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Dermatology/Genital and skin disorder after STD has been ruled out

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Hand
Hand  

Penis
Penis  
Hi I am a 25 yr old male who has experienced these symptoms for the past 5yrs and they reoccur every 3-6months and persist for no longer than 7 days at a time. It always starts with an extreme itching of my penis head followed by the same intense itching on my left palm(always left palm). I also will have the same itching in my grown near my buttocks and on my scrotum. My hand will eventually develop a circular rash (same size and location each time) that continues to itch for days. In my genitals my penis head and foreskin will become swollen and red but will soon subside in size (usually 1 day) but stay red and itchy. The skin on both my hand and penis will then become dry and cracked. My penis will develop what seems like open sores that are moist and have a white substance below the glans. These sores will then scab and heal. My hand will not develop any sores but will eventually peel off in one large piece where the rash was. I had an STD panel done about 3yrs ag (2yrs after symptoms started) and everything came back negative including herpes swab and blood test. I cannot be sure what brings these symptoms on i.e sex or stress since I am sexually active on a regular basis and feel like I am constantly stressed in one form or another. Antibiotic creams don't help, tea tree oil does not help, I thought anti-fungals were helping since it seemed the symptoms were not as bad.

Answer
Fixed drug reactions are common and so named because they recur at the same site with each exposure to a particular medication. Medications inducing fixed drug eruptions are usually those taken intermittently.

Drugs causing fixed drug eruptions:

Fluconazole
Ciprofloxacin
Doxycycline
Clarithromycin
NSAIDs
Trimethoprim
Cotrimoxazole
Phenytoin
Cetirizine
Pseudoephedrine
And others

Dermatology

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

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