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.
That honor belongs to the Dufourspitze, the crowning peak of the Monte Rosa massif, located a few miles east of the Matterhorn and rising just over 150 m/500 feet higher. Other confusing myths swirl around the Dufourspitze. It is not the highest point in Italy as well as Switzerland, as is sometimes claimed--indeed, the actual summit lies 160m west of the border, entirely on the Swiss side. Switzerland, an honor sometimes given to the Dom (14,911'/4545m), high point of the nearby Mischabel range.