Hi doctor,
I am a 27-year-old male with a height of 5.8 feet, and my weight is 62 kg. I have a big black spot on the foreskin of the penis for the past four to five years. I do not know what it is. And I do not feel any pain.
Hi,
Welcome to icliniq.com.
Please attach the picture of the lesion for a better understanding.
Thank you, doctor, for your reply.
There are no allergies or any drug history. Sometimes in two to three months, I feel itching on the foreskin for one to two days. Nothing else apart from that.
Hello,
Welcome back to icliniq.com.
You can try,
Tablet Levocetirizine 5 mg twice daily for seven days (when itching is present).
Avoid scratching of the lesion as it can cause secondary bacterial infection. Keep the penis clean and dry.
Apply Candid (Beclometasone with Clotrimazole) cream at night for seven days (when itching is present).
Fucidin (Fusidic acid) cream at daytime for seven days to avoid secondary bacterial infection.
Maintain proper genital hygiene.
Do reply.
Thank you, doctor, for your reply.
This is the first time I am consulting for this problem. Can you tell me what this problem is exactly called?
Is it treatable? And how can I get this spot removed?
Is it something dangerous? I am worried about this.
Sometimes in two to three months, it feels itchy and smelly for one to two days maximum, like a little liquid on it.
Do I have to start applying the Fucidin and other creams from today? And please tell me how it can be removed permanently. I masturbate three times a week. There is no family melanoma. But I have red spots on the chest (Photo attached). This creates itching, as I have a lot of dandruff in my scalp.
Hello,
Welcome back to icliniq.com.
It is seborrheic dermatitis (chest area) due to Malassezia globosa species (yeast). You can try,
1. Dersil AF (Ketoconazole) body wash or soap like KZ (Ketoconazole) soap for bath.
2. Salicia KT shampoo (Salicylic acid and Ketoconazole) twice weekly and keep it applied for 15 minutes and then wash off (for itchy scalp and dandruff).
3. Apply Pacroma (Pimecrolimus) 1% ointment at night over the chest area for seven days.
4. Apply Ketoconazole cream in the morning over the affected area in the morning (chest region) for ten days.
5. Tablet AF (Fluconazole) 400 mg once immediately.
The penile lesion is a postinflammatory hyperpigmentation mark. Do not worry. Many penile lesions are usually benign. But some requires intervention.
A biopsy is recommended for confirmation of diagnosis. Laser therapy can be done for cosmetic issues after confirmation of diagnosis from histopathology reports. Avoid oil application as it acts food for dandruff. Follow-up after ten days.
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