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Balanitis xerotica obliterans (BXO), also known as lichen sclerosus of penis is a dermatological (skin) condition affecting the male genitalia. It was first described by Stuhmer in 1928, though earlier reports describe what may have been the same condition. BXO commonly occurs on the foreskin and glans penis. Atrophic white patches appear on the affected area, and commonly, a whitish ring of indurated (hardened) tissue usually forms near the tip that may prevent retraction.〔 It has been regarded as identical to lichen sclerosus of penis, though this may be incorrect. It has also been named leukoplakia of penis and kraurosis of penis. == Epidemiology == The true prevalence of Balanitis xerotica obliterans is controversial and unclear. One study calculated a rate of 0.6% of boys are affected by their 15th birthdays. Another reported a rate of 0.07%. However, a review noted that "with a high degree of suspicion and histologic examination, the condition will prove to be much more frequent than one generally believes." Another suggested that "more cases would be diagnosed during infancy if all dried foreskin were examined systematically." Another remarked that the condition "may be misdiagnosed or ignored in the young boy." Yet another commented that "its true incidence is not appreciated because most cases are cured by circumcision, and unfortunately many surgeons still fail to send their circumcision specimens for histology." Another remarked that the "extent of asymptomatic disease in this series would suggest the true prevalence of LS in men might be much higher than published work suggests." According to some authors, the disease most frequently affects middle-aged men.〔 However, a large study reported that the age distribution was similar from 2 to 90 years of age, except for men in their twenties, who were at twice the risk.〔 The same study found that black and Hispanic men had approximately twice the risk of white men. The authors suggested possible reasons for this, including access to health care, differences in neonatal circumcision rates, and climate differences. Mallon ''et al.'' found that Balanitis xerotica obliterans was related to circumcision status. Adjusting for age, lack of circumcision was associated with an odds ratio of 53.55. The finding was statistically significant. However, Balanitis xerotica obliterans has also been noted to occur after late circumcision, especially when performed for phimosis.〔〔〔 抄文引用元・出典: フリー百科事典『 ウィキペディア（Wikipedia）』 ■ウィキペディアで「Balanitis xerotica obliterans」の詳細全文を読む スポンサード リンク
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