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I had asked for some further information and have not heard back. There are several issues to consider in this situation. The usual treatment for Zoon's balanitis is a low to moderate potency steroid cream. I asked which steroid cream has been prescribed because if it is a low potency steroid cream, it would be reasonable to change to a moderate potency steroid cream. Another option would be to add an anti-fungal cream. In some men, they will respond better to an anti-fungal cream added to the steroid cream. If these treatments are ineffective, the next step to consider would be a calcineurin inhibitor, such as tacrolimus. These medicines suppress the immune system causing the inflammatory response in the skin. The other option would be to consider a procedure to treat the problem, either by circumcision to remove the foreskin or laser to remove the upper layers of skin that is involved by the inflammation.
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