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.
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
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