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Benign Balanitis of Zoon? Presented by Dr. Carl T. Nelson.
Negro man, aged 46.
From 1953 until 1963, this patient noted intermittent dry, scaling, nonpruritic areas on the heels and face. In April, 1961, similar lesions appeared on the lips, thighs, penis, and scrotum. Except for a phenophthalein-containing laxative, there was no history of drug ingestion.From May until July, 1961, the patient was hospitalized with fever, lymphadenopathy, and hepatomegaly, the etiology of which could never be determined, although a lymphoma was strongly suspected. Biopsies of the larynx, liver, and lymph nodes revealed only nonspecific inflammatory reactions.All of the patient's skin lesions subsequently cleared without treatment except for the penile erosions, which have shown recurrent exacerbations and remissions despite trials of local antibiotics and steroid ointments, oral potassium iodide saline, and Burow's soaks. The best response has been noted with Neo-Cortef.In the past month, the patient
NEW YORK DERMATOLOGICAL SOCIETY. Arch Dermatol. 1964;90(3):365–366. doi:10.1001/archderm.1964.01600030115028