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Balanitis Xerotica Obliterans Manifesting on Stump of Amputated Penis: Report of an Unusual Case and Remarks on the Nature of Lichen Sclerosus et Atrophicus

Balanitis Xerotica Obliterans Manifesting on Stump of Amputated Penis: Report of an Unusual Case... Abstract The parchment-like induration of the glans penis with dry telangiectatic surface, affecting the urethral meatus and causing stricture involving the prepuce and causing phimosis, has been described under various titles. The earliest observers were Fournier,1 who used the term "interstitial or deep balanitis," Delbanco,2 naming it "kraurosis of the penis and prepuce," and Stühmer.3 Stühmer's term "balanitis xerotica obliterans" is most commonly employed in this country and in the English and German literature. The association of this syndrome with lichen sclerosus et atrophicus elsewhere on the skin has been reported by Fabry,4 Bizzozero,5 Laymon and Freeman,6 Russell,7 Ravits and Welsh,8 and Potter, Helwig, and Haserick.9 The histopathologic changes in the penile, preputial, and skin lesions are indistinguishable, at least as far as the findings in the corium are concerned. These include a characteristic broad band of References 1. Fournier, A.: Balano-posthite: forme interstitielle ou profonde , in Nouveau Dictionnaire de Médicine et de Chirurgie pratiques , Paris, J. B. Baillière et fils, 1866, Vol. IV., Pp. 520-521. 2. Delbanco, E.: Kraurosis glandis et praeputii penis , Arch. klin. u. exper. Dermat. 9:384, 1908. 3. Stühmer, A.: Balanitis xerotica obliterans (post-operationem) , Arch. klin. u. exper. Dermat. 156:613-623, 1928.Crossref 4. Fabry, J.: Uber einen Fall von Kraurosis penis bei gleichzeitigem Bestehen von Weissflecken am Skrotum , Dermat. Wchnschr. 86:7-9, 1928. 5. Bizzozero, E.: Sclerodermia guttata, Lichen sclerosus, Kraurosis penis , Arch. klin. u. exper. Dermat. 183:493-507, 1943.Crossref 6. Laymon, C. W., and Freeman, C.: Relationship of Balantis Xerotica Obliterans to Lichen Sclerosus et Atrophicus , Arch. Dermat. & Syph. 49:57-59, 1944. 7. Russell, B.: Lichen Sclerosus et Atrophicus of Trunk and Penis ( ? Early Balanitis Xerotica Obliterans) , Brit. J. Dermat. 65:224-225, 1953. 8. Ravits, H. G., and Welsh, A. L.: Lichen Sclerosus et Atrophicus of the Mouth , A. M. A. Arch. Dermat. 76:56-58 ( (July) ) 1957. 9. Potter, B.; Helwig, E. B., and Haserick, J. R.: Syllabus of Dermal Pathology: Reticuloendothelial and Alterative Dermatoses , Washington, Armed Forces Institute of Pathology, 1956. 10. Grutz, O.: Beitrag zur Klinick der Balanitis Xerotica Obliterans , Dermat. Wchnschr. 105:1206-1212, 1937. 11. Madden, J. F.: The Balanitides , J. A. M. A. 105:420-427, 1935. 12. Chernosky, M. E.; Derbes, V. J., and Burks, J. W., Jr.: Lichen Sclerosus et Atrophicus in Children , A. M. A. Arch. Dermat. 75:647-652 ( (May) ) 1957. 13. Kindler, T.: Lichen Sclerosus et Atrophicus in Young Subjects , Brit. J. Dermat. 65:269-279, 1953. 14. Rothman, S.: Lichen Sclerosus et Atrophicus , A. M. A. Arch. Dermat. 75:294 ( (Feb.) ) 1957. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of Dermatology American Medical Association

Balanitis Xerotica Obliterans Manifesting on Stump of Amputated Penis: Report of an Unusual Case and Remarks on the Nature of Lichen Sclerosus et Atrophicus

