Resumo
Definição
História e exame físico
Principais fatores diagnósticos
- presença de fatores de risco
- estado não circuncisado
Outros fatores diagnósticos
- múltiplos parceiros sexuais
- comportamentos sexuais de alto risco
- hipo ou hiperpigmentação pós-inflamatória
- prurido
- descamação vermelha
- erosões
- história pessoal/familiar de atopia (eczema, febre do feno, asma, alergias do tipo I)
- história pessoal/familiar de psoríase
- gotejamento urinário
- hipopigmentação
- púrpura
- placas vermelhas
- vesículas
- pápulas ou micropápulas
- pústulas
Fatores de risco
- prepúcio disfuncional congênito ou adquirido
- estado não circuncisado
- higiene deficiente, gotejamento e perda de urina
- lavagem excessiva
- infecção por papilomavírus humano (HPV)
- doenças cutâneas inflamatórias
Investigações diagnósticas
Primeiras investigações a serem solicitadas
- swab para microbiologia (coloração de Gram e cultura) e reação em cadeia da polimerase
- swab para virologia
- microscopia de campo escuro
Investigações a serem consideradas
- biópsia de pele
- teste de contato
Novos exames
- dermatoscopia
Algoritmo de tratamento
eczema atópico
dermatite seborreica
dermatite de contato irritativa (DCI)
dermatite alérgica de contato
psoríase
artrite reativa (doença de Reiter)
líquen escleroso
gonorreia
candidíase
balanopostite inespecífica
Balanite de Zoon
carcinoma in situ/neoplasia intraepitelial peniana (NIP)
Colaboradores
Autores
Ien Chan, MD, FRCP
Consultant Dermatologist
Chelsea and Westminster Hospital
London
UK
Declarações
IC declares that he has no competing interests.
David Hawkins, FRCP
Consultant Genitourinary Physician
Chelsea and Westminster Hospital
London
UK
Declarações
DH declares that he has no competing interests.
Christopher Bunker, MA, MD, FRCP
Consultant Dermatologist
Honorary Professor of Dermatology
University College London
Chelsea & Westminster Hospitals
London
UK
Declarações
CB is the owner and CEO of Bruce Shrink Ltd., the publisher of Male Genital Skin Disease, an e-book authored by CB. He has done consultancy work for the British Skin Foundation. The fee for this work is usually paid to the British Skin Foundation. He is the honorary secretary of the British Skin Foundation, the senior Medical Trustee. CB has provided advice to MC2, with a pipeline lichens sclerosis product, for which he has not received payment. CB does a dedicated weekly male genital clinic at University College London Hospitals from which his employer receives income. CB is a frequent speaker at meetings on male genital dermatology and is in receipt of a grant from a private donor, administered by the British Skin Foundation, to investigate the relationship of lichen sclerosus to penis cancer. He is an author of a number of references cited in this topic.
Revisores
Colm O'Mahony, MD, FRCP, BSc, DIPVen
Consultant in Sexual Health
Department of Sexual Health
Countess of Chester Hospital NHS Foundation Trust
Chester
UK
Declarações
CO declares that he has no competing interests.
Sarah Edwards, MD
Consultant
Department of GU Medicine
West Suffolk Hospital
Suffolk
UK
Declarações
SE declares that she has no competing interests.
David Paige, MD
Consultant Dermatologist and Honorary Senior Lecturer
Dermatology Department
The Royal London Hospital
London
UK
Declarações
DP declares that he has no competing interests.
Jashin Wu, MD
Chief Dermatology Resident
University of California
Irvine
CA
Declarações
JW declares that he has no competing interests.
Christopher Huston, MD
Assistant Professor of Medicine
Division of Infectious Diseases
University of Vermont College of Medicine
Burlington
VT
Declarações
CH declares that he has no competing interests.
Nanette Silverberg, MD
Clinical Professor of Dermatology
Columbia University College of Physicians and Surgeons
New York City
NY
Declarações
NS declares that she has no competing interests.
Julian Trevino, MD
Associate Professor of Dermatology and Dermatology Residency Program Director
Boonshoft School of Medicine
Wright State University
Dayton
OH
Declarações
Speaker's Bureau, Stiefel; Consultant, Abbott.
Diagnósticos diferenciais
- Eczema e dermatite
- Dermatite atópica
- Dermatite seborreica
Mais Diagnósticos diferenciaisDiretrizes
- Sexually transmitted infection treatment guidelines, 2021
- British Association of Dermatologists guidelines for the management of lichen sclerosus
Mais Diretrizes
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