This question was answered on Tue 02, Sep 2008 10:17pm by Dr Bhupinder K, MD

3-4 year rash on penis that seems benign, but is it?

    
Asked by Unregistered (Male; 45; India, Republic of; healthy, no meds; Relevant drugs:1% hydrocortisone, as needed ) on Tue 02, Sep 2008 09:08pm

I have a rash on my penis that I am worried about. I've had it for over 3 years. It is under my foreskin (uncircumcised). It usually doesn't bother me, but sometimes is itchy. It changes in size all the time, but hasn't gone away in several years. A doc I saw several years ago seemed to think it was "planus" or something like that...benign skin condition similar to psoriasis. If it gets really itchy, I use a mild hydrocortisone ointment. Something I simply use petroloeum jelly to create a barrier. I recall the doc said if I was really worried, he would do a biopsy to verify. But I didn't do it. Since I've lived with it for a long time and there are no functional issues, I suppose I can continue on. But my question is the following: Would you recommend that I get it biopsied, i.e., could it be something serious if I ignore? Thanks.

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Answer by Dr Bhupinder K, MD  on Tue 02, Sep 2008 10:17pm:

Hello, Various possibilities are there for your symptoms.It may be pearly penile papule, lichen nitidus( a harmless skin condition that causes small, shiny flesh-coloured lumps to appear on your penis.Mostly self limiting,but you can apply steroid cream for cosmetic reasons) or lichen planus. Lichen planus is a recurrent rash that is due to inflammation Diagnosis is by clinical examination and biopsy of the skin of the rash.Biopsy is needed to confirm the diagnosis and also differentiate it from other similar conditions like candidiasis (yeast infection), carcinoma (cancer), and ulcers(aphthous ulcers). I feel that you should get this rash evaluated by a dermatologist and get a biopsy done to confirm a diagnosis. Hope it helps.Take care and regards.

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