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I have had psoriasis on the penis glans on and off for 17…

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I have had psoriasis on...
I have had psoriasis on the penis glans on and off for 17 years which i have always trwsted with 1% topical hydrocortisone cream. But over the years it has gotten more and more resistant to the steroid resulting in me having to use more cream and for longer to treat it. Suddenly one month ago i began experiencing a hypersensitivity in the whole groin area. Penis foreskin, scrotum and inner thighs all burn and are sensitive to clothing touching them. Also scrotum skin has totally changed pigmentation at both sides with a straight border between the two colour skins. I am really worried long term hydrocortisone use has triggered genital dysaesthesia. Have convinced GP to prescribe gabapentin, amytriptyline and oxytetracycline but no improvement in one month.
Submitted: 5 months ago.Category: Dermatology
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Answered in 51 minutes by:
11/17/2017
Dermatologist: DocPhilMD, Doctor replied 5 months ago
DocPhilMD
DocPhilMD, Doctor
Category: Dermatology
Satisfied Customers: 58,750
Experience: Internal Medicine Physician
Verified

Hi, this is Dr Phil, here to assist you. I am Board Certified with over 10 years of experience. I will respond with my answer shortly. Thank you.

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Dermatologist: DocPhilMD, Doctor replied 5 months ago

still need help?

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Customer reply replied 5 months ago
Hello?
Dermatologist: DocPhilMD, Doctor replied 5 months ago

do you have a picture of the area?

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Customer reply replied 5 months ago
No. In any case not reslly much to see. Intense burning pain on inner thighs, forskin snd scrotum but skin all normal, apart from sides of scrotum are pinkish white as opposed to darker coloured normal middle. Clean borderline between the two pigmentations. But the forskin and inner thigh skin appear notmal
Customer reply replied 5 months ago
Can long term hydrocortisone use cause nerve damage?
Dermatologist: DocPhilMD, Doctor replied 5 months ago

It could be coming from your low back

the pain

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Customer reply replied 5 months ago
To the foreskin?!
Dermatologist: DocPhilMD, Doctor replied 5 months ago

yes

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Dermatologist: DocPhilMD, Doctor replied 5 months ago

the nerves from the low back innervate the penis, testicles and skin

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Customer reply replied 5 months ago
What about the pigmentation change to the sides of the scrotum?
Customer reply replied 5 months ago
What medication do you recommend?
Customer reply replied 5 months ago
Are you there?
Customer reply replied 5 months ago
This is an unacceptable level of service
Customer reply replied 5 months ago
Disgusting
Customer reply replied 5 months ago
Where the hell are you dr phil
Dermatologist: DocPhilMD, Doctor replied 5 months ago

Sorry I was offline

I am back now.

do you still need help?

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dermdoc19
dermdoc19
dermdoc19, Dermatologist
Category: Dermatology
Satisfied Customers: 4,069
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