
What Causes Dark Purple Spots Around Penis?

"Lichenoid eruption": eruptions are quite common and nothing to be worreid.
Detailed Answer:
Hi,
Welcome and thanks for posting your query to the forum.
I can understand your concern for the purple spots around the shaft of your penis.
After reviewing your pictures with best diligence let me reassure you first that these are totally normal kind of spots and eruptions and usual to find such kind of eruptions in our routine practice. These are known as "Lichenoid eruption" which is commonly found at this site as well as at any other site of body.
To tell you more elaborately: These begin as very small bumps and then can become flatly enlarged. These are formed due to normal wear and tea of the skin and anyone can have these kind of eruptions. As the penile skin is one of the thinnest skin in our body so we perceive these on higher side.
It is not at all anything serious and is a simple phenomenon of wear and tear of skin which actually becomes slightly raised due to touching or scratching. This begins as very small bumps and then can become flatly enlarged and gives purplish hue.
You can notice multiple other pin point to pin head size papules (raised eruptions) near by the large flat lesion. Lichenoid eruptions do start as flat papule and plaques and to start with, these can have varied colors including light brown color also.
For the management part: I generally suggest my patient to leave it as it is and most often no treatment is requited. In some patients which are really worried then I first of all give a topical steroid cream such as Fluticasone cream to be applied for 15 days only and then see the result to shift to milder cream as maintenance.
If at all one feels very much anxiousness regarding the condition then can also be removed at once by simple radiofrequency ablation. For the same you can meet a dermatologist and take further guidance regarding the same.
The eruptions are quite common to find at this are so remain tension free for any kind of future issues.
I hope you must be more than relaxed to know all these simple medical facts.
I will be glad to guide you any further for your any sort of queries.
"With good health wishes"
With regards,
Dr Sanjay Kumar Kanodia
MD- Dermatology & Sexually transmitted diseases.

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