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Patches of dry red spots in penis. PSORIASIS?

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I have a couple patches of red dry spot on my penis shaft.. at first it started off as a shinny pink spot and after a few days turned into a dry scaly spot .. I started using yeast infection cream with no results , next I used a baby rash moisturizer and that also didn't work .. finally I used tee tree oil .. the tee tree took all the white scales completely off after the first use but now the spot has turned raw like if I had a bad carpet burn.. I'm sexually active with my girlfriend and her only for the past year .. before this I was tested for everything as was she ..what could this be and what can I do to rid it..also I was prescribed antibiotics a few weeks past and after taking them my anas itched for a week and spread to my butt cheeks.. after that went away this problem arrised..I went to the Dr and after a quick look she said it was psoriasis and to use cortisone 1% I've done that for 3 days although it looks a bit better it's still really really red .. I don't know what it could be


Category: Dermatologist

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Category: Cosmetic and Plastic Surgeon
Dr. Kruti Jobanputra Banodkar is online now

Expert:  Dr. Kruti Jobanputra Banodkar replied 4 Days.

Hello,
Thank you for your query at DoctorSpring.com
I understand your concern.
I am one of the InHouse Physicians and i request you to upload a high resolution picture of the spots that you mentioned about.
Based on that i can assign this query to our dermatologist.
Thank You,
DoctorSpring


Patient replied :

Yes..


Expert:  Dr. Kruti Jobanputra Banodkar replied 3 Days.

Hello,
Thank you for posting your query at DoctorSpring.com
I understand your concern.
Based on the picture, it definitely looks like psoriasis of the glans. Mostly psoriasis affecting the genitalia ( scrotum/ glans ) is slightly difficult to treat and other prescribed ointments such as Tacrolimus can cause constant irritation.
Hence it is better you continue with the cortisone cream for at least 2 weeks.
I will also advise you not to apply any kind of moisturiser or tree oil like you tried, it can only worsen the condition.
Also try to keep the area as dry as possible and it is better to use a condom for intercourse since further friction or irritation will delay the recovery.
Feel free to discuss further,
Regards.


Patient replied :

Is it possible to cure this? What am I dealing with as far as long term ? Will this always affect me? Can I do anything to keep it from happening again? Why would this happen all of the sudden at the age of 31? And also is it possible I'm Alergic to something that caused this?


Expert:  Dr. Kruti Jobanputra Banodkar replied 2 Days.

Hello,
Since it is an auto immune disease there is no guarantee that it can be completely cured.
However in your case the prognosis is better, since there are no other psoriatic lesions anywhere in the body.
This lesions can be prevented by preventing future frictions in the penis. In patients predisposed to psoriasis, repeated genital frictions such as from intercourse without lubrication, tight underwear, repeated washing, can all flare up Psoriasis, something known as Koebner phenomenon.
It mostly affects adults in their young-middle age.
We have to wait for 2 weeks to see if the lesion disappears completely. If it does, and providing you prevent friction as far as possible ( using condoms, wearing loose fitting underwear, e.t.c ), chances are that they will not recur in the future.
Regards.


Patient replied :

Thank you..one last thing is it possible the antibiotics had anything to do with this ..a few days after taking them I had sever anal itching from the inside that eventually moved to my cheeks ?..I also wanted to add that this patch just keeps going very red then peeling and back to red again .. when it fist happened I had a thick layer of dead skin come off and it got to raw skin then red again .. I don't know Ifor any of this is relevant or not .. should I get some kind of prescription because the 1% cream is not working very well at all and it has been 2 weeks with no better results


Expert:  Dr. Kruti Jobanputra Banodkar replied 1 Day.

Hello,
Unless examined physically it is slightly difficult to predict whether it could be purely an allergic manifestation.
But your description fits more in favor of psoriasis.
These kind of lesions do take time, so i will advise you to continue the same strength for another one week or so. Only because higher strength corticosteroid can lead to thinning of the skin, and hence not recommended.
Also i will advise application of vitamin d ointment on the affected area. It will help in faster healing. You will need a prescription for that, and you can consult your dermatologist regarding the same. Please discuss the possibility of addition of vitamin d since you have already steroid for 2 weeks without much drastic improvement.
Hope this was helpful,
Regards.


Dr. Kruti Jobanputra Banodkar
Category: Cosmetic and Plastic Surgeon
Experience: 
Diploma in Dermatology - Royal College Of Physicians & Surgeons Of Glasgow, UK , 2010
Residency - DNB, Dermatology -  K.J Somaiya Hospital, Mumbai, 2009
Medical School & Internship - MBBS - Dr. D . Y . Patil Medical College, Mumbai, 2004
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