How to rule out balanitis and seborrheic dermatitis?
Ive had a patch for ten weeks now ive been to my GP and he said its nothing, ive also been two see two private dermatologist and theyvsaid nothing too worry about one says, blanatitis and the other said sebhoric dernatitis ive been given various creams over the weeks, synalar, dacktocorit, and lotriderm nothing seams too work, i went back to see dermatologist two weeks back he said dont worrry it will go eventually ? Its now been 10 weeks
First picture ten week ago and the second one was taken this week
Answer few questions and upload a clearer picture.
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I have gone through your history and reviewed the attached photographs. The patch in the recent photograph seems to be improving as I can appreciate little redness only. I would request you to send another clearer picture as this is too close up.
I would like to ask you few questions:
Is there any history of itching or burning over the patch?
Are similar patches present anywhere else?
Is there any scaling over the patch?
Is there any history of blisters prior to the appearance of the patch?
Is there any history of discharge or itching in the genitilia in your sexual partner?
No patches elsewhere
No scaling over patch flat smooth
No history of blisters
No history of itiching
Seems to be a patch of proriasis
According to your history and symptoms it can be a patch of proriasis which is improving. If I was your treating doctor I would recommend you to apply corticosteroid cream like clobetasol propionate cream on the patch for another 2 weeks. If it doesn't improve further I would consider taking biopsy of the patch .
Biopsy required only if it doesn't improve in another few weeks
At present it is simply looking like a patch of psoriasis which is improving. If it doesn't improve in another few weeks then you can consider going for biopsy. But I think it will disappear in few weeks.
Regarding steroids I know you have used steroids and antifungals in the past but steroids are treatment of choice for psoriasis in the genital area. So you have to apply them for some more time.
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