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 the youngest and highest mountain system in Europe. They stretch across the western and southern part of the continent in a broad arc. The mountain range starts near the Mediterranean Seaon the border between France and Italy. Then it curves north- and eastward through northern Italy, Switzerland Liechtenstein, southern Germany, Austria and Slovenia. The Alps are about 1,000 km long, the broadest section over 260 km wide.