A.M.A. Archives of Dermatology , Volume 79 (4) – Apr 1, 1959

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Publisher
American Medical Association
Copyright
Copyright © 1959 American Medical Association. All Rights Reserved.
ISSN
0096-5359
DOI
10.1001/archderm.1959.01560160091012
Publisher site
See Article on Publisher Site

Abstract

Abstract The parchment-like induration of the glans penis with dry telangiectatic surface, affecting the urethral meatus and causing stricture involving the prepuce and causing phimosis, has been described under various titles. The earliest observers were Fournier,1 who used the term "interstitial or deep balanitis," Delbanco,2 naming it "kraurosis of the penis and prepuce," and Stühmer.3 Stühmer's term "balanitis xerotica obliterans" is most commonly employed in this country and in the English and German literature. The association of this syndrome with lichen sclerosus et atrophicus elsewhere on the skin has been reported by Fabry,4 Bizzozero,5 Laymon and Freeman,6 Russell,7 Ravits and Welsh,8 and Potter, Helwig, and Haserick.9 The histopathologic changes in the penile, preputial, and skin lesions are indistinguishable, at least as far as the findings in the corium are concerned. These include a characteristic broad band of References 1. Fournier, A.: Balano-posthite: forme interstitielle ou profonde , in Nouveau Dictionnaire de Médicine et de Chirurgie pratiques , Paris, J. B. Baillière et fils, 1866, Vol. IV., Pp. 520-521. 2. Delbanco, E.: Kraurosis glandis et praeputii penis , Arch. klin. u. exper. Dermat. 9:384, 1908. 3. Stühmer, A.: Balanitis xerotica obliterans (post-operationem) , Arch. klin. u. exper. Dermat. 156:613-623, 1928.Crossref 4. Fabry, J.: Uber einen Fall von Kraurosis penis bei gleichzeitigem Bestehen von Weissflecken am Skrotum , Dermat. Wchnschr. 86:7-9, 1928. 5. Bizzozero, E.: Sclerodermia guttata, Lichen sclerosus, Kraurosis penis , Arch. klin. u. exper. Dermat. 183:493-507, 1943.Crossref 6. Laymon, C. W., and Freeman, C.: Relationship of Balantis Xerotica Obliterans to Lichen Sclerosus et Atrophicus , Arch. Dermat. & Syph. 49:57-59, 1944. 7. Russell, B.: Lichen Sclerosus et Atrophicus of Trunk and Penis ( ? Early Balanitis Xerotica Obliterans) , Brit. J. Dermat. 65:224-225, 1953. 8. Ravits, H. G., and Welsh, A. L.: Lichen Sclerosus et Atrophicus of the Mouth , A. M. A. Arch. Dermat. 76:56-58 ( (July) ) 1957. 9. Potter, B.; Helwig, E. B., and Haserick, J. R.: Syllabus of Dermal Pathology: Reticuloendothelial and Alterative Dermatoses , Washington, Armed Forces Institute of Pathology, 1956. 10. Grutz, O.: Beitrag zur Klinick der Balanitis Xerotica Obliterans , Dermat. Wchnschr. 105:1206-1212, 1937. 11. Madden, J. F.: The Balanitides , J. A. M. A. 105:420-427, 1935. 12. Chernosky, M. E.; Derbes, V. J., and Burks, J. W., Jr.: Lichen Sclerosus et Atrophicus in Children , A. M. A. Arch. Dermat. 75:647-652 ( (May) ) 1957. 13. Kindler, T.: Lichen Sclerosus et Atrophicus in Young Subjects , Brit. J. Dermat. 65:269-279, 1953. 14. Rothman, S.: Lichen Sclerosus et Atrophicus , A. M. A. Arch. Dermat. 75:294 ( (Feb.) ) 1957.

Journal

A.M.A. Archives of DermatologyAmerican Medical Association

Published: Apr 1, 1959

References