobic infections are common, and there are a wide variety of other rare infective causes. In addition, irritant Balanitis is probably a contributing factor in many cases. Balanitis which persists and in which the cause remains unclear warrants biopsy. Key words: Balanitis, circumcision, infections.
-
Study on various types of infections related to Balanitis in circumcised or uncircumcised male and its causes, symptoms and management
African Journal of Pharmacy and Pharmacology, 2012Co-Authors: Kingston Rajiah, Sajesh K. Veettil, Suresh Kumar, Elizabeth M. MathewAbstract:Balanitis generally affects uncircumcised males characterized by the glans and foreskin becoming red and inflamed. In circumcised men, who lack a foreskin, these symptoms only affect the tip of the penis. The condition often occurs due to the fungus Candida albicans , the same organism that causes vaginal yeast infections in women. The objective of the study is to give a study on various types of infections related to Balanitis in circumcised or uncircumcised male and its causes, symptoms and management. A data search was performed using the OVID CD plus Medline 1990 to 2010, using Balanitis and balanoposthitis as text word search strategy. Specific subjects, such as anaerobic infection, Zoon's Balanitis were sought separately and subgroups combined. Original articles and abstracts were referenced to illustrate each condition. These were English language articles. Balanitis is a common condition among genitourinary medicine clinic attendees, the cause often remaining undiagnosed. Many cases are caused by infection, with Candida being the most frequently diagnosed. However, Gardnerella and anaerobic infections are common, and there are a wide variety of other rare infective causes. In addition, irritant Balanitis is probably a contributing factor in many cases. Balanitis which persists and in which the cause remains unclear warrants biopsy.
Acácio G. Rodrigues - One of the best experts on this subject based on the ideXlab platform.
-
Candida Balanitis: risk factors.
Journal of the European Academy of Dermatology and Venereology : JEADV, 2009Co-Authors: Carmen Lisboa, António Santos, Filomena Azevedo, Cidália Pina-vaz, Cláudia Camila Dias, Acácio G. RodriguesAbstract:Background The amount of available information on the prevalence and incidence of candida Balanitis is still surprisingly scarce. Objectives To determine the prevalence of candida colonization and candida Balanitis in men attending a Sexually Transmitted Diseases (STD) clinic. To identify risk factors associated with candida Balanitis. Methods During a 36-month period, a cross-sectional study was carried out on consecutive men attendees of the STD clinic in Hospital S. Joao, Porto. Clinical and epidemiological data were recorded. Specimen collection from the glans penis and the coronal sulcus followed two procedures: a cotton tipped swab and the direct impression on the surface of CHROMagar Candida medium. Risk factors were considered singly and in combination through logistic regression models. Results Among 478 men enrolled, the prevalence of candida colonization was 26.2% and the prevalence of candida Balanitis was 18%. Candida colonization was strongly associated with an age above 60 years (OR = 3.375; 95% CI: 1.547–7.362) and with the presence of other cause of Balanitis apart from Candida organisms (OR: 2.466; 95% CI: 1.491–4.078). An age above 40 years (OR: 2.27; 95% CI: 1.005–4.500), diabetes mellitus (OR: 19.390; 95% CI: 7.789–48.273) and more than ten candida colonies recovered by culture (OR: 9.586; 95% CI: 2.682–34.263) were risk factors for candida Balanitis. Conclusions This study highlights the impact of factors other than sexual behaviours upon the epidemiology of this infection. For both candida colonization and infection, age was an important risk factor. Diabetes mellitus was an independent risk factor for candida Balanitis. More than ten colonies recovered from culture are associated with clinical signs and symptoms.
