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Lost the top layer of skin on penis head. No improvement after using cream. Any solution?

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Dermatologist
Practicing since : 2006
Answered : 2016 Questions
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I have a small area on my penis head that has lost the top layer of skin.it hasn't healed in over a year. It always appears to be very dry. I have started putting lots of creams on but Incan see the outline of the roundish area where a layer of skin will not grow back
Posted Sun, 5 May 2013 in Skin Hair and Nails
 
 
Answered by Dr. Kalpana Pathak 3 hours later
Hi,
Thanks for writing to us.
In your case I can think of three possibilities
Fungal infection
Zoon's balanitis
Penile psoriasis.
Fungal infection presents as red itchy fissured lesion with whitish slough over it
Zoon's balanitis is characterised by red itchy shiny rash with cayenne pepper appearance
Psoriasis presents as red I scaly rash
I would be in a better position to assist you sir, if you could upload an image of the concerned area.
Hoping to hear from you soon
Above answer was peer-reviewed by
 
Follow-up: Lost the top layer of skin on penis head. No improvement after using cream. Any solution? 1 hour later
Good morning
it is not itchy and i do not think it is a rash.How do i upload a photo. where do i email it to?
 
 
Answered by Dr. Kalpana Pathak 6 hours later
Hi Sir,
You may upload the image by clicking on upload report/ image icon. If having difficulty you may send the images to YYYY@YYYY and mention Dr kalpana Pathak in subject line.

Thanks and regards
Above answer was peer-reviewed by
 
Follow-up: Lost the top layer of skin on penis head. No improvement after using cream. Any solution? 3 hours later
Image uploaded.
 
 
Answered by Dr. Kalpana Pathak 17 hours later
Hi,
Thank you sir for uploading the image and how the differentials change after having a look at the images attached !
The lesion on your glans is a slight red annular or ring shaped lesion. The two probabilities could be
Annular Lichen Planus of glans penis
Granuloma annulare( granuloma annulare is not common on glans but can be rarely seen)

The treatment in both these cases is application of topical steroid cream like hydrocortisone or fluticasone. Another option could be application of tacrolimus ointment.

I would suggest that you XXXXXXX a dermatologist nearby to get the lesions examined and begin with the treatment prescribed

Hope that helped.
Take care
Above answer was peer-reviewed by
 
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