I am 10 years of fighting with balanitis

Patient consultation:

I have been suffering from balanitis 10 years, the glans and foreskin Department recurring ulcers, the surface layer of white material into a paste, very itchy. Oral ulcers also occurred two years ago, doctors suspected "Behcet's disease." Is this how the matter should be treated?

Expert Q:

Balanitis is inflammation of the glans mucosa, while the package dermatitis is inflammation of the foreskin and the mucosal surface, but the two often exist, collectively known as balanoposthitis. It can be caused by a variety of reasons, such as phimosis, smegma stimulate the local, physical factors to stimulate and infection and so on. Like your situation, find the pain of genital ulcers in the oral ulcers occurred at the same time, it should consider "Behcet's disease". The main symptoms of the disease recurring painful oral ulcers, skin erythema nodosum or small pimples, eyes in front of empyema recurrent iridocyclitis, genital ulcers, or joint swelling and pain. In addition, the skin prick-shaped response with a positive diagnosis of the disease. All these symptoms also occur, or there are 2 main symptoms simultaneously, you should consider the possibility of Behcet's disease.

In addition, there balanoposthitis cause of acute superficial balanitis, candidal balanitis, trichomonas balanitis, gangrenous balanitis, amebic balanitis, plasma cell type of the glans go far .

Treatment:

1. To maintain local hygiene, to avoid stimulation.

If not fungi in patients with dry and scaling may Waicha corticosteroid cream; erosion exudate were used 1:8000 to 1:2000 potassium permanganate solution or the concentration of lead acetate solution for the cleaning and wet compress the affected area. Ulcers should be a daily dressing, and for physiotherapy.

2. Infection significantly and fever, swollen lymph nodes, could antibiotic treatment.

3. Where the etiology clear should be special treatment for the cause. Such as Candida infections can be oral anti authenticity of drugs and Waicha nystatin or clotrimazole cream and so on. Metronidazole treatment of trichomoniasis patients can give.

4. Phimosis acute inflammation control were to be conducted after the circumcision.

5. Diagnosis of Behcet's patients, the possible use of indomethacin, corticosteroids, and transfer factor, dipyridamole, aspirin, vitamin E, vitamin B, vitamin C and vitamin B12 and other treatment. Oral ulcer, mouth rinse with prednisolone, the glans ulcer with 1:8000 potassium permanganate solution, antibiotic ointment after cleaning paint. Patients with recurrent chronic use of immunosuppressive drugs could be considered at the same time, such as cyclophosphamide or Chinese medicine, but they need under the guidance of the specialist physician.