Common penile dermatoses (original) (raw)
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Benign dermatoses of the male genital areas: A review of the literature
Dermatologic Therapy, 2020
The male genitalia are a common site of dermatoses. Patients with penile diseases often delay or avoid medical care due to anxiety and embarrassment. In this narrative review, we describe some of the main benign dermatoses localized to male genital, focusing on their epidemiology, clinical and dermoscopic features, as well as available therapies.
Indian Journal of Sexually Transmitted Diseases and AIDS, 2014
Background: Nonvenereal dermatoses tend to create confusion from venereal dermatoses. This may be responsible for considerable concern to the patient as well as may cause diagnostic dilemma to the physicians. Nonvenereal dermatoses may not be restricted to genitalia alone; it may affect skin and mucous membrane also. Most of the patients with genital lesions had apprehension of suffering from some venereal disorders. Aim: The aim was to determine clinical and epidemiological pattern of nonvenereal dermatoses of male external genitalia. Materials and Methods: This was a descriptive study of 100 consecutive adult male patients with nonvenereal genital dermatoses attending skin and STD OPD at J A Group of Hospitals, Gwalior. Cases having any venereal dermatoses were excluded from this study. Results: The study included 100 male patients with nonvenereal genital lesions. A total of sixteen nonvenereal genital dermatoses were noted. The most common nonvenereal genital dermatoses were vitiligo (18%), pearly penile papule (16%), fixed drug eruptions (12%), scabies (10%), scrotal dermatitis (9%) and lichen planus (9%). Other dermatoses included sebaceous cyst, psoriasis, lichen sclerosus, plasma cell balanitis or Zoon's balanitis, granuloma annulare, lichen nitidus, lymphangioma circumscriptum, papulo-necrotic tuberculid, squamous cell carcinoma and tinea infections. The age ranged from 18 years to 65 years with majority in the age group of 21-30 years (40%). Conclusion: This study highlights the importance of diagnosing common nonvenereal genital dermatoses. It also helps in avoiding the general misconception that all genital lesions are sexually transmitted.
Updates on Genital Dermatophytosis
2020
Dermatophytes are a group of keratinophilic fungi, which normally cause superficial infection of skin, hair and nails. Based on ecology, they are classified into three groups: anthropophilic, zoophilic and geophilic. Superficial dermatophytic infection of the genital region is called genital dermatophytosis, tinea genitalis or pubo-genital dermatophytosis. In this review, we would like to discuss briefly, the various clinical presentations of genital dermatophytosis, current changes in the taxonomy and nomenclature, introduction of new diagnostic techniques and briefly describe some common dermatophytes and their sources. Also, there are serious concerns associated with the recent development of antifungal resistance among the dermatophytes. We are also facing the scenario of hard-to-treat dermatophytosis.
IOSR Journals , 2019
Background: Non venereal dermatosis tend to create confusion from venereal dermatosis. This may be responsible for considerable concern to the patient as well as may cause diagnostic dilemma to the physicians. They may be responsible for mental distress and guilt feelings in patients. Non venereal dermatosis may not be restricted to genitalia alone, it may affect skin and mucous membrane also. Most of the patients with genital lesions had apprehension of suffering from some venereal disorders and attends opd for seeking venerophobia. Objectives & Aim: We conducted this study to find the pattern of non-venereal dermatosis of male external genitalia and to correlate non venereal dermatosis with various clinical parameters. The aim was to determine clinical and etiological pattern of non venereal dermatosis of male external genitalia. The present study was undertaken to know about non-venereal genital dermatosis in detail as this topic is neglected as compared to venereal genital dermatoses Materials and Methods: The study included a series of 100 male patients with non-venereal dermatoses of external genitalia who were screened amongst patients attending SKIN & STD OPD of Government General Hospital, Vijayawada, Andhra Pradesh. The demographic or epidemiological characteristics and clinical findings were recorded. Cases having venereal diseases were excluded from the study. Results: The study included 100 male patients with non venereal genital lesions. A total of 20 different types of non venereal dermatoses were noted in the study. Most of the patients (75 percent) belonged to rural area. The most common disorder was candidal balanoposthitis present in 17 cases, followed by genital scabies, accounted for 12 cases. The other disorders encountered included pearly penile papules in 10 cases, scrotal deramtitis in 8 cases, lichen atrophicus(LSA) in 7 cases, penile vitiligo and irritant contact dermatitis(ICD) in 6 cases each , lichen planus and fixed drug eruptions(FDE) in 5 cases, and zoons balanitis(plasma cell balanitis) and sebaceous cysts of scrotum in 4 cases each. Other dermatoses included psoriasis, immunobullous disorders, porokeratosis, Bowens disease, angiokeratoma of Fordyce, lymphangiectasia of scrotum, fordyce spots etc.The age ranged from 18 years to 65 years. The majority of patients (78%) were in age group of 21-50 years and which constitutes about 3/4th bulk of total patients. Conclusion: The study has been quite useful in understanding the clinical and aetiological characteristics of various types of non-venereal dermatoses in males and highlights the importance of diagnosing common non-venereal dermatoses. It also helps in avoiding the general misconception that all genital lesions are sexually transmitted. So, physician and other health professonial related to these conditions should have proper knowledge, so that they can diagnose the disease promptly and manage properly.
