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What Causes Irritated Skin On My Penis Along With White Patches On My Foreskin?

Posted on Fri, 27 Oct 2023

Question: Irritated skin on penis. Have had balainitis /yeast infections many times since a kid Foreskin has been a little itchy red and a bit white patchy. Pulled back foreskin feels irritated and some of the foreskin looks patchy white and feels irritated. I'm not circumcised. Weather has been warmer. I havent sleep with anyone new I have received a oil massage and the oil wentnon my penis I have also used emla cream for P.E I have been using daktarin on penis now for 72rs Just worried about the shiny white patches on my foreskin.

Answered by Dr. Dr. Kakkar (21 minutes later)

Brief Answer:
Regarding your genital skin lesion

Detailed Answer:
Hello. Thank you.
I am Dr kakkar (Dermatologist and Venereologist). I have noted your concern and I have viewed the image.
Seems like a patch of either lichen planus or Lichen Simplex et Atrophicus (LSeA). Both of these are itchy conditions
I suggest you apply a moderately potent topical steroid e.g mometasone furoate 0.1 %ointment, twice daily. It is a prescription product and I advice you to kindly upload to your local practitioner for a prescription of the same.

Regards

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Dr. Kakkar (37 minutes later)

will the micanzole nitrate cream 2% I have clear it up ?

Answered by Dr. Dr. Kakkar (11 hours later)

Brief Answer:
Use a topical steroid cream

Detailed Answer:
Hi.
No. Miconazole nitrate is a topical antifungal whereas this is not a fungal infection. I suggest you to apply a topical moderately potent steroid cream e.g mometasone furoate 0.1 %cream Or triamcinolone acetonide 0.1 %cream, twice daily. These are prescription medications.

Regards

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Dr. Kakkar (1 hour later)

are these lichen conditions probably what I have had since a kid . can it cause any problems to my partner. will it clear up by itself ?. why do I seen to get these radhrs in the heat. sometimes in Sumner I get like similar white flaky splitting skin in groin area . between. leg crease and scrotum .

Answered by Dr. Dr. Kakkar (29 hours later)

Brief Answer:
Regarding genital lesion

Detailed Answer:
Thank you.
The rashes that you get in the folds,/creases are due to heat, humidity, sweating - candidal Intertrigo. You may use a topical antifungal e.g clotrimazole 1 %cream Or clotrimazole dusting powder for those areas. Whereas this thing on your penis looks different from the fungal infection. It is not sexually transmitted. It may remain stable, improve or worsen. I suggest you to apply a topical moderately potent steroid cream, as suggested earlier.

Regards

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Dr. Kakkar (8 hours later)

they issued me with daktakort and said the one you suggested was too strong for the skin of penis . she said it could also be skin cancer ?

Answered by Dr. Dr. Kakkar (2 hours later)

Brief Answer:
Regarding genital lesions

Detailed Answer:
Hi.

Just check if Daktacort cream is combination of miconazole nitrate and hydrocortisone. Hydrocortisone is a mild topical steroid. If yes, I think you may use this cream. It may serve the purpose.

Regards

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Dr. Kakkar (3 hours later)

thanks for that are you pretty certain this is the lichen rash . is it likely. to be cancer ?

Answered by Dr. Dr. Kakkar (20 hours later)

Brief Answer:
Not cancer

Detailed Answer:
Hi.

No. I don't think so.

Regards

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Dr. Kakkar (27 minutes later)

do you think I'll need a biopsy on it for lichen or are you like 99% confident it's that

Answered by Dr. Dr. Kakkar (18 hours later)

Brief Answer:
Regarding genital lesions

Detailed Answer:
Hi.

A biopsy would definitely be confirmatory. I suggest you to get a biopsy, if it is possible.

Regards

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar