60yrs male pt c/o itching over the penis sine 3 - 4 yrs no any h/o any major illiness plz ddx and rx

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Dr. Nikhil, Visual shows multiple discrete red spots on coronal and glans area, slowly progressing and itching of long duration in 60 years male more favour to BALANITIS XEROTICA OBLITERANs ( lichen sclerosisof penis).....due to age, autoimmune and genetic predisposition. So first exclude BXO by Biopsy and observe the further complications like Hyposthesia of glans, painful Errections, burning micturition and phimosis... If respond to following treatment may be Good prognosis. Good personal hygiene Morning mild potent steroid momentasome.... Night Tacrolimus....cream application Tab Acitretin 10 mg or 25 mg depends on severity for 3 weeks will give excellent results.

Superb Explanation sir
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*GENITAL CANDIDIASIS.. *STI.. *ATOPIC DERMATITIS.. NEEDS CLINICOPATHOLOGICAL EVALUATION.. BLOOD.. URINE ROUTINE.. VDRL.. TRIDOT.. SWAB C AND S EXAM.. ABSTINENCE.. TREAT PARTNER IF MARRIED..

Tnx a lot Dr Abdul Majeed sir
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Herpes progenitalis is prone recurrent episodes like in this case as it is difficult to treat and both partners may be effected and both require treatment. It looks like a case of herpes simplex. Stop topical steroids as in such cases combinations like B.N.C , Fourderm are given by local practitioners and chemists which reduces local immunity with recurrent herpes Infection. Give Acyclovir 800 mg t.d.s for 10 days Also treat the other partner with abstinence for 2 weeks

Genital candidiasis Needs further investigations and evaluation to conclude diagnosis and treatment plan. Antibiotics antihistamine analgesics and multivitamins orally. Antifungal orally and topically after cleaning with diluted betadine lotion. Improve general health and personal hygiene. Reassurance and councelling required.

Thanks Dr Dinesh Gupta
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CANDIDA BALANOPOSTHITIS Mostly seen in Diabetes and STD and immunodeficiency

Candidial balanitis Tab Atarax 25 mg BD Tab zocon 150 twice a wks x 4 wks Candid B cream Maintain personal hygiene

Mostly Candida. Check RBS

Penile lichen sclerosus (?)

SUGGESTIVE OF GENITAL LICHEN SCLEROSIS DD GENITAL CANDIDAL INFECTION

Erythropasia of Querette, mild steroidal cream Antihistomonics zinc

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