Fixed drug eruption is an uncommon cause of balanoposthitis, but the penis is one of the more commonly affected sites on the body. Recognising the drug trigger is the cornerstone of management, as lesions will settle once the precipitant is removed.
Balanoposthitis arising in the context of a fixed drug eruption of the penis. Known precipitants include non-steroidal anti-inflammatories, paracetamol, and antibiotics. The clinical goal is full resolution of the penile fixed drug eruption lesions.
Management is symptomatic and centres on identifying and discontinuing the causative drug. Alongside that, a topical intervention may be used to support resolution — the complete structured regimen, including agent selection and application guidance, is in the full protocol.
An uncommon condition, but the penis is one of the more commonly affected areas of the body.
Precipitants include non-steroidal anti-inflammatories, paracetamol and antibiotics.
Management is symptomatic and the lesions will settle without treatment when the precipitant is discontinued.
Topical steroids — for example mild to moderate strength twice daily until resolution. (1,C)
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