Dayal Surabhi, Sahu Priyadarshini
Department of Dermatology, Venereology and Leprology, Pt. B D Sharma University of Health Sciences, Rohtak, Haryana, India.
Indian J Sex Transm Dis AIDS. 2016 Jul-Dec;37(2):129-138. doi: 10.4103/0253-7184.192128.
The diagnosis and management of nonvenereal diseases are always a tough challenge for the dermatologist due to lack of studies on its diagnostic criteria and standard treatment guidelines. Zoon balanitis (ZB) is one of the benign nonvenereal dermatoses, which presents as a solitary, persistent erythematous plaque usually on the glans penis primarily in the uncircumcised, middle-aged to old-aged men. Although it was described by Zoon in 1952, its etiopathogenesis still remains hypothetical. This article provides an overview of the epidemiology, clinical presentation, histopathological features, and diagnostic criteria and diagnostic methods of ZB. In addition to this, it is rather very important to differentiate this lesion from its clinical equivocal lesions such as erythroplasia of Queyrat, infective and other inflammatory penile dermatoses, which has been discussed in this review. The treatment modalities have also been reviewed in details, and the importance of circumcision as the treatment of choice has been emphasized.
由于缺乏关于非性病诊断标准和标准治疗指南的研究，非性病的诊断和管理一直是皮肤科医生面临的严峻挑战。干燥闭塞性龟头炎（ZB）是一种良性非性病性皮肤病，表现为通常位于阴茎头的孤立性、持续性红斑斑块，主要见于未行包皮环切术的中老年男性。尽管它在1952年由佐恩描述，但其病因病机仍属假说。本文概述了ZB的流行病学、临床表现、组织病理学特征、诊断标准和诊断方法。除此之外，将该病变与临床难以鉴别的病变如凯腊增殖性红斑、感染性及其他炎性阴茎皮肤病相鉴别非常重要，本综述对此进行了讨论。还详细回顾了治疗方式，并强调了包皮环切术作为首选治疗方法的重要性。
