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What Causes Rash With Burning Sensation On Penis?

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Posted on Thu, 2 Jul 2015
Question: I have rash sort of thing appeared on outer skin of my pen is. It is not much itchy nut has sort of burning sensation. I am attaching it's photograph.
What is it? How to tackle this?
doctor
Answered by Dr. Dr. Kakkar (39 minutes later)
Brief Answer:
Fungal Infection: Topical and Oral antifungal

Detailed Answer:
Hello. Thank you for writing to us

I have gone through your query and I have also reviewed the Image.

I can see that you have well defined, scaly patches on underside of penis.

This seem like a fungal infection/ tinea to me. This can also be confirmed by scrapping a small amount of scale, making a KOH preparation and then visualizing under the microscope for presence of fungal elements i.e hyphae.

If I was the treating doctor I would treat you with a topical antifungal cream along with an Oral antifungal i.e fluconazole tablets.

A topical antifungal cream containing, Clotrimazole+ Beclomethasone dipropionate combination
OR
Clobetasone butyrate+ Miconazole nitrate combination, would be ideal. Antifungal cream can be used twice daily at this site for 2-4 weeks.

Oral fluconazole is usually given as a once weekly dose for 4-6 weeks.

An over the counter antihistamine e.g tablet Cetrizine 10 mg once daily will provide you symptomatic relief itching and discomfort.

Oral & topical antifungals are prescription medications and should always be taken under supervision of a dermatologist & after a confirmatory diagnosis.

I suggest that you visit a dermatologist for a confirmatory diagnosis and for the needful.
Your dermatologist will send a scraping from one of these skin lesions for a lab confirmatory diagnosis. Results would be available on same day itself.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Kakkar (3 minutes later)
Is it sexually transmitted disease?
What causes these kind of rashes?
doctor
Answered by Dr. Dr. Kakkar (6 minutes later)
Brief Answer:
It is not an STD

Detailed Answer:
Hi.

No, it is not an STD. It is a fungal infection.
Sweating, humidity, occlusion in groin folds favors growth of fungus which can present as scaly, itchy patches.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Kakkar (2 minutes later)
Can I use itch guard and candid powder? Because those r the one I have right now. Are these contagious?
doctor
Answered by Dr. Dr. Kakkar (12 minutes later)
Brief Answer:
Can use Itch Guard. It is not contagious

Detailed Answer:
Hi.

Can use itch Guard. It contains a topical antifungal i.e 1% clotrimazole. Use it twice daily for 2-4 weeks.
However, I would also suggest an Oral antifungal e.g weekly fluconazole for 4 weeks for faster and effective cure.
No, it is not contagious. However, the fungal infection may relapse if not adequately treated Or if conditions conducive to fungal growth persist. This is why people can have recurrences in summers.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Kakkar (6 hours later)
The place is flaky seems to be dead skin. Can it be due to HIV infection?
doctor
Answered by Dr. Dr. Kakkar (3 hours later)
Brief Answer:
Not a sign of Hiv

Detailed Answer:
Hi.

No, not at all due to Hiv.
Fungal infections usually present with dry, scaly patches such as this.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Kakkar (1 minute later)
I started applying itch guard. Along with candida powder. What else require? How many days require to get it cured?
doctor
Answered by Dr. Dr. Kakkar (6 minutes later)
Brief Answer:
2-4 weeks

Detailed Answer:
Hi.

I usually suggest topical antifungal creams for 2-4 weeks. This time period of treatment is usually adequate.
In addition to topical antifungal cream I also suggest weekly fluconazole tablets in my patients.
Thereafter sntifungal powder throughout summers for maintenance of improvement and preventing a relapse.

Regards
Note: For further follow up on related General & Family Physician Click here.

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

Dermatologist

Practicing since :2002

Answered : 9610 Questions

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What Causes Rash With Burning Sensation On Penis?

Brief Answer: Fungal Infection: Topical and Oral antifungal Detailed Answer: Hello. Thank you for writing to us I have gone through your query and I have also reviewed the Image. I can see that you have well defined, scaly patches on underside of penis. This seem like a fungal infection/ tinea to me. This can also be confirmed by scrapping a small amount of scale, making a KOH preparation and then visualizing under the microscope for presence of fungal elements i.e hyphae. If I was the treating doctor I would treat you with a topical antifungal cream along with an Oral antifungal i.e fluconazole tablets. A topical antifungal cream containing, Clotrimazole+ Beclomethasone dipropionate combination OR Clobetasone butyrate+ Miconazole nitrate combination, would be ideal. Antifungal cream can be used twice daily at this site for 2-4 weeks. Oral fluconazole is usually given as a once weekly dose for 4-6 weeks. An over the counter antihistamine e.g tablet Cetrizine 10 mg once daily will provide you symptomatic relief itching and discomfort. Oral & topical antifungals are prescription medications and should always be taken under supervision of a dermatologist & after a confirmatory diagnosis. I suggest that you visit a dermatologist for a confirmatory diagnosis and for the needful. Your dermatologist will send a scraping from one of these skin lesions for a lab confirmatory diagnosis. Results would be available on same day itself. Regards