What is the transparent shiny red skin on penis with burning sensation?

Question

Hello doctor,

I am 30 years old. I observed something on the penis. It is like it burns and is red in color. I do not have any pain or itching. I started applying Clobetasol cream. Now it seems some transparent shiny skin developing on it and also other parts of the skin around it started becoming shiny and scaly. I have uploaded the image. I do not have any pain or itching. My blood sugar is normal. Please tell me what it is, the seriousness, the remedy and how long will it take to improve.

Thanks.

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concern.

I have seen the image (attachment removed to protect patient identity). Miconazole is a potent steroid based cream and whatever you are noticing now are the side effects of steroid usage.

I hope this information will help you.

Thanks.

Answer 2

Hi,

Welcome back to icliniq.com.

I understand your concern.

The possible differentials for your red patch on the genital could be genital lichen planus or genital psoriasis or lichen sclerosis or candidiasis. However, the application of steroid would alter the original picture making it difficult to establish a definite diagnosis. First of all, we need to give a washout period for the steroid effect to go, which would take at least two weeks. Only then a possible diagnosis can be concluded. However, there is nothing to panic, as the condition appears benign and totally treatable. It is best advisable to stop all topical creams that you have been applying and use as prescribed. Also, mention if you are sexually active and have had any exposure recently.

I hope this information will help you.

Thanks.

Answer 3

Hi,

Welcome back to icliniq.com.

I understand your concern.

Yes, you need to stop using Clobetasol cream right away. You need to start the treatment that I have prescribed as early as possible. There is no need to wash and wait for two weeks. Avoid washing the area with any antiseptics. Wash out period means time to allow the effects of previous treatments to wane off. It looks mostly like a patch of genital lichen planus or genital psoriasis. You can start using Sertaconazole cream.

I hope this information will help you.

Thanks.