Can the use of steroid medication on penile skin cause rashes?

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Please attach a clinical image to arrive at a definitive diagnosis so I can guide you accordingly. Possible differential diagnosis could be balanoposthitis, balanitis, and genital scabies. Attach a clinical image for a proper treatment plan. Avoid Betnovate (Betamethasone valerate) application as it is a very potent steroid to be applied on sensitive penile skin. Thank you.

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From the pictures (attachment removed to protect the patient's identity) attached, I suggest it is candidial balanoposthitis. It is an infection caused by yeast or fungus Candida albicans. It flourishes in warmth and moisture due to prolonged contact with soap, water, urine dribbling, and improper genital hygiene, especially in immunocompromised individuals. Redness, tiny superficial pus-filled lesions, erosions with discharge, or tight foreskin are typical presentations. People with diabetes are the most commonly affected individuals. In addition, patients on potent steroids or laceration of the skin due to climate or clothing are prone to its infection. I would suggest apply 1 % Clotrimazole cream twice daily for two weeks. Apply Mupirocin cream (2.15 % w/w Mupirocin calcium) or Fucidin cream (Fusidic acid 2%) during the daytime for seven days. Take Tablet Fluconazole 150 mg only once stat (immediately). Maintain proper hygiene. Avoid the application of potent steroids like Betnovate. Stop Betnovate immediately. Keep the area clean and dry. Wash area with Episoft cleanser, no soap cleanser, or Cetaphil (Water, Glycerin, Cetearyl Alcohol, Panthenol, Niacinamide, and Pantolactone) cleanser daily and gently pat dry after cleaning or urination. Avoid moisture, warmth, heat, injury, friction, or occlusion at the site. Wear loose, comfortable thin cotton inners. Keep checking on sugar levels. Consult your specialist doctor, discuss with them and take medicines with their consent after prescribing medications. Thank you.

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It will take two to three weeks to subside if you take all proper measures and medications. Also, keep a check on sugar levels. Continue the treatment and revert in two weeks. Thank you.