What Is the Treatment of Circinate Balanitis?
Circinate balanitis presents as superficial annular or serpiginous inflammatory lesions of the glans penis. This protocol covers first-line management, with the clinical goal of achieving complete resolution of lesions.
Treatment Approach
Management is primarily topical, with the choice of agent guided by individual clinical factors. Addressing any underlying infection is an integral part of the approach alongside the skin-directed treatment.
Clinical Goal
Resolution of circinate balanitis lesions.
References
DOI: 10.1111/jdv.18954
- See under ‘Psoriasis’.
- Treatment of any underlying infection.
- Moderate potency topical steroids once or twice daily until resolved (with or without antibiotic and antifungal).
- Topical Vitamin D preparations (calcipotriol or calcitriol applied twice daily).
- Intermittent topical use of moderate to potent steroids with or without calcipotriol.
- Topical calcineurin inhibitors have been used in small studies but should not be used as first line therapy, and with caution in the uncircumcised.
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