Balanoposthitis in Lichen Planus of the Glans Penis and Prepuce
Lichen planus is an inflammatory disorder with manifestations on the skin, genital and oral mucous membranes. When it involves the glans penis and prepuce, it represents a distinct clinical scenario requiring a targeted management approach.
Clinical Scenario
This protocol addresses balanoposthitis arising in the setting of lichen planus affecting the glans penis and prepuce — a chronic inflammatory condition with both cutaneous and mucosal involvement.
Management Overview
Management begins with avoidance of known irritants. Beyond that, a topical anti-inflammatory strategy is central to treatment — the specific agents, their sequence, and how response guides subsequent steps are laid out in full in the structured protocol.
References
DOI: 10.1111/jdv.18954
- Lichen planus is an inflammatory disorder with manifestations on the skin, genital and oral mucous membranes.
- Avoidance of irritants like soaps and shower gels
- Moderate to ultrapotent topical steroids depending on severity e.g. Clobetasol propionate ointment or cream applied daily for 4 weeks then reducing in frequency over the next 8 weeks depending on response
- Topical calcineurin inhibitors can be efficacious (pimecrolimus or tacrolimus applied twice daily (1,B)).