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What Causes Dark Brown Color Spots On Penis?

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Posted on Wed, 2 Jul 2014
Question: I have dark brown color spots on my penis for the lat two months. Some time I wake up in the morning and notice they have turned white. After I shower they turn to dark purple or brown. I have itching too. What could it be and should I get tested? I went to a massage place in Toronto and had oral sex couple months ago.

Please please respond to me. Can I use any topical solution.
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Answered by Dr. Johny Chacko (22 minutes later)
Brief Answer:
Lichen planus

Detailed Answer:
Hello,
Welcome to healthcare magic.
I understand that you are having itchy, brown to purple spots on your penis.
I have seen your clinical picture.
I would consider the possibility of genital Lichen Planus.
Lichen planus is a type of allergy which could occur anywhere on the body including genitalia. It could also involve the oral mucosa like the buccal mucosa.
It is not sexually transmitted.
You could apply a cream containing 1% Hydrocortisone twice a day for 2 weeks. However, lichen planus tends to recur. You may need to follow up with a dermatologist. Do not use hydrocortisone on a long term basis as it could cause steroid related side effects.

You do not need to get tested for sexually transmitted diseases due to this lesion. However, if you have had multiple high risk exposures, it is advisable that you do a screening test for HIV 1 and 2 and also VDRL (for syphilis).

Hope this helps you.

If you have any further queries, I would be glad to assist.

Regards,
Dr. Johny Chacko
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
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Answered by
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Dr. Johny Chacko

Dermatologist

Practicing since :2005

Answered : 1916 Questions

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What Causes Dark Brown Color Spots On Penis?

Brief Answer: Lichen planus Detailed Answer: Hello, Welcome to healthcare magic. I understand that you are having itchy, brown to purple spots on your penis. I have seen your clinical picture. I would consider the possibility of genital Lichen Planus. Lichen planus is a type of allergy which could occur anywhere on the body including genitalia. It could also involve the oral mucosa like the buccal mucosa. It is not sexually transmitted. You could apply a cream containing 1% Hydrocortisone twice a day for 2 weeks. However, lichen planus tends to recur. You may need to follow up with a dermatologist. Do not use hydrocortisone on a long term basis as it could cause steroid related side effects. You do not need to get tested for sexually transmitted diseases due to this lesion. However, if you have had multiple high risk exposures, it is advisable that you do a screening test for HIV 1 and 2 and also VDRL (for syphilis). Hope this helps you. If you have any further queries, I would be glad to assist. Regards, Dr. Johny Chacko