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White pigmentation on the skin of the penis - Online Doctor Chats

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

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   Hi
Doctor :  
How can I help you?
User :   hi..i have recently noticed a skin problem
User :  
i think it is the skin pigment problem
User :  
skin is turning white
Doctor :  
Ok
Doctor :  
May I know the areas
User :   its strange...but its inside the foreskin
User :  
and some areas on the tip
User :  
the patches have started growing in size
Doctor :   Is it on the penis?
User :  
are you a dermatologist?
User :  
yes, it is.
Doctor :  
Ok
Doctor :  
SInce how many days
Doctor :  
it has been there
Doctor :  
Are they pure white?
User :  
i have noticed it during the last 4-6 months, yes turning pure white
Doctor :   What is your age

User :  
I am 32, Male, 82 Kgs,
Doctor :  
Do you have any other areas with the same pigmentation problem?
User :  
nope
User :  
though I am suffering from dermagraphism
User :  
i get red swelling on skin where it is scratched
User :  
but these swelling subsides after few minutes, its more of histamine release
Doctor :  
ok
Doctor :  
Have you seen a doctor?
User :   tried medicines for years but no effect, so have given up but it does not bother me much


User :  
for this current problem, no...i am a bit embarassed
Doctor :  
Dermagraphism is not a disease
Doctor :  
so you should not be bothered
User :   but about these white patches..its a concern


Doctor :  
The current problem could be a Vitiligo
Doctor :   However you have to get this checked by physical examination
Doctor :  
Why is it embarassing for you?
User :  
yes looks like ...i researched about vitiligo on the net and symtoms are similar
Doctor :  
Vitiligo is not a harmful condition
User :   just to go for a physical examination


Doctor :   There are more dangerous conditions for human than having Vitiligo
Doctor :  
Obesity, Diabetes, High BP etc
Doctor :  
Vitiligo is a cosmetic appearance
User :  
can you recommend some medicines for it
Doctor :  
It will not be passed to your colleagues, family
Doctor :  
Yes, but it should be confirmed if it is vitiligo or not, isn't it?
Doctor :  
They are many other conditions mimicking it
Doctor :  
I want you to rule them out?
User :  
ok
User :  
is it curable, does it grow bigger in problem with time
Doctor :  
If it is Vitiligo it takes it own course
Doctor :  
There are some treatment plans
Doctor :  
like using Psoralen, UV-A exposure
Doctor :  
But since it is on the genitals, the UV-A exposure is not recommended
User :   ok


Doctor :  
It may grow or may not grow
Doctor :  
But treatment reduces the spread
User :  
ok..do i need to avoid certain kind of food to check its growth
User :  
some reports suggest to avoid eating pickles etc
Doctor :  
Not really
Doctor :  
You can eat anything of your choice
Doctor :  
IT has no relation at all
User :  
also do i need to see a specialist for this field or any skin doctor will do
Doctor :   No A Dermatologist

Doctor :  
will do
User :   so you suggest i do a physical check and then go for medication


Doctor :  
Yes absolutely
User :   does it take long time to cure and get back to normal ....reports on net says so
Doctor :  
Yes it takes time
Doctor :  
As I told you Vitiligo is unpredictable initially
Doctor :  
when the doctor starts on the treatment he can predict the course
Doctor :  
and then the treatment is tailor made
User :   ok, any other suggestion you would like to give


Doctor :  
Just be positive
Doctor :  
DO not worry about the color change
Doctor :  
that is happening
Doctor :  
It neither reduces your life span
Doctor :  
or other's
Doctor :  
It is only the problem with the skin which is producing its own antigens against the color forming cells
Doctor :  
called melanocytes
Doctor :  
So they do not cause any other life threatening
Doctor :  
complications
Doctor :  
Do not be upset with the initial days of treatment
User :   ok, thanks for the advice


Doctor :  
and it is not responding
Doctor :  
It takes months or even years
Doctor :  
but stay positive
User :  
cool
Doctor :  
accept it
Doctor :  
It did not appear on the face
Doctor :  
you are lucky
Doctor :  
Ok
User :   but if spreads then it only spread in that region..right? not face etc
User :   just got worried


Doctor :  
No
Doctor :  
Do not be bothered
Doctor :  
If you are worried it spreads
Doctor :  
Ok
User :   thats a smart one


Doctor :  
Is there any thing else I can help you with?

Doctor :   Ok, Now a days every dermatologist in high end set up is treating Vitiligo
Doctor :  
So do not worry
Doctor :  
Go with their suggestions
User :  
ok, will do so
Doctor :  
Please fill the feedback form say done when done.
Doctor :  
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Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
User :   ok, thanks !
User :   bye
Question is related to
Diseases and Conditions
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