Early cases of BXO can appear similar to those of candidal balanitis or to those of one of the various penile dermatoses, such as vitiligo, scleroderma, or erythroplasia of Queyrat. Although physical findings can suggest BXO, cutaneous biopsy and histology are needed to make a definitive diagnosis (Figure 4).
The Apennines form the backbone of the country running down the full length of the Italian peninsula from the Cadibona Pass to the tip of Calabria, continuing onto the island of Sicily. The range is about 2,000 kilometres long.
The Alps are about 1,000 km long, the broadest section over 260 km wide. The highest peak, Mont Blanc, situated on the border between France, Italy and Switzerland, rises 4807 meters above sea level . Other famous peaks are the Monte Rosa, the Matterhorn, the GroÃglockner and the Zugspitze. The western Alps lie west of the Great St. Bernard Pass and include the highest mountains.