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Diagnosis requires an accurate history, and such tests as biopsy and a swab with a culture.
Birley ''et al''. (1993) report excessive washing, especially with the use of soap, will dry the oils out of tissues and cause a balanitis like inflammation. The use of soap should be avoided.<ref>{{REFjournal
|last=Birley
|first=HDL
|author-link=
|coauthors=Wasker MM, Luzzi GA, ''et al''.
|title=Clinical Features and management of recurrent
balanitis; association with atopy and genital
washing
|journal=Genitourin Med
|date=1993-10-01
|volume=69
|issue=5
|pages=400-3
|url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1195128/pdf/genitmed00029-0074.pdf
|quote=
|pubmedID=8244363
|pubmedCID=1195128
|DOI=10.1136/sti.69.5.400
|accessdate=2019-10-07
}}</ref>
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