What is the treatment for Zoon's balanitis?

Hi,

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I have seen your query and concern. Zoon's balanitis requires long-term treatment. Imiquimod requires at least 16 weeks, Takfa (Tacrolimus) should be used for a longer duration and Hh Derm (combination of Mometasone, Fusidic acid, and Clotrimazole) is to prevent infection. It is a combination of antifungal and antibiotic. Please get a review with pictures for better evaluation and the best possible treatment.

Hi,

Welcome back to icliniq.com.

I have examined your picture (attachment removed to protect patient identity) and clinically it does not look like Zoon's balanitis.

1. Is this diagnosis confirmed by skin biopsy? It goes in favor of balanoposthitis.
2. Are you sexually active? What is your age? Are you married? Have you recently done unprotected sexual contact with a partner other than your wife?
3. Is there any white discharge problem in your partner? Are you diabetic?

Hi,

Welcome back to icliniq.com.

I have read your query and concern. First of all, I would advise you to get a skin biopsy done to confirm the diagnosis. Zoon's balanitis is also known as plasma cell balanitis. This condition usually presents as well-defined persistent plaque (thick raised area) with a smooth and shiny surface of the glans penis (head). It is the closest differential of Erythroplasia of Queyrat, which is a squamous cell carcinoma (cancerous) of the penis head. You continue your treatment as advised because you are already taking the treatment for balanoposthitis and in between get a biopsy done. Circumcision of the prepuce is the treatment option in this case.