最后审阅: 6 十一月 2021
最后更新: 18 六月 2021

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 未割包皮状态

其他诊断因素

  • 多名性伴侣
  • 高危性行为
  • 炎症后色素沉着不足或过度
  • 瘙痒
  • 鳞状红斑
  • 糜烂
  • 个人/家族先天性过敏症病史(湿疹、枯草热、哮喘、I 型过敏)
  • 个人/家族银屑病史
  • 排尿滴沥
  • 色素沉着不足
  • 紫癜
  • 红斑
  • 水疱
  • 丘疹或微小丘疹
  • 脓疱

危险因素

  • 先天性或后天性包皮功能失调
  • 未割包皮状态
  • 卫生状况差;排尿滴沥或尿渗漏
  • 清洗过度
  • 人类乳头状瘤病毒 (HPV) 感染
  • 炎性皮肤病

诊断性检查

首要检查

  • 微生物拭子(革兰氏染色和培养)和 PCR
  • 病毒学拭子
  • 暗视野显微镜检查

需考虑的检查

  • 皮肤活组织检查
  • 斑片试验

治疗流程

撰稿人

作者

Ien Chan, MD, FRCP

Consultant Dermatologist

Chelsea and Westminster Hospital

London

UK

利益声明

IC declares that he has no competing interests.

David Hawkins, FRCP

Consultant Genitourinary Physician

Chelsea and Westminster Hospital

London

UK

利益声明

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

利益声明

CB is the owner and CEO of Bruce Shrink Ltd., the publisher of Male Genital Skin Disease, an e-book authored by CB. CB lecturers frequently on balanoposthitis, is in receipt of grants to research the topic, and occasionally provides expert testimony on the topic. He is an author of a number of references cited in this topic.

同行评议者

Colm O'Mahony, MD, FRCP, BSc, DIPVen

Consultant in Sexual Health

Department of Sexual Health

Countess of Chester Hospital NHS Foundation Trust

Chester

UK

利益声明

CO declares that he has no competing interests.

Sarah Edwards, MD

Consultant

Department of GU Medicine

West Suffolk Hospital

Suffolk

UK

利益声明

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

利益声明

DP declares that he has no competing interests.

Jashin Wu, MD

Chief Dermatology Resident

University of California

Irvine

CA

利益声明

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

利益声明

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

利益声明

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

利益声明

Speaker's Bureau, Stiefel; Consultant, Abbott.

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