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Dermatology/Redness and Irritation Glans

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Question
Redness
Redness  
Hi Doctor,
from 8 months i have a hard redness on my glans, irritation  and a strong hypersensitivity.
To cure it  i used many cream with cortisone but they only aggravated the state.
This happened after a herpes genitalis.
I've attached an image.
Could it be a psoriasis?
What can i do to solve this problem?

Please let me know,

Regards

Answer
Balanitis is swelling (inflammation) of the foreskin and head of the penis.
Causes, incidence, and risk factors

Balanitis can be caused by poor hygiene or inflammarory diseases. Other possible causes include:

Diseases such as reactive arthritis and lichen sclerosis et atrophicus
Infection
Harsh soaps
Not rinsing soap off properly while bathing
Uncontrolled diabetes
Trauma
Irritation
Psoriasis

Symptoms

Redness of foreskin or penis
Other rashes on the head of the penis
Foul-smelling discharge
Painful penis and foreskin
Signs and tests

Your health care provider may be able to diagnose your balanitis by examination alone. However, you may need skin tests for viruses, fungi, Bacteria or inflammatory diseases. Sometimes, a skin biopsy is needed.

Treatment

Treatment depends on the cause of the balanitis. For example, balanitis that is caused by bacteria may be treated with antibiotic pills or creams. Balanitis that occurs with skin diseases may respond to steroid creams. Anti-fungal creams will be prescribed if it is due to a fungus.in your case it looks like mild psoriasis.




Expectations (prognosis)

Most cases of balanitis can be controlled with medicated creams and good hygiene or mild topical steroids.

Complications

Long-term inflammation or infection can:

Can cause irritation leading to infection.

Calling your health care provider

Tell your health care provider if you have any signs of balanitis, including swelling of the foreskin or pain.

Prevention

In your case you would need a stronger topical cortisone or Elidel or Protopic.

Dermatology

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Michael S. Fisher, <B>Ph.D., M.D.</B>

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