Brief Answer:
Tinea with eczematisation
Detailed Answer:
Hello,
Welcome to healthcare magic.
I have gone through your history and the clinical photograph attached.
The blackish discolouration on the shaft of your penis is called as "Lichenification".
It occurs because of constant rubbing of the skin, which, in your case, could have happened because of the
Jock itch.
The lichenification in your case looks quite mild.
You could benefit from the following.
1. Treat the jock itch- You could take oral
Fluconazole 150 mg weekly for 4 weeks.
You could also apply a cream containing 2%
Ketoconazole ( eg- 2% Nizral cream) twice a day for 3 weeks.
2. Take an antihistamine like Tablet
Loratidine 10 mg (e.g.- T. Lorfast) in the morning after breakfast and tablet Levocetrizine 5 mg (e.g. - T.
Levosiz) at bedtime after dinner for 2 weeks. This will give you relief from the itching.
3. Avoid rubbing your genitalia. This is an important aspect of treatment because the blackish discolouration is mainly the result of your rubbing. Rubbing will also set in an " Itch - scratch cycle". The more you rub, the more lichenified ( thick and black) your skin will become. This type of skin causes more itching and you will scratch/ rub more. This becomes a vicious cycle. So you should consciously avoid scratching. ( which would have become a habit in some cases).
4. Once the jock itch clears, if the itching still persists, you could use a cream containing 2% ketoconazole and
Mometasone furoate ( Eg- Sebifin plus) at bedtime for 10-14 days.
Hope this helps you.
If you have any more queries I will be glad to answer.
Take care.
Regards,
Dr. Johny Chacko