ZOON BALANITIS - REVIEW OF 23 CASES

Detalhes bibliográficos
Autor(a) principal: Mendonça Sanches, Maria Lorena
Data de Publicação: 2015
Outros Autores: Soares-de-Almeida, Luís, Borges-Costa, João
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.29021/spdv.73.3.459
Resumo: Introduction: Zoon balanitis or balanitis circumscrita plasmocellularis is a chronic disease of unknown etiology, described mainly in middle-aged or elderly uncircumcised men.Objectives: Characterization of the clinical variables and the response to treatment in patients with histological diagnosis of Zoon balanitis in Hospital de Santa Maria between January 1th 2009 and December 31th 2014.Results: The sample included a total of 23 patients, aged 65 (±11) years old. The clinical differential diagnoses more frequently set were erythroplasia of Queyrat and lichen sclerosus. Concerning therapy most of the patients applied corticosteroids or were submitted to circumcision. From the five patients and the only patient in which CO2 laser therapy was used there is no evidence of recurrence. Of the remaining 17 patients, 4 are under disease progression over corticosteroids topical treatment.Conclusion: Although Zoon balanitis is generally considered a benign condition, the differential diagnoses with squamous cell carcinoma makes the histological confirmation, follow-up and surveillance of this entity mandatory. The persistence of this disease with topical treatments makes chirurgical intervention the gold standard approach in the treatment of these patients.
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spelling ZOON BALANITIS - REVIEW OF 23 CASESBALANITE DE ZOON - REVISÃO DE 23 CASOSBalanitisCircumcisionmaleBalaniteCircuncisãoIntroduction: Zoon balanitis or balanitis circumscrita plasmocellularis is a chronic disease of unknown etiology, described mainly in middle-aged or elderly uncircumcised men.Objectives: Characterization of the clinical variables and the response to treatment in patients with histological diagnosis of Zoon balanitis in Hospital de Santa Maria between January 1th 2009 and December 31th 2014.Results: The sample included a total of 23 patients, aged 65 (±11) years old. The clinical differential diagnoses more frequently set were erythroplasia of Queyrat and lichen sclerosus. Concerning therapy most of the patients applied corticosteroids or were submitted to circumcision. From the five patients and the only patient in which CO2 laser therapy was used there is no evidence of recurrence. Of the remaining 17 patients, 4 are under disease progression over corticosteroids topical treatment.Conclusion: Although Zoon balanitis is generally considered a benign condition, the differential diagnoses with squamous cell carcinoma makes the histological confirmation, follow-up and surveillance of this entity mandatory. The persistence of this disease with topical treatments makes chirurgical intervention the gold standard approach in the treatment of these patients.Introdução: A balanite de Zoon ou balanite circumscripta plasmocellularis é uma doença crónica de etiologia desconhecida, descrita maioritariamente em homens de meia-idade, não circuncisados.Objectivos: Caracterização das variáveis clínicas e da resposta ao tratamento nos doentes com diagnóstico confirmado histologicamente de balanite de Zoon no Hospital de Santa Maria, entre 1 de Janeiro de 2009 e 31 de Dezembro de 2014.Resultados: A amostra compreende um total de 23 doentes, com idade média de 65 (±11) anos. As hipóteses clínicas de diagnóstico diferencial mais comummente colocadas foram eritroplasia de Queyrat e líquen escleroso. No que respeita a terapêutica a maioria dos doentes foram submetidos a terapêutica com corticóides tópicos e/ou circuncisão. Dos 5 doentes submetidos a circuncisão e no doente em que foi realizado laser de CO2 não há evidência de nova recidiva do quadro. Dos restantes 17 doentes, 4 encontram-se sem progressão da doença sob corticóide tópico.Conclusão: Embora tida como uma condição benigna, o principal diagnóstico diferencial da balanite de Zoon é com o carcinoma espinocelular in situ. Assim, a confirmação histológica do diagnóstico bem como seguimento e vigilância são fundamentais. A persistência