Balanitis xerotica obliterans (lichen sclerosus)
Are You Confident of the Diagnosis? The primary differential diagnosis is lichen planus, although Candida balanitis, psoriasis, and erythroplasia of Queyrat can also present with genital lesions that could be confused with balanitis xerotica obliterans (BXO). Itch is generally a prominent symptom. The absence of itch should prompt the clinician to question the diagnosis. Characteristic…