How is glans desquamate with peculiar smell?

Mainly found in young and middle-aged people with active sexual life, the bacteria infected are usually the same as those of sexual partners with bacterial vaginosis. At the beginning of the disease, the local skin is red, and the glans penis is burning and itchy. When the foreskin is opened in the acute stage, edema, erythema, erosion, exudation and bleeding can be seen in the glans penis, and blisters can appear in severe cases. If there is a secondary infection, it can form an ulcer and cover with purulent exudate, with obvious local pain and tenderness. Some patients may be accompanied by mild systemic symptoms, such as fatigue and fatigue. In the chronic stage, only the inner prepuce plate and crown groove have flaky flushing or broken porcelain-like rupture.

2. Annular ulcerative balanitis

It may be the early mucosal damage of Wright's disease, or it may be related to the long-term stimulation of echinococcosis. The clinical manifestation is erythema on the glans penis, which gradually expands into ring or multi-ring, and may form superficial ulcer in the future. The main feature of this disease is that there are one or several round lesions on the glans penis, with a red suppurative surface in the middle and a narrow white band at the edge, forming a ring. If there is secondary infection, the symptoms will be aggravated and the ring characteristics will be lost.

3. Candidal balanitis

Caused by candida infection, candida albicans is the most common. The clinical manifestations are erythema of foreskin and glans penis, with smooth surface, a little desquamation around it, scattered herpes or pustules around it, and slowly expanding around it. Edema erythema, erosion and exudation may occur in the acute stage. In severe cases, it can spread to penis, scrotum, inner thigh and groin. Most of them are caused by sexual contact, and may also be secondary to diabetes, wasting diseases and long-term antibiotic or hormone therapy.

4. Plasma cell balanitis

Middle-aged patients are common. There are generally no obvious symptoms. The glans penis has persistent, limited, infiltrating, dark reddish-brown patches, clear boundaries, smooth surface, little red dot or erosion, easy bleeding and no ulcer. Histopathology has diagnostic value, which is characterized by banded inflammatory cell infiltration in the superficial dermis, which is mixed with a large number of plasma cells.

5. Amebic balanitis

When the foreskin and glans penis are inflamed, the barrier function of epithelium is lost, which is easy to cause amebic infection. The clinical manifestations are infiltrating erythema, erosion and superficial ulcer of glans penis, obvious tissue necrosis and pain.

6. Mica and keratinized pseudoepithelioma balanitis

More common in patients over 50 years old, often accompanied by phimosis. The skin of glans penis is infiltrated and thickened, with local hyperkeratosis and mica scab skin, which is silvery white. The glans penis loses its normal elasticity and gradually shrinks.

7. Trichomonal balanitis

It is a mild and temporary erosive glans inflammation caused by trichomonas infection. Patients often feel itchy and their symptoms get worse when urinating. At first, erythema and papules appeared on the glans, with clear boundaries and gradually expanding scope. There may be small blisters from needles to millet on erythema, and the blisters can expand and merge with each other to form a slightly rotten surface.

8. balanitis sicca obliterans

The initial stage of the lesion was chronic balanitis, with thickened mucosa, milky white lesion area and exfoliated epidermis. Late local scar-like atrophy. Can cause urethral stricture and prepuce adhesion.