Abstract

VIAL, V et al. Balanitis xerotica obliterans: A case report in an adult. Rev. argent. dermatol. [online]. 2015, vol.96, n.3, pp.35-39. ISSN 1851-300X.

Lichen sclerosus et atrophicus (ALE) of the penis, also known as balanitis xerotica obliterans (BXO) is a chronic inflammatory disease of the penis that can occur at any age. The inflammation leads to the formation of hypochromic plaques, most commonly in the foreskin or on the glans. BXO can cause phimosis, pruritus, pain, dysuria, urinary restriction, dyspareunia, and significant sexual dysfunction. We present a case of BXO associated to vitiligo in a 78 years old patient, who consulted for dyspareunia. It was referred to urologist for surgical resolution, where circumcision was performed with biopsy compatible with BXO. In recent years studies have found that it could exists, an autoimmune ethiopathogenic factor of the disease. The topical use of high power corticosteroids is still the first choice and surgery remains a good treatment in severe cases (ex. phimosis) or those who do not respond to steroids.

Keywords : Lichen sclerosus et atrophicus; Balanitis xerotica obliterans; Penis; Autoimmune circumcision.