-
Direct impression on agar surface as a diagnostic sampling procedure for candida Balanitis
Sexually transmitted infections, 2009Co-Authors: Carmen Lisboa, António Santos, Filomena Azevedo, Cidália Pina-vaz, Acácio G. RodriguesAbstract:Background The diagnosis of candida Balanitis should be based upon both clinical and mycological data. The procedure of material collection is a critical issue to confirm or rule out the clinical diagnosis of candida Balanitis. Objective To compare direct impression of the glans on the agar surface of solid culture media with the collection of genital exudates with cotton swab for the diagnosis of candida Balanitis. Methods A prospective cross-sectional study was carried out during a 36-month period. Sexually transmitted disease clinic attendees with Balanitis and asymptomatic men were included. Specimens for yeast culture were collected from the glans penis and inner preputial layer using the direct impression on CHROMagar candida medium and by swabbing with a sterile cotton swab. Results Among 478 men enrolled, 189 had Balanitis. The prevalence of candida Balanitis was 17.8% (85/478) confirmed after culture by direct impression; the swab method detected only 54/85 (63.5%) of these men. Of the 289 asymptomatic men, 36 (12.5%) yielded Candida spp; the swab method detected only 38.9% of these men. The risk of having candida Balanitis is 8.9 (IC 95% 2.48 to 32.04) whenever the number of candida colonies recovered by direct impression was greater than 10. Conclusions Direct impression on CHROMagar candida medium resulted in the highest Candida spp recovery rate. More than 10 colonies yielded by impression culture were statistically associated with candida Balanitis. This method shows the ideal profile for sampling the male genital area for yeasts and should be included in the management of Balanitis.
Kingston Rajiah - One of the best experts on this subject based on the ideXlab platform.
-
Study on various types of infections related to Balanitis in circumcised or uncircumcised male and its causes, symptoms and management
African Journal of Pharmacy and Pharmacology, 2012Co-Authors: Kingston Rajiah, Sajesh K. Veettil, Suresh Kumar, Elizabeth M. MathewAbstract:Balanitis generally affects uncircumcised males characterized by the glans and foreskin becoming red and inflamed. In circumcised men, who lack a foreskin, these symptoms only affect the tip of the penis. The condition often occurs due to the fungus Candida albicans, the same organism that causes vaginal yeast infections in women. The objective of the study is to give a study on various types of infections related to Balanitis in circumcised or uncircumcised male and its causes, symptoms and management. A data search was performed using the OVID CD plus Medline 1990 to 2010, using Balanitis and balanoposthitis as text word search strategy. Specific subjects, such as anaerobic infection, Zoon's Balanitis were sought separately and subgroups combined. Original articles and abstracts were referenced to illustrate each condition. These were English language articles. Balanitis is a common condition among genitourinary medicine clinic attendees, the cause often remaining undiagnosed. Many cases are caused by infection, with Candida being the most frequently diagnosed. However, Gardnerella and anaerobic infections are common, and there are a wide variety of other rare infective causes. In addition, irritant Balanitis is probably a contributing factor in many cases. Balanitis which persists and in which the cause remains unclear warrants biopsy. Key words: Balanitis, circumcision, infections.
-
Study on various types of infections related to Balanitis in circumcised or uncircumcised male and its causes, symptoms and management
African Journal of Pharmacy and Pharmacology, 2012Co-Authors: Kingston Rajiah, Sajesh K. Veettil, Suresh Kumar, Elizabeth M. MathewAbstract:Balanitis generally affects uncircumcised males characterized by the glans and foreskin becoming red and inflamed. In circumcised men, who lack a foreskin, these symptoms only affect the tip of the penis. The condition often occurs due to the fungus Candida albicans , the same organism that causes vaginal yeast infections in women. The objective of the study is to give a study on various types of infections related to Balanitis in circumcised or uncircumcised male and its causes, symptoms and management. A data search was performed using the OVID CD plus Medline 1990 to 2010, using Balanitis and balanoposthitis as text word search strategy. Specific subjects, such as anaerobic infection, Zoon's Balanitis were sought separately and subgroups combined. Original articles and abstracts were referenced to illustrate each condition. These were English language articles. Balanitis is a common condition among genitourinary medicine clinic attendees, the cause often remaining undiagnosed. Many cases are caused by infection, with Candida being the most frequently diagnosed. However, Gardnerella and anaerobic infections are common, and there are a wide variety of other rare infective causes. In addition, irritant Balanitis is probably a contributing factor in many cases. Balanitis which persists and in which the cause remains unclear warrants biopsy.
