Conflict of interest: the authors declare that they have no conflicts of interest.
Clinical dermatology ● Concise report
Successful use of dapsone for the management of circinate balanitis
Article first published online: 18 MAR 2014
© 2014 British Association of Dermatologists
Clinical and Experimental Dermatology
Volume 39, Issue 3, pages 333–335, April 2014
How to Cite
Bakkour, W., Chularojanamontri, L., Motta, L. and Chalmers, R. J. G. (2014), Successful use of dapsone for the management of circinate balanitis. Clinical and Experimental Dermatology, 39: 333–335. doi: 10.1111/ced.12299
- Issue published online: 18 MAR 2014
- Article first published online: 18 MAR 2014
- Manuscript Accepted: 20 NOV 2013
Circinate balanitis is the commonest cutaneous manifestation of reactive arthritis (Reiter syndrome), but can also occur independently. Topical corticosteroid therapy is the most commonly used treatment, and topical calcineurin inhibitors have also been used successfully. We report a case of a 20-year-old man who presented with discrete erythematous patches with slightly raised keratotic annular borders on his glans penis. He also developed geographic tongue and severe arthritis. A clinical diagnosis of circinate balanitis was made, which was supported by the psoriasiform features on skin biopsy. The patient failed to respond to topical 0.05% clobetasol propionate cream, but a novel approach using a combination of dapsone and topical 0.1% tacrolimus ointment successfully cleared his rash.