Tinea of the penis: A rare localization of a dermatophyte infection
Zdravstvena zastita
Background/Aim: Dermatophyte infection of male genitalia is not common and the aim of this paper is to show the rare localization of this disease on the shaft of the penis in a healthy man. Case report: We present a 34-year-old man with pruritic annular erythematous scaly patch on the shaft of the penis. There are no other skin lesions. Sample preparation of changes from the body of the penis made with the addition of potassium hydroxide is positive, and culture revealed Trichophyton mentagrophytes. The patient was treated with a topical antifungal therapy for two weeks and skin lesions resolved. Conclusion: Although genital localization of dermatophyte infection is rare, this disease should be considered, diagnosed and treated early otherwise it may become a focus for recurrent fungal infections.
International Journal of Research in Dermatology
Background: Non-venereal dermatoses of external genitalia refers to those dermatoses involving external genitalia which are not sexually transmitted. These are associated with mental distress and guilt feelings in affected patients. The aim was to study the incidence of non-venereal lesions of the genitalia.Methods: This was a cross-sectional clinical observational study in 248 male patients attending dermatovenereology OPD of Vydehi Institute of Medical Sciences and Research Center with non-venereal genital lesions for a period of 18 months. Cases having venereal diseases were excluded from the study.Results: The study included 248 male patients with non-venereal genital lesions. A total of twenty-five different types of non-venereal dermatoses were noted in our study. The most common non-venereal dermatoses were Non-venereal infections, seen in 107 patients (43.14%), which includes scabies in 45 patients (18.14%), tinea cruris 25 patients (11.29%), candidiasis 28 (11.29%) followe...
A clinical study on non venereal genital dermatoses in adult males at a tertiary care center
IP innovative publication pvt. ltd, 2019
Introduction: Non-venereal genital dermatoses tend to be confused with venereal diseases, which cause concern to patients and diagnostic dilemma to physicians. A comprehensive understanding of their pattern of presentation, etiology and treatment options is therefore essential to effectively manage the condition and also allay the associated anxiety. This study was to determine the clinico- etiological and epidemiological pattern of presentation of non-venereal dermatoses in male genitalia; Materials and Methods: This was a hospital based descriptive study of 200 male patients over the age of 18years with non-venereal dermatoses of external genitalia attending DVL OPD of KIMS, Amalapuram. Patients having any venereal disease were excluded. A detailed history was taken and a thorough examination of the genitalia, skin and mucosae was done. Gram’s stain, KOH mount, Tzanck smear, patch test, skin biopsy were done as and when required to establish the diagnosis. Results: The overall prevalence of non-venereal genital dermatoses during the study period was 30.8 per 10,000 male patients. A total of 28 different conditions were identified of which the most common was scabies which accounted for 38% followed by candidiasis and vitiligo 12% each, pearly penile papules (10.5%). Certain interesting cases like verrucous carcinoma, lupus valgaris, Behcet’s disease, Erythroplasia of Queyrat, Lymphangiectasia with ramhorn penis and Acrochordon over prepuce were encountered. The data was tabulated and analysed using SPSS version22. Conclusion: Knowledge about the prevalence, etiology of various non- venereal genital dermatoses will be helpful to arrive at adiagnosis and create awareness among patients.
Tinea Cruris Resurgence in Male Genitalia: A Case Report
Tinea infection is a very common disease, but that of the male genitalia is said to be rare. We present a 45 year old male patient suffering from tinea cruris, with lesions extremely chronic and progressive. The patients gave history of empirical treatment and under dosage of antifungal agents with resurgence of the infection. Culture of scrapings from the lesion yielded Epidermophyton floccosum. The case resolved completely with topical tioconazole and oral administration of 50mg fluconazole 3 times a week for six weeks. Patient’s treatment should therefore be guided by laboratory diagnosis and patients should comply with prescribed dosage for better results
Turkish journal of urology, 2017
Superficial penile skin infections may be presented in different clinical situations that vary from simple infection to organ loss and serious morbidity and mortality. Antibiotic treatment and, if necessary, urgent debridement is required. A 46-year-old male patient with the complaints of urethral discharge and pain admitted to our outpatient clinic. He declared that there were midpenil tenderness and erythema 14 days ago which occurred after sexual intercourse. Complete penile skin necrosis with purulent discharge was detected in physical examination. After wound debridement and 14-days of intravenous antibiotic treatment, wound site culture was negative and then full-thickness skin grafting was performed. Urgent antibiotic treatment should be given, especially for the skin infections of the genital area. Despite the rapid spread of antibiotic treatment, clinical presentation may worsen within hours. It should be noted that especially in diabetics and elderly patients with poor hyg...
Penile Inflammatory Skin Disorders and the Preventive Role of Circumcision
International journal of preventive medicine, 2017
Penile inflammatory skin conditions such as balanitis and posthitis are common, especially in uncircumcised males, and feature prominently in medical consultations. We conducted a systematic review of the medical literature on PubMed, EMBASE, and Cohrane databases using keywords "balanitis," "posthitis," "balanoposthitis," "lichen sclerosus," "penile inflammation," and "inflammation penis," along with "circumcision," "circumcised," and "uncircumcised." Balanitis is the most common inflammatory disease of the penis. The accumulation of yeasts and other microorganisms under the foreskin contributes to inflammation of the surrounding penile tissue. The clinical presentation of inflammatory penile conditions includes itching, tenderness, and pain. Penile inflammation is responsible for significant morbidity, including acquired phimosis, balanoposthitis, and lichen sclerosus. Medical treatment can b...