Balanitis

Clinic

• Also known as circinate balanitis
• It is a serpiginous ring-shaped dermatitis of penis glans
• It is one of the most common cutaneous manifestations of reactive arthritis, it can also occur independently.
• At the beginning, people show pin-sized dots with white plaque on them which constantly grow into flat, red areas hardly surrounded by white plaque.
• Despite the visible symptoms, often do not suffer from burning or itching, nor does it smell strange.
• Differential diagnosis: Mycosis
• Balanitis is an inflammation of the head (glans) of the penis and the foreskin (flap of skin covering the glans).
• Balanitis can be painful but is not usually a serious condition.
• It is most common in uncircumcised men having foreskin around the head of the penis.
• Balanitis can be caused by infections from overgrowth of yeast and bacteria under the foreskin.
• Poor hygiene is the main contributing factor.
  

Cause

• Reactive arthritis is characterized by nongonococcal urethritis, conjunctivitis, and arthritis.
• Reactive arthritis belongs to the group of arthritides known as the spondyloarthritides.
• There are two main types of reactive arthritis: post-venereal and post-enteric.

Miasm

• MTB: Due to good coverage on Reactive arthritis
• GABHS

Remedies

Burning, Stinging Pains	Apis	Marked inflammation and swelling of glans. The foreskin is also inflamed. A thin discharge may be present under the foreskin. Painful urination is frequently present
Marked Redness of the Glans	Calad	Glans is covered with reddish spots There is marked dryness. The foreskin is also swollen and sore, esp along the margins. Biting pain while urinating is a marked feature
Swelling and Painful Sensitivity	Merc	Small vesicles may be present on the glans and prepuce. There may be oozing of fluid from these vesicles along with a burning sensation. Thin milk-like discharge may be present under the glans penis. Severe burning on urination may also be felt.
Dark Red Swelling and Pain	Rhus-t	A lot of pain, itching and stinging sensation on the prepuce. Moist vesicles may also appear on the glans
Itching	Cinnb	Redness and swelling of the glans and prepuce. Fetid, yellow-green discharge may be present under the prepuce. An attending complaint of phimosis (Maybe)
Itching and Burning	Sul	Glans and prepuce become swollen and red. Offensive sweat is present around the genitals in most cases. Copious secretion of fetid smegma (Maybe) Phimosis when attended with a discharge of fetid pus.
Reddish Spots on Glans with Offensive Moisture	Nit-ac	The moisture is foul smelling, and small pimples may appear on the glans penis. The foreskin is also inflamed and swollen along with soreness. Burning, sticking or tearing pains may appear in the foreskin along with the presence of itchy vesicles. Phimosis and Paraphimosis along with sharp and stitching pains in prepuce.
Throbbing, Shooting Pain under Glans	Rhod	Balanitis along with throbbing and shooting pain under the glans. Sometimes there is crushing pain felt in glans penis. The prepuce is swollen and enormously distended like a bladder. Slight discharge from the glans may be present with the above symptoms.
Due to Gonorrhoea Infection	Thuj	Glans is very sensitive and has red sores. Burning between the prepuce and glans penis is also marked. There is yellow-green discharge and scalding pain while urinating.
Painful Urination	Canth	Glans is intensely swollen and is very painful to pressure. There is severe pain, burning, smarting on passing urine that may continue even after urination. Sometimes cutting pains appear on urinating. Urine may be scanty with frequent urging. Violent pain in the glans may precede urination.