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What is the infection on the outside of penis with white, flaky spots?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I have developed some sort of an infection on the outside of my penis. It has been a little over a week and there are white, flaky spots now.

Can you please advice?

Thanks.

Answered by Dr. Kakkar

Hi,

Welcome to icliniq.com.

I understand your concern.

I request you to kindly upload a few images of the affected area so that I can have a look and guide you better.

I hope this information will help you.

Thanks.

Patient's Query

Hi doctor,

Thanks for the reply.

I have attached a couple of pictures of the affected area. Please have a look and guide me further.

Thanks.

Answered by Dr. Kakkar

Hi,

Welcome back to icliniq.com.

I understand your concern.

I have viewed the images (attachment removed to protect patient identity).

  1. It seems like eczematous dermatitis, as it has dry, red, and flaky patches. Is it itchy?
  2. Do you have similar patches or itching elsewhere?

I suggest you apply a topical moderately potent steroid cream, e.g., Fluticasone Propionate 0.05 percent cream (Flutivate cream), twice daily for two to four weeks. In addition, I suggest you take an oral antihistamine, e.g., a Cetirizine 10 mg tablet, once every evening for symptomatic relief from itching. Consult your specialist doctor, discuss it with him or her and take medicines with their consent.

I hope this information will help you.

Thanks.

Patient's Query

Hi doctor,

Thanks for the reply.

It does not feel itchy and I do not have any patches or itching anywhere else. I am worried about it being a yeast or fungal infection. So, do you think there is a chance of that being the case? If not, would you recommend any other medication besides the topical skin cream?

Thanks.

Answered by Dr. Kakkar

Hi,

Welcome back to icliniq.com.

I understand your concern.

It could be a fungal infection, but it does not look like that. I suggest you get a KOH (potassium hydroxide) scrapping test from the scaly patches by a private lab. If it is positive, then it is a fungal infection. However, if negative, then it is most likely eczematous dermatitis. In case it is later, I suggest you use the above-mentioned cream and tablet. You may follow up with me regarding the KOH scraping test report, and if it is positive, then I will guide you for further management.

I hope this information will help you.

Thanks.

Answered byDr. Kakkar

Medically reviewed byiCliniq medical review team

Published At March 24, 2018
Reviewed AtApril 27, 2026

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