Why do I have rashes on the corona of my glans penis?
Patient's Query
Hello doctor,
It has been four months since I have been suffering from this problem. I have been to the sexual clinic. They say that all my tests were negative. They keep saying it is a non-sexual rash.
- I have had this white spot near my urethral opening for three months which is what is worrying me. What is it?
- On the corona, I also have this rash that seems to be spreading around the penis head. What is it?
I have attached the images. All the STD (sexually transmitted disease) and HIV (human immunodeficiency virus) tests were negative.
Please help.
Thank you.
Hi,
I am glad you chose icliniq for your medical-related queries.
I understand your concern and will try to help you with it.
The spots near the tip are a normal variation, perhaps due to the keratinized mucous membrane near the tip, as it is exposed, and therefore, it has a slightly rough texture. They are not warts. I am more concerned about the rash on the corona of the glans. It looks like eroded skin along the circumference of the glans. I would like to rule out the possibilities of either candida or yeast infection or STDs (sexually transmitted diseases) like genital herpes.
- Do you have any associated symptoms of pain, burning, or itching?
- Are you sexually active?
- When was your last sexual contact?
- Was it protected or unprotected?
I hope I have answered your question.
Let me know if I can assist you further.
Thank you.
Patient's Query
Hi doctor,
Thank you for the reply.
I had received unprotected oral sex nine months ago. I have had a herpes simplex 1 and 2 tests and both were negative a year ago. I have had 11 broad tests for all STDs and HIV, and all were negative. I have been looking online and the only thing that looks close to this is lichen planus.
- Does it look like cancer?
- What else can it be?
- It has been there for six months or more. It was there in one area and now it has spread around the corona.
- Have you ever seen anything like that?
- If it is herpes, can it last for more than six months?
Please help.
Thank you.
Hi,
Welcome back to icliniq.com.
I read and understand your concern.
Yes, this could be erosive lichen planus. It is usually a painful and tender condition.
- Do you have any associated symptoms of pain, itching, or burning?
- Is the oral mucous membrane involved with similar erosive lesions?
- Are there any skin lesions elsewhere?
Another possibility is that it could be Zoon's balanitis (plasma cell balanitis) but that is not much symptomatic though there may be a slight burning sensation.
Looking forward to your response in order to help you.
Thank you.
Patient's Query
Hi doctor,
Thank you for the reply.
I have been trying to keep it clean as possible but now I am worried. I have had all STD (sexually transmitted disease) tests all negative.
- What can this be?
- Have you ever seen anything like It?
- What could be causing it?
- What is the treatment?
I have attached as many photos as possible that may help better to see the problem I have been to a urologist, and they have checked and said it is normal and they also to further check for any infections did a cystoscopy and the results were all clean. Did a full broad 11 STD test all came back negative and done it in the local hospital and through sending bloods and urine to a private company. I am highly confused.
- Is this HPV (human papillomavirus infection)?
- Does it look like herpes?
- It has now been there for 7 months. Does it look sexually transmitted to You?
It seems like the skin has sunk or just lost it is thickness.
Please help.
Thank you.
Hi,
Welcome back to icliniq.com.
I read and understand your concern.
I can see an annular lesion on glans. It is certainly more clearly visible then previously. It is not an STD for sure. I will keep a possibility of granuloma annulare. It is a rare condition. Another possibility is of course annular Lichen planus, but it is usually itchy and there is associated violaceous hue or pigmentation. Is there any itching? Looking forward to your response in order to help you.
I hope I have answered your question.
Let me know if I can assist you further.
Thank you.
Patient's Query
Hi doctor,
Thank you for the reply.
There is no itching at all. What causes this?
Please help.
Thank you.
Hi,
Welcome back to icliniq.com.
I read and understand your concern.
Granuloma annulare is mostly idiopathic, with no identifiable cause. Though it has an association with diabetes millions. Ideally, I would like to biopsy and confirm my clinical diagnosis, but this is a tricky site to convince someone for a biopsy for a non-serious condition. Granuloma annulare may regress on its own. You may try a topical steroid that is mometasone furoate 0.1 percent ointment or triamcinolone acetonide 0.1 percent ointment, twice daily. Another option is topical tacrolimus 0.1% ointment. It is a non-steroidal alternative.
I hope I have answered your question.
Let me know if I can assist you further.
Thank you.
Patient's Query
Hi doctor,
Thank you for the reply.
