Acorn Inflammation or Balanitis

Acorn Inflammation (Balanitis): Test and Diagnosis

2nd order laboratory parameters – depending on the results of the history, physical examination and obligatory laboratory parameters – for differential diagnostic clarification. Urine status (rapid test for: pH, leukocytes, nitrite, protein, glucose, ketone, urobilinogen, bilirubin, blood), sediment. Bacteriology/pathogen smear (pathogen determination and resistogram). In case of ulceration (ulceration): Herpes simplex virus culture Dark-field microscopic … Acorn Inflammation (Balanitis): Test and Diagnosis

Acorn Inflammation (Balanitis): Drug Therapy

Therapeutic target As far as infectious balanitis is present: Elimination of the pathogens Therapy recommendations Disinfecting penile baths (e.g., KMnO4, PVP-iodine solution, Kamillosan) and Bepanthen cream, if necessary local (topical) antibiosis (antibiotics) in the acute inflammatory flare of a bacterial infection.Oral antibiotic therapy is rarely indicated. Local antibiotic/antifungal therapy according to pathogen determination and resistogram … Acorn Inflammation (Balanitis): Drug Therapy

Acorn Inflammation (Balanitis): Prevention

To prevent balanitis (acorn inflammation), attention must be paid to reducing individual risk factors. Behavioral risk factors Excessive hygiene (“overtreatment”), as well as lack of hygiene. Uncontrolled application of skin care creams → irritation of the genital skin with redness (“overtreatment balanitis”). Mechanical/chemical irritation (“overtreatment”). Other risk factors Rubbing clothes

Acorn Inflammation (Balanitis): Symptoms, Complaints, Signs

The following symptoms and complaints may indicate balanitis (acorn inflammation): Pathognomonic (indicative of a disease). Glans penis (glans) with Erythema (red; redness of the skin) Punctate or extensive erosions/superficial substance defects confined to the epidermis, without scarring (possibly also weeping) Purpura (small red dots: small, fecky capillary hemorrhages in the skin, subcutis (subcutaneous tissue) or … Acorn Inflammation (Balanitis): Symptoms, Complaints, Signs

Acorn Inflammation (Balanitis): Causes

Pathogenesis (development of disease) Balanitis refers to inflammation of the glans penis (glans). It is often caused by inadequate hygiene or mechanical/chemical irritation. Balanitis is often combined with inflammation of the inner preputial leaf (foreskin leaf) (balanoposthitis). It is not uncommon for phimosis to be a causative factor in balanitis. Phimosis leads to a secondary … Acorn Inflammation (Balanitis): Causes

Acorn Inflammation (Balanitis): Therapy

Treatment of the underlying disease and avoidance of factors favoring balanitis! General measures Use of soap is to be refrained while the inflammation is present. Observance of the general hygiene measures! (Lack of hygiene – but also exaggerated hygiene, this can be the cause of balanitis by degreasing the glans skin (cleanliness balanitis)). Observe genital … Acorn Inflammation (Balanitis): Therapy

Acorn Inflammation (Balanitis): Or something else? Differential Diagnosis

Skin and subcutaneous (L00-L99). Lichen ruber planus (nodular lichen). Musculoskeletal system and connective tissue (M00-M99). Behçet’s disease (synonym: Adamantiades-Behçet’s disease; Behçet’s disease; Behçet’s aphthae) – multisystem disease of the rheumatic type associated with recurrent, chronic vasculitis (vascular inflammation) of the small and large arteries and mucosal inflammation; The triad (the occurrence of three symptoms) of … Acorn Inflammation (Balanitis): Or something else? Differential Diagnosis

Acorn Inflammation (Balanitis): Complications

The following are the most important diseases or complications that can be caused by balanitis (acorn inflammation): Neoplasms – Tumor diseases (C00-D48). Penile carcinoma (penile cancer) – a risk factor is chronic recurrent balanitis. Symptoms and abnormal clinical and laboratory findings not classified elsewhere (R00-R99) Ischuria (urinary retention). Genitourinary system (kidneys, urinary tract – reproductive … Acorn Inflammation (Balanitis): Complications

Acorn Inflammation (Balanitis): Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; furthermore: Inspection (viewing). Skin and the mucous membranes Inspection and palpation of the genitals (penis and scrotum; assessment of pubescence (pubic hair), penis (penile length: between 7-10 cm when flaccid; presence of: … Acorn Inflammation (Balanitis): Examination

Acorn Inflammation (Balanitis): Medical History

Medical history (history of illness) represents an important component in the diagnosis of balanitis (acorn inflammation). Family history Social history Has there been a recent change in sexual partner? Current medical history/systemic history (somatic and psychological complaints). What symptoms have you noticed? Redness of the glans? Punctate or areal mucosal defects? Swelling of the glans? … Acorn Inflammation (Balanitis): Medical History