Balanitis parakeratotica circinata N48.1

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

balanoposthitis parakeratotica circinata; circadian balanitis; Rider Balanitis

Definition
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Morphologically characteristic balanitis in Reiter syndrome.

Clinical features
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Beginning with glass pinhead-sized, flat, scaly, reddened papules and small pustules; spreading and confluence to sharply defined, polycyclic, garland-shaped, bordered plaques with scaly peripheral border. Shear-like course. Mostly minor subjective symptoms, occasionally itching and mild burning.

External therapy
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Treatment initially 1-2 times/day with mild glucocorticoid externa e.g. 0.5% hydrocortisone in zinc containing base(hydrocortisone zinc cream 0.5%). Later purely caring, anti-inflammatory measures (e.g. Zinc Ointment Lichtenstein, Pasta zinci mollis; Pasta zinci mollis DAB). Insertion of gauze compresses in the preputial space.

Internal therapy
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Treatment of the underlying disease, see below M. Reiter.

Literature
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  1. Rothe MJ et al (1991) Reiter syndrome. Int J Dermatol 30: 173-180
  2. Schneider JM (2003) Reiter's syndrome. Cutis 71: 198-200

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Last updated on: 29.10.2020