Brief Answer:
Kindly upload an image

Detailed Answer:
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Regards

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Brief Answer:
I suggest a possibility of Zoon's Balanitis

Detailed Answer:
Hi.

I have reviewed the Image.
I can see a single well defined glistening orange red patch on the surface of glans penis and adjacent prepuce.
I suggest a possibility of Zoon's Balanitis/ Plasma cell balanitis. It is almost always seen in uncircumcised middle aged men and is never to be seen in circumcised men.
Confirmation of diagnosis by by a tissue biopsy which demonstrates copious amount of plasma cells infiltrating the upper dermis
Topical steroids and topical tacrolimus ointment can be tried, however, the condition frequently recurs.
Only Circumcision if curative.
I suggest you to visit a dermatologist in your region for a confirmatory diagnosis as well as the needful.
Your dermatologist might refer you to a general surgeon for circumcision as deemed necessary.

Regards

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Brief Answer:
I suggest a tissue biopsy for confirmation

Detailed Answer:
Hi.

Thank you for letting me know that you have been circumcised since childhood.

Zoon's balanitis is as such commonly seen only in uncircumcised middle aged males and circumcision is rather curative in Zoon's.

That does lead me to keep another possibility of erythroplasia of queyart/ bowen's disease, which is actually squamous cell carcinoma in situ.

Bowen's disease may similarly present with asymptomatic, well defined, red patch on glans
"In situ" means that carcinomatous changes are localized to the superficial epidermis and it has not yet disseminated.

I would suggest a tissue biopsy for a confirmatory diagnosis.

My clinical differential diagnosis would be both erythroplasia of queyart/ bowen's disease and Zoon's balanitis.
Tissue biopsy would be confirmatory and would guide subsequent treatment.

If it does reveal bowen's/ carcinoma in situ, the lesion can be simply freezed with liquid nitrogen.
Otherwise, if the tissue biopsy does not reveal carcinomatous changes, topical potent steroids+antifungal combination creams can be tried.

Regards

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