Identify the lesion present over the penis. 25 y/o male with h/o of this painful lesion x 3 months.

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Dx :- Balanitis, may be Balanoposthitis as whole prepuce is not visible. 25 yrs male, suffering for last 3 months : Rule in / out HIV by doing Anti HIV 1&2 Ab. HbA1C , VDRL should be checked and rule out other causes of immunosuppression. Gram's stain, KOH Preparation, Routine C / S and fungal culture will be helpful.

Its hindered percent a case of Balano prosthitis. Reason for my diagnosis is the presence of lesion involving the glans ,exudative pus ,when glans is involved then it's sure shot that prepuce has to be involved So it's Balanoprosthitis. We should rule out diabetes and h/o any unprotected sexual contact otherwise rule go for Hiv and Syphilitic tests for example ELISA. If Sugar level is more think of fungal infection like candidiasis and see for any other immunocomporosied ds.in the patient .See if the patient is alcoholic. Treatment:-Depends upon cause .if pt. is diabetic Control glucose level.If STD is there go with Benzathine pencillin 12 lac unit Every second week or biweekly .If pt.Is sensitive to pencillin then start with Tetracycline. 500mg q .i.d. .If there is candidiasis go with anti fungal treatment and wash glans with Betadine solution.Even doxycycline 100mg b.d can Also be given . DrRajeshgopal

Balanitis Check VDRL, RBS, Secretion for Gram smear

Balanitis

Balanitis

? BALANITIS

Balanitis

Circinate balanitis

herpetic balanoposthitis

STS DESASE 9N.PENIS FO HIV

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