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.
There are three major mountain ranges, the Dinaric Alps along the coast of the Adriatic Sea, the Pindus mountain range in northern Greece and southern Albania, and the Balkan Mountains in Bulgaria, from which the region takes its name.