Male Rash

Question 1

Candida balanitis

Answer 1

Red papules, superficial erosions or white plagues

DD = lichen planus and PIN

Question 2

Treatment of candida balanitis?

Answer 2

Clotromidazole cream
or
Fluconazole 150mg

Question 3

Circunate balanitis

Answer 3

Painless, mucocutaneous lesions (look very similar to psoriasis
Thought to manifestation of reiter’s syndrome

Question 4

Treatment of circunate balanitis

Answer 4

Topical corticosteroids e.g. hydrocortisone

Question 5

Scabies

Answer 5

Widespread pruritis - gential nodules, burrows infinger spaces
Diagnosis = clinical but can use skin scrapings

Question 6

Treatment of scabies?

Answer 6

Primethrin 5%

All house and close contacts

Question 7

Pubic lice

Answer 7

Genital itch, blue spots, perifolliculitis

Question 8

Treatment of pubic lice?

Answer 8

Primethrin 1%

Question 9

Dermatitis management

Answer 9

Avoid precipitants
General skin advice
+/- topical steroids

Question 10

Lichen simplex

Answer 10

Caused by chronic rubbing/scratching

Poorly demarcated plaques of thickened skin in scrotum or laba majora

Question 11

Management of Lichen simplex

Answer 11

Avoid irritants
Emollients
Mild topical steroid (betnovate)

Question 12

Lichen sclerosis

Answer 12

Itchy, sore
Pale tropic skin, erosion
Telangiectasia
Loss of architecture

Question 13

Treatment fore lichen sclerosis

Answer 13

POTENT steroids

Ultrapotent = 0.05% clobetasol
Potent = 0.1% mometasine furate

Question 14

Lichen planus

Answer 14

Itchy but self limiting