Treatment of balanitis of Zoon's with tacrolimus 0.03% ointment

Sir, Balanitis of Zoon’s (BZ) is a frequent diagnosis in mature men and lesions are generally localized on the glans but may involve the prepuce. The etiology and pathogenesis remain unknown. However, Weyers et al. have suggested that BZ is a non-specific inflammatory reactive pattern that may occur as an isolated finding or complicate other skin diseases (i.e. lichen planus, contact dermatitis, psoriasis) of the glans penis or prepuce in uncircumcised men.[1]