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Diagnosed With Fungal Infection On Penis. After Applying Cream Penis Become Red And Noticed New Rashes On Foreskin

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Posted on Sun, 15 Sep 2013
Question: Hi Doctor,

Based on our previous discussion, doctor has diagnose my penile rashes is due to fungal. Hence lately i have went to a GP and the GP has also diagnosed my condition to be fungal infection. Noted that i have applied the cream on my penile and the redish reduces. However sometimes i noted that the penile will become kinda red after the application of the anti fungal cream. There are no pealing of skin anymore i noted. Some of the red spots has reduces. However to day i noted that there are new red spots on the un circumcized area. I have just applied the cream for 4 days only. If the systom persist. Can it be herpes? How long it takes to clear the fungal? a month? Noted that i dont feel anything now (no pain and itchy on the penile). Although during the cream application the testical will be abit itchy and a bit redish. I think this is due mainly i also applied the cream on the testical as well.

Please kindly help thanks doctor.
doctor
Answered by Dr. Sankaranantham Murugan (4 hours later)
Brief Answer:
Inadequate treatment of fungus. Psoriasis possible

Detailed Answer:
Hi,
Welcome to XXXXXXX
Thanks for posting your query.

The following are the possibilities in your case:
1. A fungal infection not adequately treated. Oral and systemic anti-fungals also may sometimes be needed for a total eradication. Topical preparation alone are not sufficient. Partner treatment and ruling out predisposing factors like diabetes has to be ruled out. Sometimes 3-4 weeks treatment may be necessary.
2.Anti fungal creams you have applied might have produce allergy or some sort of irritation as you had developed some redness after application and it produce itching and redness over scrotal skin. Change to some other preparations may help.
3. Extension of dermatophyte fungus to scrotal skin.
4. Psoriasis also can produce lesions over genitals as you are having history of Psoriasis
If you are able to send pictures, able to discuss more.
Genital herpes will occur as multiple vesicles and these vesicles will rupture within a day and produce tiny grouped ulcers. They will heal within a week or two.
If you consult a Dermatologist he/she will be able to fix your problem and treat accordingly.
Get well soon.
Dr S.Murugan
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sankaranantham Murugan (18 minutes later)
Hi doctor please kindly refer to the pictures . I have applied some cream on it hence there are some white form on my penile .
doctor
Answered by Dr. Sankaranantham Murugan (7 hours later)
Brief Answer:
Not seems fungus, possible abrasion or irritation

Detailed Answer:
Hi,
Welcome back.
You had sent 3 pictures. Out of which I don't find anything abnormal in the 1st picture.

With regards to other two pictures, it seems neither an yeast infection nor related to psoriasis.
It is more a localized inflammation of the inner aspect of foreskin along with some whitish discharge or deposits. It could be due to some irritation like soap or an abrasion during sex supper added with secondary infection.
Frequent cleaning and abstinence from sex alone will help you better. If it persists after 5 days oral antibiotics and Metranidazole tablets will heal the lesion.
But it is better for you to seek the help of a Dermato-venereologist or a dermatologist to guide you further after an examination.
It is not a big problem.
It will be cured very easily.
Dr S.Murugan
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

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

HIV AIDS Specialist

Practicing since :1974

Answered : 3109 Questions

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Diagnosed With Fungal Infection On Penis. After Applying Cream Penis Become Red And Noticed New Rashes On Foreskin

Brief Answer:
Inadequate treatment of fungus. Psoriasis possible

Detailed Answer:
Hi,
Welcome to XXXXXXX
Thanks for posting your query.

The following are the possibilities in your case:
1. A fungal infection not adequately treated. Oral and systemic anti-fungals also may sometimes be needed for a total eradication. Topical preparation alone are not sufficient. Partner treatment and ruling out predisposing factors like diabetes has to be ruled out. Sometimes 3-4 weeks treatment may be necessary.
2.Anti fungal creams you have applied might have produce allergy or some sort of irritation as you had developed some redness after application and it produce itching and redness over scrotal skin. Change to some other preparations may help.
3. Extension of dermatophyte fungus to scrotal skin.
4. Psoriasis also can produce lesions over genitals as you are having history of Psoriasis
If you are able to send pictures, able to discuss more.
Genital herpes will occur as multiple vesicles and these vesicles will rupture within a day and produce tiny grouped ulcers. They will heal within a week or two.
If you consult a Dermatologist he/she will be able to fix your problem and treat accordingly.
Get well soon.
Dr S.Murugan