Why do I have rashes on the corona of my glans penis?

Hi,

I am glad you chose icliniq for your medical-related queries.

I understand your concern and will try to help you with it.

The spots near the tip are a normal variation, perhaps due to the keratinized mucous membrane near the tip, as it is exposed, and therefore, it has a slightly rough texture. They are not warts. I am more concerned about the rash on the corona of the glans. It looks like eroded skin along the circumference of the glans. I would like to rule out the possibilities of either candida or yeast infection or STDs (sexually transmitted diseases) like genital herpes.

1. Do you have any associated symptoms of pain, burning, or itching?
2. Are you sexually active?
3. When was your last sexual contact?
4. Was it protected or unprotected?

Thank you for consulting me.

You can always reach me at icliniq.com.

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

Yes, this could be erosive lichen planus. It is usually a painful and tender condition.

1. Do you have any associated symptoms of pain, itching, or burning?
2. Is the oral mucous membrane involved with similar erosive lesions?
3. Are there any skin lesions elsewhere?

Another possibility is that it could be Zoon's balanitis (plasma cell balanitis) but that is not much symptomatic though there may be a slight burning sensation.

Looking forward to your response in order to help you.

Thank you.

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

I can see an annular lesion on glans. It is certainly more clearly visible then previously. It is not an STD for sure. I will keep a possibility of granuloma annulare. It is a rare condition. Another possibility is of course annular Lichen planus, but it is usually itchy and there is associated violaceous hue or pigmentation. Is there any itching? Looking forward to your response in order to help you.

Thank you for consulting me.

You can always reach me at icliniq.com.

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

Granuloma annulare is mostly idiopathic - no identifiable cause. Though it has an association with diabetes millions. Ideally, I would like to biopsy and confirm my clinical diagnosis, but this is a tricky site to convince someone for a biopsy for a non-serious condition. Granuloma annulare may regress on its own. You may try a topical steroid that is mometasone furoate 0.1 % ointment or triamcinolone acetonide 0.1 % ointment, twice daily. Another option is topical tacrolimus 0.1% ointment. It is a non-steroidal alternative.

Looking forward to your response in order to help you.

Thank you.

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

It would definitely respond to the topical remedies that I have suggested.

Looking forward to your response in order to help you.

Thank you.

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

Tacrolimus is prescription drug. About 50% regress spontaneously within 2 years though lesions may persist for weeks to decades. Some may recur at the same site. The surface markings of epidermis are attenuated due to epidermal thinning. It may reverse to an extent.

Looking forward to your response in order to help you.

Thank you.

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

It would definitely improve on treatment and may resolve with some residual changes (50% regress within 2 years). Tacrolimus is only available on prescription. I suggest you to kindly talk to your local practitioner for a prescription of the same. Hydrocortisone 1% cream is a very mild topical steroid, but you can certainly try it for the time being till you can either find a moderately potent topical steroid cream that is mometasone furoate or triamcinolone acetonide or a topical calcineurin inhibitor that is tacrolimus ointment. The topical preparations can be used at least twice daily for 4-6 weeks and then followed up.

Looking forward to your response in order to help you.

Thank you.

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

Fusidic acid 2% cream has no role. It is an antibiotic.

Looking forward to your response in order to help you.

Thank you.

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

Gestational age is not a bacterial infection. So fusidic acid cream has no role. Is he a dermatologist?

Looking forward to your response in order to help you.

Thank you.

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

Start with hydrocortisone cream till you get an appointment.

Looking forward to your response in order to help you.

Thank you.

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

Biopsy would be confirmatory. How long have you been using hydrocortisone?

Looking forward to your response in order to help you.

Thank you.

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

It is idiopathic. No known cause.

Looking forward to your response in order to help you.

Thank you.

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

Less likely possibility is of lichen planus but that is usually itchy and has a violet hue.

Looking forward to your response in order to help you.

Thank you.

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

Treatment for geographic atrophy and lichen planus is almost the same. Geographic atrophy is not an STD.

Looking forward to your response in order to help you.

Thank you.

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

Geographic atrophy is not an STD. Rest of your glans looks pretty normal.

Looking forward to your response in order to help you.

Thank you.