Nonspecific balanitis in Child
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Synopsis
Balanitis is inflammation of the glans penis. Balanoposthitis refers to inflammation of both the glans and foreskin in uncircumcised males. It is most commonly seen in toilet-trained, uncircumcised boys between the ages of 2 and 5. Most cases are caused by inadequate hygiene of the preputial-glanular sulcus. Exposure to urine, soaps, Candida, and bacterial overgrowth exacerbate the dermatitis. Most boys only have one episode.
Codes
ICD10CM:
N48.1 – Balanitis
SNOMEDCT:
44882003 – Balanitis
N48.1 – Balanitis
SNOMEDCT:
44882003 – Balanitis
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Diagnostic Pearls
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Differential Diagnosis & Pitfalls
Group A beta-hemolytic streptococcal infection is the most common cause of acute inflammation of the glans penis in prepubescent children. Although it is usually associated with more intense pain, erythema, and discharge than nonspecific balanitis, the diseases may be clinically indistinguishable. Other signs that suggest streptococcal balanitis include the presence of perianal streptococcal cellulitis or a preceding throat infection.
Other diagnoses include the following:
Infections
Primary dermatoses Contact dermatoses / trauma
Other diagnoses include the following:
Infections
Primary dermatoses Contact dermatoses / trauma
- Contact dermatitis (eg, exposure to skin cleansers, topical medications, etc)
- Irritant contact dermatitis
- Sexual abuse
Best Tests
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Management Pearls
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Therapy
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Drug Reaction Data
Below is a list of drugs with literature evidence indicating an adverse association with this diagnosis. The list is continually updated through ongoing research and new medication approvals. Click on Citations to sort by number of citations or click on Medication to sort the medications alphabetically.
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References
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Last Updated:09/10/2017
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Nonspecific balanitis in Child
See also in: Anogenital