- So, will it ever go away?
- Will my skin always stay the same?
Please help.
Thank you.
Hi,
Welcome back to icliniq.com.
I read and understand your concern.
It would definitely respond to the topical remedies that I have suggested.
Looking forward to your response in order to help you.
Thank you.
Patient's Query
Hi doctor,
Thank you for the reply.
- So, where the skin has thinned away or eaten away, will that ever come back?
- Can you also tell me what causes this?
- Is tacrolimus 0.1% prescription-based ?
Please help.
Thank you.
Hi,
Welcome back to icliniq.com.
I read and understand your concern.
Tacrolimus is prescription drug. About 50% regress spontaneously within 2 years though lesions may persist for weeks to decades. Some may recur at the same site. The surface markings of epidermis are attenuated due to epidermal thinning. It may reverse to an extent.
Looking forward to your response in order to help you.
Thank you.
Patient's Query
Hi doctor,
Thank you for the reply.
- So, it may not go back to normal?
- How do I get tacrolimus 0.1%?
I have hydrocortisone acetate 1%.
- How long do I use the cream?
Please help.
Thank you.
Hi,
Welcome back to icliniq.com.
I read and understand your concern.
It would definitely improve on treatment and may resolve with some residual changes (50% regress within 2 years). Tacrolimus is only available on prescription.
I suggest you kindly talk to your local practitioner for a prescription of the same. Hydrocortisone 1 percent cream is a very mild topical steroid, but you can certainly try it for the time being till you can either find a moderately potent topical steroid cream that is mometasone furoate or triamcinolone acetonide or a topical calcineurin inhibitor that is tacrolimus ointment.
The topical preparations can be used at least twice daily for four to six weeks and then followed up.
Looking forward to your response in order to help you.
Thank you.
Patient's Query
Hi doctor,
Thank you for the reply.
Will that duration of time not damage the skin further or make the skin thin?
I have been using fusidic acid as prescribed.
Please help.
Thank you.
Hi,
Welcome back to icliniq.com.
I read and understand your concern.
Fusidic acid 2% cream has no role. It is an antibiotic.
Looking forward to your response in order to help you.
Thank you.
Patient's Query
Hi doctor,
Thank you for the reply.
Ok so no use. That is what my doctor gave me.
Thank you.
Hi,
Welcome back to icliniq.com.
I read and understand your concern.
Gestational age is not a bacterial infection. So fusidic acid cream has no role. Is he a dermatologist?
Looking forward to your response in order to help you.
Thank you.
Patient's Query
Hi doctor,
Thank you for the reply.
No, I will have to wait six weeks to see a dermatologist.
Thank you.
Hi,
Welcome back to icliniq.com.
I read and understand your concern.
Start with hydrocortisone cream till you get an appointment.
Looking forward to your response in order to help you.
Thank you.
Patient's Query
Hi doctor,
Thank you for the reply.
I have been using that twice a day.
Thank you.
Hi,
Welcome back to icliniq.com.
I read and understand your concern.
Biopsy would be confirmatory. How long have you been using hydrocortisone?
Looking forward to your response in order to help you.
Thank you.
Patient's Query
Hi doctor,
Thank you for the reply.
How would it get confirmed.
Thank you.
Hi,
Welcome back to icliniq.com.
I read and understand your concern.
It is idiopathic. No known cause.
Looking forward to your response in order to help you.
Thank you.
Patient's Query
Hi doctor,
Thank you for the reply.
So, you do not get it from STDs. It is rare; that is what is scaring me.
Thank you.
Hi,
Welcome back to icliniq.com.
I read and understand your concern.
Less likely possibility is of lichen planus but that is usually itchy and has a violet hue.
Looking forward to your response in order to help you.
Thank you.
Patient's Query
Hi doctor,
Thank you for the reply.
It is not itchy now.
Thank you.
Hi,
Welcome back to icliniq.com.
I read and understand your concern.
Treatment for geographic atrophy and lichen planus is almost the same. Geographic atrophy is not an STD.
Looking forward to your response in order to help you.
Thank you.
Patient's Query
Hi doctor,
Thank you for the reply.
I have a few white spots under the glans' skin.
- Is that a part of geographic atrophy?
- Can this be transmitted if I were to have sex?
- Would my partner get it?
Please help.
Thank you.
Same symptoms don't mean you have the same problem. Consult a doctor now!
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