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What Does Persistent White Crusty Ring On The Foreskin Indicate?

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Posted on Wed, 8 Feb 2017
Question: I seem to have developed a crusty white ring on my foreskin.
I have tried everything.
Washing, not washing, washing with warm water and a dilute solution of vinegar, anti-fungal creams...it will reduce a bit, but then come right back.
doctor
Answered by Dr. Asmeet Kaur Sawhney (1 hour later)
Brief Answer:
Upload pictures

Detailed Answer:
Hi
Thanks for being at healthcaremagic
I would recommend you to upload the photographs of the affected areas so that I can have a clearer picture of the condition and can guide you accordingly.
Regards
Dr Asmeet
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Asmeet Kaur Sawhney (3 hours later)
Dear Respected Dr. Asmeet Kaur;
Thank you so much for taking my question:
A little more history...this condition/situation started around the first part of December 2016. At first, we (my wife and I) thought it might be a simple yeast-infection which might have started from her and come to me. I was also off my diabetes medicine at that time. So, she went to her gynecologist and got the necessary medicine for an yeast-infection, and I restarted my diabetes medicine and began applying Candid-B [clotirmazole+beclomethasone]. It visibly reduced at this time (down to a very thin crusty white line on my foreskin). In the course of time, we were intimate again, and the situation was back. I went back to Candid-B and also Lobate-GM (another ointment for mixed secondary infections in the dermatoses). Additionally, thinking that it might be some sort of infection from our well-water, we had the well treated with potassium permanganate. I also started to wash with a warm diluted solution of vinegar. Thinking that this was maybe just a case of extremely dry-skin, I have even once in a while been applying medical-grade petroleum-jelly at night, after bath. I am tired of this condition and just want it to end.
It looks like a this covering of white on top of the normal pink of my head and foreskin. There is a tiny patch of red skin around the opening of my penis...
I took some pics (not very good ones) which I would load on here, but I don't know where to load it...
Do you have an email ID I could send it to?
Sincerely, respectfully, and thankfully, XXXXXXX Yohannan :(
doctor
Answered by Dr. Asmeet Kaur Sawhney (3 hours later)
Brief Answer:
Looks like candidiasis, apply plain antifungal cream

Detailed Answer:
I have reviewed the attached photographs and gone through your history.
According to me you seem to be having candidiasis which is a yeast infection common in diabetics.
The medicines you have been using contain antifungal and steroid combination. That's why you haven't got it cured it completely.
If I was your treating doctor I would recommend you to apply plain antifungal like sertaconazole cream on the affected area twice daily for 2-3 weeks and take tablet fluconazole 150 mg single dose stat.
These are prescription drugs and you need to see the doctor in person to get them.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Asmeet Kaur Sawhney (25 minutes later)
January 20, 2017

Dear Dr. Asmeet Kaur;
Thank you Ma'am kindly for your diagnosis. Last query from my side...since my diabetes is an ongoing condition, will I have to have to now keep using these medicines for the rest of my life?? :(
Sincerely, XXXXXXX Koshy Yohannan
doctor
Answered by Dr. Asmeet Kaur Sawhney (45 minutes later)
Brief Answer:
These medicines don't have to be applied throughout life

Detailed Answer:
Usually candidiasis is common in cases with uncontrolled sugar levels.
You won't have this condition if your diabetes remains under control.
This condition can be easily treated with short course of plain antifungal medicines.
You don't have to apply this throughout life.
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. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Asmeet Kaur Sawhney

Dermatologist

Practicing since :2007

Answered : 4993 Questions

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What Does Persistent White Crusty Ring On The Foreskin Indicate?

Brief Answer: Upload pictures Detailed Answer: Hi Thanks for being at healthcaremagic I would recommend you to upload the photographs of the affected areas so that I can have a clearer picture of the condition and can guide you accordingly. Regards Dr Asmeet