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I have been diagnosed with psoriasis of the glans on my

Customer Question
I have been diagnosed...

I have been diagnosed with psoriasis of the glans on my penis. I have been treating it daily with tacrolimus .03 ointment for 3 months. It has improved only slightly and just recently is extremely tender and inflamed! Please help

Doctor's Assistant: Is the condition chronic, or acute?

It is acute. Started approximately 3 months ago.

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

Can't think of any

Submitted: 7 months ago.Category: Urology
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Answered in 10 minutes by:
1/10/2018
Urologist: Dr. Sohaib, Doctor replied 7 months ago
Dr. Sohaib
Dr. Sohaib, Doctor
Category: Urology
Satisfied Customers: 5,337
Experience: MBBS, FCPS Experienced in all Medical Specialities
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Hello and thank you for the question.
I am Dr. Sohaib, a practicing Consultant with over 13 years of experience and I will do my best to help you today.
Let me review your question for a minute and I will get back to you.

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Urologist: Dr. Sohaib, Doctor replied 7 months ago

This is most likely a side effect of Tacrolimus therapy. This drug can lead to dermatitis (skin inflammation) either due to fungal or bacterial infection, or sometimes due to contact with the undergarments.

I believe you need to have this examined by your doctor, and tacrolimus needs to be discontinued for a while; at the same time you will need a swab for culture, as well as a course of antibiotics (topical or oral).

Subsequently when this heals up, your doctor may substitute tacrolimus with another drug for psoriasis like topical steroids.

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Urologist: Dr. Sohaib, Doctor replied 7 months ago

Keeping in view sensitivity of the area involved, I suggest an urgent exam by dermatologist, with in few days, and if this is not possible then you should go to ER for urgent assessment.

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Urologist: Dr. Sohaib, Doctor replied 7 months ago

Good luck and my sincere wishes for your good health.

Please do not forget to Click and Give 5 Star Rating (at the top of screen) to my service as this is the only way I get credit for my time and expertise on your question.
If you feel you have gotten anything less, please reply back, I am happy to address follow-up questions.
Kindest Regards.

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