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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Penis Has Bruise Looking Light Shade On Bottom. STD?

My penis head has changed to a bruise looking light shade on the bottom. could this be a blood vessel? I do masterbate frequently and have frequently as well. im disturbed by it. im scared I may have an STD. but I have had no discharge or burning. not felt sick or anything. and its been this color for about 2 months now. could someone please help?
Tue, 21 May 2013
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Dermatologist 's  Response
Hi,
It seems that you are having plasma cell balanitis ( PCB).
Plasma Cell balanitis (PCB) or “balanitis circumscripta plasma cellularis” is a benign, idiopathic condition first recognized by Zoon in 1952., also known as Zoon's balnitis.

It is not blood vessel.
Remember that this disease is not STD. And it has no relation with masturbation.
So, do not worry.

The cause of PCB is unclear. It occurs in uncircumcised men. Heat, friction, poor hygiene, chronic infection with Mycobacterium smegmatis, trauma, response to an unknown exogenous agent, immediate hypersensitivity response to IgE class antibodies and hypospadiasis have been implicated as predisposing factors.

It should not be confused with Erythrplasia of Queyrat, a premalignant condition.

The treatment of choice for PCB is circumcision.Successful ablation of PCB has been achieved with carbondioxide laser and Erbium:YAG laser . Intralesional interferon α should be tried.

Treatment with topical agents including corticosteroids and antifungals cause mild improvement, but the lesion usually recurs following discontinuation of treatment and are generally not curative .

Topical tacrolimus ointment may be helpful.

I hope that you got my answer., you consult the dermatologist or urologist for perfect diagnosis and treatment.

Regards,

Dr. Ilyas Patel MD
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Penis Has Bruise Looking Light Shade On Bottom. STD?

Hi, It seems that you are having plasma cell balanitis ( PCB). Plasma Cell balanitis (PCB) or “balanitis circumscripta plasma cellularis” is a benign, idiopathic condition first recognized by Zoon in 1952., also known as Zoon s balnitis. It is not blood vessel. Remember that this disease is not STD. And it has no relation with masturbation. So, do not worry. The cause of PCB is unclear. It occurs in uncircumcised men. Heat, friction, poor hygiene, chronic infection with Mycobacterium smegmatis, trauma, response to an unknown exogenous agent, immediate hypersensitivity response to IgE class antibodies and hypospadiasis have been implicated as predisposing factors. It should not be confused with Erythrplasia of Queyrat, a premalignant condition. The treatment of choice for PCB is circumcision.Successful ablation of PCB has been achieved with carbondioxide laser and Erbium:YAG laser . Intralesional interferon α should be tried. Treatment with topical agents including corticosteroids and antifungals cause mild improvement, but the lesion usually recurs following discontinuation of treatment and are generally not curative . Topical tacrolimus ointment may be helpful. I hope that you got my answer., you consult the dermatologist or urologist for perfect diagnosis and treatment. Regards, Dr. Ilyas Patel MD