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White patch on foreskin - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Penis Problems
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3388 Questions
Doctor :   hi
Doctor :   how can i help you?
User :   hi
Doctor :   hi
User :   i m male 33 married
Doctor :   ok
User :   about 2years 8 months backi had unprotected sex with one of my girlfriends
Doctor :   ok
Doctor :   For Administrative and health purposes, Please fill these details -Age: Gender: Occupation: Location: Marital Status: Dependents: Yes/ No
User :   15 days later there was sum fungal infection on the urethra
Doctor :   ok
User :   i used alum and it disappeared
Doctor :   give your details
Doctor :   please
User :   5 months later i got vdrl test done
Doctor :   ok
User :   it was negative
Doctor :   ok
User :   about a year back i had got hiv test & vdrl test done again twice
Doctor :   ok
User :   they were negative
Doctor :   ok
Doctor :   did you have unprotected sex again?
User :   no
Doctor :   ok
User :   there were never any symptoms again
Doctor :   ok
User :   now there is a small whitish patch under the foreskin
Doctor :   ok
User :   about 2 mm in dia
User :   there is no itchin nothin at all
Doctor :   ok
Doctor :   do you have any burning in the urine?
User :   it is merged with the skin
Doctor :   ok
User :   so there is no inflammation also
Doctor :   do you have any burning in the urine?
User :   no
Doctor :   ok
User :   nothin at all
Doctor :   any pain?
Doctor :   at the site?
User :   no
Doctor :   ok
Doctor :   Do you have any other health problems?
Doctor :   or skin problems?
User :   nothing
User :   yeah i have a family history
Doctor :   ok
User :   of lichenplanus
Doctor :   of what?
Doctor :   ok
User :   i had this problem too 6 yrs back
Doctor :   ok
User :   skin specialist had given propysalic cream
Doctor :   ok
User :   its been perfectly fine since then
Doctor :   ok
User :   but there were small dots on the penis and they too disappeared
Doctor :   ok
Doctor :   ok
Doctor :   there is a genital variety of lichen planus
Doctor :   called lichen sclerosus
Doctor :   it is usually treated with some drugs
User :   can it appear under the foreskin
Doctor :   calcineurin inhibitors
Doctor :   its possible
Doctor :   there are also cryotherapy
Doctor :   and surgery
User :   i had this lichenplanus growth in my gums too
Doctor :   circumcision may help in some cases
Doctor :   yes
User :   had to do surgery to remove it 5 yrs back
Doctor :   ok
Doctor :   the foreskin patch may be due to
Doctor :   lichen sclerosus
Doctor :   you need to get that ruled out by a dermatologist
User :   is it a white patch
User :   perfectly merged with skin
Doctor :   yes
Doctor :   thats how it presents
User :   there is no pain, no itchin
Doctor :   usually
Doctor :   i suggest that you get urself evaluated
User :   there is nothin awkward
Doctor :   yes
Doctor :   but better to catch it early
Doctor :   than wait
User :   do u suggest a testet
Doctor :   as you mentioned you have a history
Doctor :   of lichen sclerosus
User :   my father , my brother
Doctor :   these medicines cannot be prescribed online
Doctor :   you need to consult
Doctor :   as they give the medicine after clinically examined you
User :   they had these black spots all over the body when infection started
Doctor :   ok
Doctor :   Please fill the feedback form say done when done
User :   last year about 1 and half year after the episode i had mentioned
Doctor :   YYYY@YYYY
Mobile : 0000 Please confirm your details
User :   yep
Doctor :   ok
Doctor :   For Administrative and health purposes, Please fill these details -Age: Gender: Occupation: Location: Marital Status: Dependents: Yes/ No
Doctor :   we need your details
Doctor :   for future correspondence
User :   age 33,married, software professional,wife and 2 yr old son
Doctor :   ok
User :   li had had unprotected sex with my wife and she developed rashes
User :   we consulted gynaec
User :   she prescribed fas 3 kit
Doctor :   ok\
Doctor :   ok
Doctor :   did you use it?
User :   everything was fine since then
Doctor :   ok
User :   thts when i had the tests done
Doctor :   it may be unrelated to your present condition
Doctor :   ok
User :   got them done twice to confirm
Doctor :   ok
Doctor :   this may not be an STD
User :   i hav had no health problems since then
Doctor :   ok
Doctor :   you need to consult a dermatologist
Doctor :   to rule out lichen sclerosus
Doctor :   i'm insisting because you have a +ve family history
Doctor :   it could be problematic for you in the future
Doctor :   Is there any thing else that I could help you with?
User :   it can appear under the foreskin too ,thts right
Doctor :   this variety might
Doctor :   anything else?
User :   has stress got sumthing to do with its appearance
Doctor :   not likely
User :   stress does aggravate lichen planus,i m aware
User :   it used to happen with my brother & father too
Doctor :   it may play a minor role but the main cause is auto immune
User :   what is that doctor
Doctor :   still i believe there is no substitute for a physical examination
Doctor :   anything else?
User :   should i consult a dermatologist
Doctor :   yes
User :   thank u very much doctor,regards
Doctor :   u r welcome
Doctor :   bye
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