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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for dark patches with scaling on groin area

Answered by
Dr.
Dr. Kakkar S.

Dermatologist

Practicing since :2002

Answered : 8816 Questions

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Posted on Mon, 19 Jan 2015 in Skin Hair and Nails
Question: Hello doctor I have few issues on my skin for the past 2 1/2 years. Initially I got a red patch with scaly skin whoch was so itchy on my groin after which I have consulted a doctor online with Dr Kalpana Pathak and she diagnosed it as ring worm.. told me to use mometasone and dusting powder. later on the patch disappeared and reappeared on and off. later when ever I have intercourse with my wife it aggravates. After few months I was away from my wife for a year due to work. Nothing big happened I was fine.. suddenly again same kind of patch but it was black itchy patch with some white boils which looked like white bump but no pain.. After that that bump disappeared with garlic paste and tea tree oil.. now After one year me and my wife living together had intercourse several times.. but now I am able to see a very big dark patch with itchy skin on my abdominal fold groin which is not getting disappeared. more over today I had intercourse with my wife and after which I felt a little burning sensation on my propeus lasting for few minutes.. I just observed the area I saw a very little white dot and very little black dot like a mole on my tip of genitalia. .
doctor
Answered by Dr. Kakkar S. 4 hours later
Brief Answer:
You have fungal infection of groins, a molluscum contagiosum and a nevus.

Detailed Answer:
Hello. Thank you for writing to us at healthcaremagic

I have gone through your query and I have reviewed the images.

In the groins I can see dark, colored patches with scaling. I will keep a possibility of fungal infection/tinea cruris Or more commonly known as ring worm.
The morphology, location and the fact that it itches are all in favor of a fungal infection.

Groin folds is a common site for fungal infections because of the anatomy. The closely apposed body folds favor moist, warm conditions in the groin folds which allows the fungus to proliferate and form itchy patches.

A KOH wet preparation made from a small amount of scale scraped from the rash to look for fungal elements will help confirm the diagnosis.

I suggest you to use an OTC topical antifungal e.g clotrimazole 1% cream, twice daily at the itchy patches for 4-6 weeks.
An Oral antifungal e.g fluconazole Or terbinafine may also be required as the patches are extensive.
Oral antifungals are prescription drugs and therefore I suggest that you may talk to your doctor for the needful.
An OTC oral antihistamine e.g cetrizine 10 mg once daily will provide you symptomatic relief from itching.

The white bump on the foreskin looks like a lesion of molluscum contagiosum; it is a viral infection. Genital Molluscum is an STD.
Clinically Molluscum presents as dome shaped pearly lesion with a central dent Or Umblication. Molluscum lesions are otherwise asymptomatic.
Treatment of Molluscum is by needle extraction.

The flat black lesion on the glans is most likely a flat nevus.
However, I request you to upload a few more digital photographs of it, so that I am able to review it closely.

Regards
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Kakkar S. 54 minutes later
Thank you for the explanation. .. Doctor regarding this viral infection on the foreskin what could be the cause and how it can be treated. Is there any permanent solution for it. my wife has a skin disorder eczema. can eczema cause this molluscum contagiosum. What are the possibility to get STD.. are u sure this is STD on Foreskin..
doctor
Answered by Dr. Kakkar S. 2 hours later
Brief Answer:
Genital Molluscum is an STD; other route is also possible

Detailed Answer:
Hi.

Molluscum contagiosum, especially if genital in location is considered an STD. However, it can also be spread by fomites like sharing towels etc
The infection is more common in those who shave off pubic region regularly, thus providing as easy portal of entry for the virus.

Males may acquire the infection from their sexual partners/wives. In females as well molluscum is more common in those who shave pubic region thus providing an easy portal of entry for the virus.
In females non-sexual routes for acquiring the infection include infected surfaces like toilet seats.

Moreover, Molluscum has a variable incubation period and therefore may be clinically silent (i.e there are no visible lesions) in sexual partners even though they still carry the infection.

Treatment is simple as I told you i.e. either needle extraction or electrocautery.

Regards

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
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