Korean J Dermatol.  1998 Jun;36(3):532-535.

A Case of Plasma Cell Balanitis Controlled by Fusidic Acid Cream

Abstract

In 1952, Zoon described eight cases of benign circumscribed chronic balanitis characterized by an extensive infiltration of plasma cells with no evidence of dysplasia of the overlying epidermis. Plasma cell balanitis can often be confused clinically with other conditions, such as erythroplasia of Queyrat, fixed drug eruptions, secondary syphilis, candidiasis and Reiters disease. We report a case of plasma cell balanitis in a 65-year-old man. He complained of a single, red, shiny and smooth patch involving the glans penis and adjacent prepuce. This patch was unresponsive to systemic and topical steroid treatment. Laboratory studies were negative or within the normal range. Histopathological findings showed a band-like mainly plasmacytic inflammatory infiltrate of the upper dermis. This patient was treated once daily with 2% fusidic acid cream topically for 5 weeks. The lesions resolved and no recurrence was observed during 2 years of follow-up.


MeSH Terms

Aged
Arthritis, Reactive
Balanitis*
Candidiasis
Dermis
Drug Eruptions
Epidermis
Erythroplasia
Follow-Up Studies
Furosemide*
Fusidic Acid*
Humans
Male
Penis
Plasma Cells*
Plasma*
Recurrence
Reference Values
Syphilis
Furosemide
Fusidic Acid
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