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Itchy,red glossy patches on the penis and the body - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Skin Hair and Nails
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1357 Questions
Doctor :   Hi
Doctor :  
How can I help you?
User :   Hello, I have always seemed to have problems with my skin. Acne, eczema, psoriasis etc. Since august i have had problems with red rash like problems on my penis head.
User :   this week however i have developed a larger patch that not scaly, but a flat like rash that has a glossy look to it.
User :   and last nite i noticed my penis is itchy on the underside where the skin folds under the head. and at the urethral opening on the left side it has a slight bump or something
User :   im very concerned
Doctor :  
Doctor :  
What is the size of the patch?
User :   its maybe a little smaller than dime sized
Doctor :  
IS it bright red or dull red?
User :   its a duller red
Doctor :  
Does it have white scales on it?
User :   it doesnt have white scales on it now
User :   it may be that i have been using cortaid
User :   keeping it somewhat moisturized
Doctor :   Were you diagnosed with Psoriasis or Eczema earlier?
User :   but over previous months it would be dry and the skin would flake
User :   like i could pull scales of it off
User :   ive never been formally diagnosed with psoriasis or eczema
User :   i take that back. i was for eczema
User :   and used elidel
Doctor :  
Do you have patches elsewhere in the body?
User :   yes
Doctor :  
User :   i have had patches on my elbows, knees, toes
Doctor :  
What is your age?
User :   pretty much everywhere
User :   they always itched
User :   21
Doctor :  
Can you tell me when did the first patch appeared ?
User :   ive noticed them consistently since augsut
User :   august
Doctor :  
and how did it progress and what is its state now?
User :   they have remained the same amount everywhere
User :   never fully going away
Doctor :  
Do you have itching around the same patches?
User :   but recently ive been using a salt scrub from the dead sea and its helping it go away
User :   also, probiotics
User :   yea, they always itch
User :   but its mainly my penis thats annoying me
User :   the fact it doesnt seem to go away
User :   and now that i have this blister like thing on my tip inside the 'eye' im very scared
Doctor :  
Ok, Do you have problems getting under the sun?
User :   and its been itchy
User :   well im in ohio, its like a barren wasteland, not much sun here
Doctor :  
Like the patches flare up?
User :   lol
User :   honestly the last time i had a flare up was like 8 years ago
User :   and that was it
User :   ive tried using dye free soaps, detergents
User :   washed all my clothes, sheets etc
Doctor :   Do you mean the patches were there 8 yrs back too?
User :   nothing was on my penis 8 years ago
User :   but i did have the patches on my arms (middle of my forearm)
Doctor :  
were they on the skin?
User :   and on my cheek
User :   under the ear
User :   as well as the back of my knees
User :   yes they were on the skin
User :   they were totally crusted over and i used elidel
User :   i took some pics, i dont know if u would be able to get them?
Doctor :  
You can send them to YYYY@YYYY
Doctor :  
As of now I feel that this is a chronic problem and it should be addressed with good medications.
User :   sent
Doctor :  
You would not get any better with over the counter medicines
User :   ok
Doctor :  
Currently your symptoms must reduce immediately for you to stay less bothered
Doctor :  
You must see a Dermatologist
User :   ok
Doctor :  
I feel one of these like Psoriaiss, Eczematic dermatitios
Doctor :  
I am sure you will find a solution seeing a Dermatologist
Doctor :  
and get the appropriate care immediately
Doctor :  
There are chances for it to spread quickly soon
Doctor :  
Do you have problems like asthma or allergy?
User :   so would going to ER or Urgent Care be able to correctly diagnose it?
User :   or just a dermatologist
User :   no asthma or allergies
User :   never had any
User :   no
Doctor :   Urgent care will not help you

User :   ok
Doctor :   It helps you in relieving your current symptoms like itching
Doctor :  
Doctor :  
but for the complete cure of the disease you have to see a Dermatologist
User :   were u able to receive the pictures
Doctor :  
If you are prepared to see the ER
Doctor :  
Doctor :  
I have seen them
User :   alright
Doctor :  
If you are prepared to see the ER you may go and get the symptoms relieved
Doctor :  
Atleast it helps you to stay not concerned for few days
User :   okay, i have an apt for the 12th with my dermatologist. i guess just get it pushed sooner
Doctor :  
User :   so its not an STD like herpes or anything
Doctor :  
THe photo is too glaring for me to make out
Doctor :  
But if the lesions are small vesicle like
Doctor :  
and intense pain and itching it is herpes
User :   its not intense pain
User :   its just aggravated when i masturbate
User :   the itching anyways
User :   and i havent been sexually active
Doctor :   Since how long you are not active?
User :   since july
Doctor :  
Did you have chicken pox earlier?
User :   ive had chicken pox 3x
Doctor :  
Did you have herpes ?
User :   ive had cold sores
User :   but never herpes or any STD's before
Doctor :  
Ok, the lesions seem to be Zoster kind
Doctor :  
I think the skin lesions and this is different
Doctor :  
They are not the same as per your description about the skin problem
User :   they dont look like the zoster kind tho
User :   could it be penile psoriasis?
Doctor :   Penile psoriasis is a possibility
User :   since the red rash like patches on my penis occured the same time as my arm legs and body
User :   im also very physically active, and dont know if the constant sweat, running and friction could irritate it worse
Doctor :  
Yes constant sweat will irritate them, it is wise to wipe the sweat with cold water as soon as possible
User :   as for the herpes, i havent had any symptoms associated with it, like illness, nite sweats. no breakouts on the anus or scrotum
User :   its all isolated to the head of the penis
Doctor :  
Yeah this cannot be herpes then
Doctor :  
If you had the problem appearing at the same time on other areas
User :   before i started applying creams, the patches were very very tiny and would dry out the next day, then they would flake off
Doctor :   How many times yet?
Doctor :  
Did you have intense pain and ithcing then?
User :   i just recently have been applying the creams, more regularly lately.
User :   no pain whatsoever
Doctor :  
Herpes do not get relieved in one or two days
User :   the itching has just started happening the past 2 days
User :   which is when the little bubble in the urethral opening occured
User :   thats my main concern, cause it obstructs the flow of my urine in a straight path
User :   like the bubble pushes the tip of the penis out, so when my pants or underwear touch the tip its irritating. cause the naturally wet inside of the penis is out a little bit being dried from my clothes
Doctor :   ok, for the irritation you may take pain killer though

Doctor :  
like MOTRIN 400mg

Question is related to
Diseases and Conditions
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