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
新兴检查
- 皮肤镜检查
治疗流程
特应性湿疹
脂溢性皮炎
刺激性接触性皮炎
过敏性接触性皮炎
银屑病
反应性关节炎（莱特氏病）
硬化性苔藓
淋病
念珠菌病
非特异性阴茎头包皮炎
浆细胞性局限性阴茎头炎
原位癌/阴茎上皮内瘤样病变 (PeIN)
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. 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.
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.
鉴别诊断
- 湿疹和皮炎
- 特应性皮炎
- 脂溢性皮炎
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