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What Is The Scaly Skin On The Head Of Penis?

Posted on Thu, 22 Jan 2015

Question: Hello Dr. Could you please tell me what you believe this scaly skin is on the head of my penis? It does not itch but it is very painful. After your initial response I will go into further detail. I will send over pictures.

Answered by Dr. Dr. Rahul Kumar (3 hours later)

Brief Answer:
photograph required

Detailed Answer:
Hello
Thanks for the query.
I understand your concern.
It is important to confirm the diagnosis. Can you please upload a photograph of the involved area.
Its very important for me to see the area in order to give a proper guidance.
There is an option to upload photos on right side of query page. Please utilize that. You can also email reports to YYYY@YYYY with subject as attn Dr XXXXXXX Kumar.
Waiting for your response.
Thank you

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Dr. Rahul Kumar (2 hours later)

Hi, I have provided some attachments. Please review them.

Answered by Dr. Dr. Rahul Kumar (11 hours later)

Brief Answer:
details required

Detailed Answer:
Hello
Thanks for the photograph.
I can see only dryness of the mucosa of glans.
I would like to know few more details.
1. Do you use condom or any other chemical?
2. Did you develop any lesions before dryness?
3. Is this the first time you have developed dryness?
Please answer the above so I can help you better.
Thank you

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Rahul Kumar (1 hour later)

Hello Dr. I am 38 years old. About 2 months ago I developed a patch of rough skin on the bottom of my penis head. At this time it did not hurt. A few weeks later it got bigger and began to hurt. These spots never itched, just hurt. Now they are scaly and my whole penis head hurts. At the same time as this I broke out in rashes on my forearms and leg. These rashes itched and disappeared. I also had burning urination and now it burns after I urinate. All of my STD tests came back negative...I got tested for them all during this time. My dermatologist thinks it is penile eczema, but I'm not so sure since this spot never itched. She prescribed me Elidel cream which hasn't really helped much. I also leak quite a bit of urine after urination which I've always had a problem with. I see my urologist in 2 weeks. They are thinking I may have prostatitis...but that wouldn't explain the scaly skin or rashes. I haven't seen anything like this on the Internet. It is ruining my life. Do you have any thoughts to what it could be? It's not from a condom or sex or laundry detergent. I am at a loss. What are your thoughts about my dermatologists prognosis? Does I look like any form of std? This has never happened to me before. Thank you. I have been using the elidel cream and eucerin skin calming lotion. Before that I was using neosporin and some hydrocortisone cream. Nothing works or brings relief. Your thoughts are appreciated

Answered by Dr. Dr. Rahul Kumar (23 hours later)

Brief Answer:
fungal infection

Detailed Answer:
Hello
Thanks for the follow up.
I believe it is a fungal infection.
Usually fungal infections are itchy but I have seen few cases which presented like your.
I advice you to use an antifungal cream like clotrimazole and see the response.
Let me know if you have any other doubts.
Thank you

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Rahul Kumar (1 hour later)

We suspected fungal infection as well, I took a prescription of fluconazole with no improvement so it is not fungal. What do you think of my dermatologist's assessment of penile eczema? Wouldn't that itch? And why have I broke out in rashes during this period? Does it look like an std? If so which one? Do you think it's related to my prostate issues and leaking of urine? If so what would be best to put on it? Please leave a detailed response...thank you!

Answered by Dr. Dr. Rahul Kumar (10 hours later)

Brief Answer:
not std. not related to prostrate

Detailed Answer:
Hello
Thanks for the follow up.
First of all, it is not a std.
None of the std presents like this.
Eczema as you correctly mentioned is itchy and oozes too.
The most common diagnosis would have been fungal, which is ruled out now.
Next common possibility is psoriasis as you have body rashes too.
I would like too see a photograph of body rashes if they are present now.

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