Zoon’s balanitis in the pediatric age: Lessons from an unexpected diagnosis

ZB should be included in the differential diagnosis of chronic or refractory balanopreputial lesions in adolescents, characterized by erythematous, shiny plaques with multiple punctate spots affecting the glans, foreskin, or both. Since its clinical expression is often nonspecific, the diagnosis is frequently established incidentally by histopathological analysis. Circumcision is not only the most effective treatment, with a low recurrence rate, but also a diagnostic tool that allows confirmation of the benign nature of the process and avoids prolonged and ineffective topical treatments.