#MedicalCase

White lesion on prepuce (Internal Medicine)

Dr. Nishant Kumar., MBBS

 

Medical Case Details:

Hello Doctors,
Here is a male patient, 44 yrs old, known diabetic since 2 yrs and on metformin 500 mg od , he was having blanitis 1 month back for which he was talking antifungal treatment, now since 3 days he is having white lesion over prepuce, he gives history of cleaning glans and prepuce with soap and by mistake with hot water, the lesions are painless and there is no difficulty in passing urine, the prepuce can be retracted back without any difficulty, His blood sugar levels and HbA1c reports are normal. there is no any significant past disease history.
kindly guide me in this case.

 


    Discussions


    Dr. Suvash Sahu
    Dermatologist

    Hi Dr. Nishant
    Balanitis and balanoposthitis is very common among Diabetics
    He has to use topical antifungal (clotrimazole) plus topical antibiotics (fucidic acid) cream local application twice daily and should take tab fluconazole 150 MG once a week for six weeks

    ▲ 2
    17.Dec, 06:34pm

    Dr. Nishant Kumar

    Thank You Dr. Suvash Sahu sir.

    17.Dec, 06:53pm

    Dr. Zuhair Sagar

    He should stop the anti fungal & use only antibiotic cream once or twice a day for one week , with proper cleaning & keeping it dry.

    ▲ 2
    22.Dec, 11:02pm

    Dr. Albana Greca

    Hello

    To me should consider circumcision.

    All the best.

    ▲ 2
    24.Dec, 01:22am

    Dr. Nishant Kumar

    Thank you DR. Zuhair Sagar sir and Dr. Ramesh Kumar S sir, I started him on antibiotic cream and oral antibiotics and his infection has reduced by 90 percent in these 3 days.


    26.Dec, 01:00pm

    Dr. Nishant Kumar

    Thank You Dr. Albana Greca ma'am , I convinced him for circumcision , he is ready to get circumcised after this infection susides completely.

    26.Dec, 01:02pm



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