What can I do to treat the red itchy patches on my foreskin?

Question

Hi doctor,

I have been suffering from itchy skin since early this year. My doctor does not know the reason for this itching. I had a blood test a few weeks ago, which came back fine. It is mostly itchy on my scalp, upper arms, and back. I have been on Telfast (Fexofenadine hydrochloride) to help with the itching and Daktacort (Miconazole nitrate and Hydrocortisone) to help with a red patch on my foreskin that my doctor said was thrush. Also, he thinks that the thrush may be the root cause of itchiness. The Daktacort has taken this patch down and almost goes away within a week but if I stop using the Daktacort the patch comes back. I have also developed a red spot on the tip of my foreskin, as well as two on the inside of my penis on the shaft. These are not itchy or sore but are just worrying to see as I am generally a healthy person. I also recently had an STI test which came back negative. My partner also had an STI test done and this came back negative as well. Any help would be great.

Thanks.

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concern.

Please send the photographs of other affected areas too to help you better.

I hope this information will help you.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

I understand your concern.

These are going in favor of lichen planus. It is an autoimmune disorder characterized by pruritic papules. Hence, whenever you are taking steroids, pruritus, as well as the lesion, subsides followed by relapse. I would advise you to start Azathioprine 50 mg thrice daily.

I hope this information will help you.

Thanks.