Dermatology Questions? Ask an Online Dermatologist.
Is it possible to forward a photograph? Thank you.
Thank you for the pictures. To my eye, this appears to be a lesion of lichen planus. I considered a wart. If you develop further growths it might be easier to differentiate the two. We do not know what causes lichen planus. It is not serious but is fairly common. while in most locations it itches, it tends not to itch on the penis. I would recommend trying Cortaid ointment three times a day for three weeks. If this does not work, I would recommend you consult with a dermatologist. In the office setting this would be rather easy to tell the difference, using a tool called a dermatoscope which is a special light/magnifier. Applying white vinegar to the lesion might help. If the area turns white, this would be indicative of a wart ( not always, since lichen planus might turn white too). Lichen planus is not contagious by the way.
No, i don't see anything suggestive of syphilis.
However, it would be a good idea test for that and hepatitis since lichen planus can go along with hepatitis ( rarely).
Lichen planus is not rare.
I would recommend testing to be sure.
This can be done at a health clinic, usually at no cost.
Far more likely that it is lichen planus or perhaps a genital wart. However, Condyloma Latum ( a form of secondary syphilils) can develop in this area too. That is why, to be sure, I would recommend an RPR. I still think it is one of the first two though.
Excellent idea. Good luck.
Yes, usually Lichen Planus does not itch on the penis. Genital warts are even less likely to itch. Cortaid is a topical steroid and has many other uses besides itch reduction.