da doença com a aplicação de tópicos leva a que a abordagem cirúrgica ainda seja a forma mais eficaz de tratamento destes doentes.Sociedade Portuguesa de Dermatologia e Venereologia2015-09-29T00:00:00Zjournal articleinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://doi.org/10.29021/spdv.73.3.459oai:ojs.revista.spdv.com.pt:article/459Journal of the Portuguese Society of Dermatology and Venereology; Vol 73 No 3 (2015): Julho / Setembro; 359-362Revista da Sociedade Portuguesa de Dermatologia e Venereologia; v. 73 n. 3 (2015): Julho / Setembro; 359-3622182-24092182-2395reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://revista.spdv.com.pt/index.php/spdv/article/view/459https://doi.org/10.29021/spdv.73.3.459https://revista.spdv.com.pt/index.php/spdv/article/view/459/357Mendonça Sanches, Maria LorenaSoares-de-Almeida, LuísBorges-Costa, Joãoinfo:eu-repo/semantics/openAccess2022-10-06T12:34:54Zoai:ojs.revista.spdv.com.pt:article/459Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:10:53.924649Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv ZOON BALANITIS - REVIEW OF 23 CASES
BALANITE DE ZOON - REVISÃO DE 23 CASOS
title ZOON BALANITIS - REVIEW OF 23 CASES
spellingShingle ZOON BALANITIS - REVIEW OF 23 CASES
Mendonça Sanches, Maria Lorena
Balanitis
Circumcision
male
Balanite
Circuncisão
title_short ZOON BALANITIS - REVIEW OF 23 CASES
title_full ZOON BALANITIS - REVIEW OF 23 CASES
title_fullStr ZOON BALANITIS - REVIEW OF 23 CASES
title_full_unstemmed ZOON BALANITIS - REVIEW OF 23 CASES
title_sort ZOON BALANITIS - REVIEW OF 23 CASES
author Mendonça Sanches, Maria Lorena
author_facet Mendonça Sanches, Maria Lorena
Soares-de-Almeida, Luís
Borges-Costa, João
author_role author
author2 Soares-de-Almeida, Luís
Borges-Costa, João
author2_role author
author
dc.contributor.author.fl_str_mv Mendonça Sanches, Maria Lorena
Soares-de-Almeida, Luís
Borges-Costa, João
dc.subject.por.fl_str_mv Balanitis
Circumcision
male
Balanite
Circuncisão
topic Balanitis
Circumcision
male
Balanite
Circuncisão
description Introduction: Zoon balanitis or balanitis circumscrita plasmocellularis is a chronic disease of unknown etiology, described mainly in middle-aged or elderly uncircumcised men.Objectives: Characterization of the clinical variables and the response to treatment in patients with histological diagnosis of Zoon balanitis in Hospital de Santa Maria between January 1th 2009 and December 31th 2014.Results: The sample included a total of 23 patients, aged 65 (±11) years old. The clinical differential diagnoses more frequently set were erythroplasia of Queyrat and lichen sclerosus. Concerning therapy most of the patients applied corticosteroids or were submitted to circumcision. From the five patients and the only patient in which CO2 laser therapy was used there is no evidence of recurrence. Of the remaining 17 patients, 4 are under disease progression over corticosteroids topical treatment.Conclusion: Although Zoon balanitis is generally considered a benign condition, the differential diagnoses with squamous cell carcinoma makes the histological confirmation, follow-up and surveillance of this entity mandatory. The persistence of this disease with topical treatments makes chirurgical intervention the gold standard approach in the treatment of these patients.
publishDate 2015
dc.date.none.fl_str_mv 2015-09-29T00:00:00Z
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dc.identifier.uri.fl_str_mv https://doi.org/10.29021/spdv.73.3.459
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dc.relation.none.fl_str_mv https://revista.spdv.com.pt/index.php/spdv/article/view/459
https://doi.org/10.29021/spdv.73.3.459
https://revista.spdv.com.pt/index.php/spdv/article/view/459/357
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dc.publisher.none.fl_str_mv Sociedade Portuguesa de Dermatologia e Venereologia
publisher.none.fl_str_mv Sociedade Portuguesa de Dermatologia e Venereologia
dc.source.none.fl_str_mv Journal of the Portuguese Society of Dermatology and Venereology; Vol 73 No 3 (2015): Julho / Setembro; 359-362
Revista da Sociedade Portuguesa de Dermatologia e Venereologia; v. 73 n. 3 (2015): Julho / Setembro; 359-362
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