HomeAnswersDermatologygenital psoriasisIs Beclomethasone a good cure for genital psoriasis?

I have white patches with dark outline in my genitals. Kindly help.

Share

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Chithranjali Ravichandran

Published At October 26, 2021
Reviewed AtSeptember 4, 2023

Patient's Query

Hi doctor,

I had scabies during my childhood. I was diagnosed with psoriasis three years ago. Psoriasis involved my whole body, including my genitals. After treatment, it began to clear, but white patches appeared only on my genitals with a dark outline, it starts to spread to the right side. I have this white patches for an year. I started using Provate (Desoximetasone) ointment and Betamethasone dipropinate two days back. Kindly guide me with the treatment.

Hello,

Welcome to icliniq.com.

I understand your concern. But there are no attached photographs in your message. It is difficult to treat without seeing the lesion. It might be vitiligo or post-inflammatory hyperpigmentation. Kindly send a picture of the affected area to assess the condition and suggest the appropriate diagnosis and treatment. Take care.

Patient's Query

Hello doctor,

Thank you for your response. I am sharing the images. Recently, I found an article online that mentioned the same issue. It says that dark skin is genital melanosis and the white patches were just within that, and it does not spread outside it. My genital hygiene during psoriasis and scabies lacked as I was a kid. My psoriasis is now off, but these patches remain. I do feel inflammation and burning sensation while urinating. Also, after completely emptying, I feel the urge to urinate in drops. I used Betamethasone to treat it. I am very much worried about this condition. Would you please guide me with the treatment and prescribe ointments? Help me to know If I have UTI. Thanks.

Hi,

Welcome back to icliniq.com.

Thanks for sharing the pictures (attachments are removed to protect the patient’s identity). There are two possible diagnoses after looking at the pictures you shared. The first is genital vitiligo, and the second is genital discoid lupus erythematosus (DLE). As for the article you read, you do not have any genital melanosis except psoriasis and scabies. I suggest you get ANA (anti-nuclear antibody) test done, which will help to rule out DLE to a certain extent. For now, I suggest you Pimecrolimus 1% cream. It will work in both conditions. Take care.

Patient's Query

Hi,

Thanks for the response. Does the vitiligo spread to the adjacent area? It has been more than a year, and it did not spread anywhere on the body except psoriasis. Also, will the cream resolve the white patches as well? And how much cream should be applied and when? Also, is there any chance of a UTI? Thanks again.

Hi,

Welcome back to icliniq.com.

It is difficult to say if the vitiligo will spread. But genital vitiligo is usually an isolated occurrence. There should be an improvement in the white patches with the cream but use it twice daily for six to eight weeks. Apply a sufficient amount of cream to cover the area and rub for few seconds. For UTI, it is better to get a urine culture and sensitivity test done. Only then should the antibiotics be started, or else it will lead to treatment failure or antibiotic resistance. Take care.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Dilip Kumar Meena
Dr. Dilip Kumar Meena

Dermatology

Community Banner Mobile
By subscribing, I agree to iCliniq's Terms & Privacy Policy.

Ask your health query to a doctor online

Dermatology

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.

This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy