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Suggest Treatment For Lichen Planus On Penis

Posted on Mon, 6 Oct 2014

Question: I have had 2 dermatologists tell me that I have lichen planus on my penis. The condition I have is quite painful and at times itchy. There are white areas that seem to have black seeds under them. There is also an area on the rim of my penis that is red and raised and has been there for about 3 years. The condition has not responded to steroid creams or antifungals. Could this be genital warts? Around the urethral opening there are a lot of strange bumps that are painful. I have attached pictures

Answered by Dr. Bharatesh Devendra Basti (3 hours later)

Brief Answer:
Details required.

Detailed Answer:
Hi
Thank you for query.I am Dr Bharatesh D Basti answering your query.
The photos are not clear .
Also the morphology as changed due to application of creams like steroid.
Around urethra it appears dry and scaly .and at rim I find tiny papules as if now.
It does not appear like wart or lichen planus .it may be modified .
Lichen planus usually not painful.
Please send details of intercourse history , how it started, clear photos, symptoms at start and currently, treatment taken and now what you are taking, any lesions in the body or in oral cavity, any discharge, partner history if any,etc.any other diseases associated like diabetes.
Please get back with details I will try to help you
Thank you
Dr Bharatesh
Dermatologist and venereologist

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Bharatesh Devendra Basti (3 hours later)

Ok so the first bumps occurred on the rim about 3 years ago, 2 weeks after a brief unprotected sexual encounter. The area started out as bright red and was painful. I also contracted chlamydia from this encounter, which I was treated for. I have had chlamydia and NGU several times in the past as well as acute prostatitis. I currently take medication for depression and anxiety (pristiq). No other conditions. I was in a monogamous relationship for the last 2.5 years and my partner did not complain of any sexual issues ok her end. I recently had unprotected sex with a female about 1.5 months ago and now the pain in my penis has come back. I got tested on monday for STDs as I have prostatitis again after the most recent encounter. I don't know the results yet. I am on ciproflox 500mg twice daily.

Answered by Dr. Bharatesh Devendra Basti (1 hour later)

Brief Answer:
May be balanitis due to fungal or lichen sclerosis

Detailed Answer:
Hi
Thank you for follow up query.
I went through the details given and same photos.
I do not see any black spots in any photos as it is not clear.
It may be balanitis which can be due to fungal or lichen scelorsis..
You are on antibiotics.
As you gave already taken multiple treatment.
Please clean area with warm water twice daily.
I hope you are not on any topical treatment now
You try with topical candid-B cream in the night.
Take oral griseofulvin 375 mg OD for few days.
Treat partner with antifungal cream/pessary like candid and oral flucanazole 15mg weekly once.
You can get back for any clarification else close the discussion and rate.
Thank you
Dr Bharatesh

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Bharatesh Devendra Basti (5 minutes later)

Here are some more photos. thanks for your response. I am just using clotrimazole cream on it twice daily

Answered by Dr. Bharatesh Devendra Basti (12 minutes later)

Brief Answer:
continue treatment as prescribed.

Detailed Answer:
Hi
Thank you for query.
I think you continue with same treatment as I said in my earlier answer.
You can use candid usually when redness or itching is more you can use candid-b cream
Hope it helps you .
You can get back to me for any clarifications.
Thank you
Dr Bharatesh

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Bharatesh Devendra Basti (8 hours later)

I am having trouble sending the pictures

Answered by Dr. Bharatesh Devendra Basti (4 minutes later)

Brief Answer:
send to address

Detailed Answer:
Hi
Thank you for query.
You can send photos to attachments @healthcaremagic w.r t Dr Bharatesh D Basti.
If not possible consult customer care.
You can get back for clarification else close discussion and rate
Dr Bharatesh

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Bharatesh Devendra Basti (9 hours later)

Hi, I have provided some attachments. Please review them.

Answered by Dr. Bharatesh Devendra Basti (2 hours later)

Brief Answer:
continue treatment as prescribed.

Detailed Answer:
Hi
Thank you for follow up query.
The images are too small and i do not find any significant from these small images to change my opinion.
please relax and do not be anxious and continue the treatment suggested.
You can get back to me for any clarifications else please close the discussion and rate.
Thank you
Dr Bharatesh

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar