This protocol covers balanoposthitis presenting as irritant or allergic eczema of the glans penis and prepuce. Symptoms can be associated with irritants such as frequent genital washing with soap, a history of atopy, or exposure to topical agents suggesting delayed hypersensitivity.
Management begins with identifying and removing precipitating factors — particularly soaps and sensitising products — supported by low-allergy cleansing and emollient measures. Beyond these foundational steps, a targeted topical approach is selected based on the clinical picture, with options for more persistent or florid presentations.
The full treatment algorithm, including all options and sequencing, is in the complete protocol below.
DOI: 10.1111/jdv.18954
Symptoms can be associated with irritants, such as more frequent genital washing with soap, a history of atopy, or exposure to topical agents suggesting delayed hypersensitivity.
Avoidance of precipitants — especially soaps. Use of low-allergy products. Emollients — applied as required and used as a soap substitute.
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