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Research ArticleMedical Practice

Balanitis Xerotica Obliterans and Its Differential Diagnosis

Isaac M. Neuhaus and Robert A. Skidmore
The Journal of the American Board of Family Practice November 1999, 12 (6) 473-476; DOI: https://doi.org/10.3122/jabfm.12.6.473
Isaac M. Neuhaus
From the College of Medicine (IMN), and the Department of Medicine (Dermatology) (RS), University of Florida, Gainesville. Address reprint requests to Robert A. Skidmore, MD, PO Box 100277, Gainesville, FL 32610
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Robert A. Skidmore
From the College of Medicine (IMN), and the Department of Medicine (Dermatology) (RS), University of Florida, Gainesville. Address reprint requests to Robert A. Skidmore, MD, PO Box 100277, Gainesville, FL 32610
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Abstract

Background: Balanitis xerotica obliterans is a subcategory of lichen sclerosus et atrophicus limited to the male genitalia and is associated with destructive inflammation, phimosis, urethral stenosis, and squamous cell carcinoma.

Methods: The medical literature was searched from 1983-1998 using key words balanitis, lichen, and sclerosis using the MEDLINE system.

Results and Conclusions: Balanitis xerotica obliterans can be distinguished from other genital dermatoses with similar characteristics through patient history, clinical findings, and laboratory evaluation.. Tzanck smear and cutaneous biopsy, along with a rapid protein reagin test, will provide a definitive diagnosis. Treatment with high-dose topical corticosteroids relieves symptoms, and therapy focuses on prevention of disease progression

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The Journal of the American Board of Family     Practice: 12 (6)
The Journal of the American Board of Family Practice
Vol. 12, Issue 6
1 Nov 1999
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Balanitis Xerotica Obliterans and Its Differential Diagnosis
Isaac M. Neuhaus, Robert A. Skidmore
The Journal of the American Board of Family Practice Nov 1999, 12 (6) 473-476; DOI: 10.3122/jabfm.12.6.473

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Balanitis Xerotica Obliterans and Its Differential Diagnosis
Isaac M. Neuhaus, Robert A. Skidmore
The Journal of the American Board of Family Practice Nov 1999, 12 (6) 473-476; DOI: 10.3122/jabfm.12.6.473
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