Penile and scrotal skin disorders

Question 1

What are pearly penile papules

Question 2

Distinguish from condulomata

Answer 2

Symmetrical distributed
Around the edge of the corona only

Question 3

Sebaceous glands of fordyce

Question 4

Angiokeratoma on the scrotum

Question 5

Scrotal calcinosis

Answer 5

Well demarcated yellowish papules scattered over the scrotum

Question 6

Folliculitis

Answer 6

Trim instead of shave
Using exfoliative wash alternative bacterial wash
Culture pustule

Question 7

Syphilis primary

Answer 7

Chancre

Answer 8

Condyloma lata
More sessile papules
More broad base
Tend to be clustered

Question 9

Features of secondary syphilis

Question 10

Rash on palms and soles

Answer 10

Ecz
Ps
Sythe
EM
HFM disease

Question 11

Suppressive Rx HSB

Answer 11

HSV 9 per year

Question 12

HPV

Answer 12

63% students developed new HPV infections

Question 13

Immunocopetent

Answer 13

clear infection 1-2 years

Answer 14

dont shave, trim
Risk of transmission
Pap test if cervix

Answer 15

Watchful waiting
Cryotherapy
Imoquimod
Podophyllotoxin
Sinecatechins
cti-keral
Surgical excision

Answer 16

No treatment superior other another
All better than placebo

Question 17

Immunocompromised HIV +

Answer 17

Double duration of Imiquimod therapy

Question 18

3.75%

Answer 18

Daily x 8 weeks

Question 19

5%

Answer 19

3 x week x 16 weeks

Answer 20

Irritation
Pigmentation change
Flu like sx

Question 21

Podophyllotoxin

Answer 21

Challenging to find
Difficult to apply
2x day x 3 conse days x 4-6 weeks
Only apply to wart

Question 22

Sine

Answer 22

TID x 16 weeks.

Question 23

Monkeypox

Answer 23

Keratinized or non keratinized skin
Psuedopapules

Question 24

Candida

Answer 24

Involves scrotum
Beefy red

Question 25

Tinea cruris

Question 26

Scabies

Answer 26

Starts abruptl;y
Permethrin 5% cream days 1 and 8

Question 27

lichen sclerosis

Answer 27

white sclerotic plaque
waisting
subcoronal adhesion
fissures
loss of frenular architecture
angiokeratomas
inflammatory dyspigmentation
hyalinization

Answer 28

High potency topical corticosteroids 1/12
Avoid irritants
Berrier emollients
Circumcision

Question 29

LS monitoring

Answer 29

PeIN/SCC - 10%

Question 30

Lichen planus

Answer 30

Planar
Polyg
papule
purple
pruritis
penis

Answer 31

volar wrist
ankles
lowe back
oral mucos
nails

Answer 32

Topical steroids
topical calcineurin inhibitors
Oral retinoids
Oral metronidazole
Oral mychophenolate

Question 33

Zoons balanitis

Answer 33

Plasma cell balantios
Erythe moist plaques
Kissing lesion
Uncirumcised men
Consider PeIn Erytgroplasia of Queyrat
Not prema;lignant

Answer 34

Topical steroid

Question 35

Genital psoriasis

Answer 35

30-40% have genital involvement
<5% have isolatd genital involvement
Family hx
Joint pain
Exam
Elbows
Gluteal cleft
Scalp
Nails

Answer 36

Unifrom erythema and scale across entire penis and scrotum
Plaques fluctuate/ move around

Answer 37

Topical steroid.
Topical Vit D analogues
Topical calcineurin inhibitors
Systemic Rs
mtx
Apremilast
Biologis

Question 38

Allergic contact dermatitis

Answer 38

Erythema
Edema
Swelling
+++ pruritis
Vesiculation
Linear lesions

Question 39

dx

Answer 39

Clinical
Patch esting

Answer 40

DC allergen
Topical steroid
Topical calcienurin inhibitors

Question 41

Lichen simplex chronicus

Answer 41

Break itch scratch cycle
Emoolients
Topical steroids, CN1
Anti-histamins
Gabapentin, pregabalin, amitryptaline

Question 43

Fixed drug eruption

Answer 43

NSAID
Allopurinoal
Antibiotics
pen
TCN
Septra
Quinolons

Question 44

PEIN - ertyhro of querat

Answer 44

Underside of penis
Indurated firm
Ulceration
Variable associated with HPV
Risk of SCC transformation 3-6%

Question 45

PEIN bowns

Answer 45

On keratinized skin

Question 46

PEIN Bowenoid papulosis

Answer 46

Red broan papules
Wart like
Younger
< 1% transformation.

Question 47

Ca in situ around urethra

Answer 47

refer for cystoscopy