Rashes on my Penis – Two Hairs in one Follicle

This post is a response by a doctor to a question one of our community members asked.

Ken Asks:

I have rashes on my penis. The rashes is at the right side oh my penis where the shaft meets the scrotal sack. I took my time to observe and I realized all the hair not the area of the rash are two, two hairs in one follicle it’s very painful and irritating, I have tried as many medications as possible still can resolve it . I hope you be of help to me thank you.

Dr Nitesh’s reply:

A genital rash is a skin symptom which can be caused by a wide variety of reasons. Rash can occur in any area of male genital area. The possible causes for a genital rash range from infections, Sexually transmitted diseases, autoimmune disorders and allergies. Most common cause among these for genital rashes is infection. Inflammation due to rash can lead to confluence of hair follicles.

Jock itch or ringworm is a fungal infection in the groin area. It can blister and rashes of jock itch are red, itchy and scaly. Another common infection of genital area is Molluscum contagiosum, it is a viral infection that presents as a isolated and firm bump; It can be inflamed and itchy. Balanitis is a condition caused by poor hygiene and usually affects tip of the penis and not base of the shaft.

Scabies can also be another cause for itchy rash in the genital area; Itching with scabies is more intense at night. Infecting parasites like pubic lice and body lice can also be the cause of itching and painful sores in the genital area.

Autoimmune and allergic disorders are other possible factors that can lead to genital rash. Psoriasis is one of the common autoimmune skin disorders which can lead to sores in the genital area. It can produce pinkish, scaly, itchy rash on any part of the body. Latex is a substance known to cause contact dermatitis and can lead to itchy sores in the genital area. Reactive dermatitis and Lichen planus are among the less common causes for genital sores. Sexually transmitted diseases like Genital herpes, genital warts and syphilis can lead to inflamed and itchy rashes in the genital area.

You must consult your doctor on appearance of an itchy genital rash. Your doctor will perform a physical examination of the rash. Apart from some blood work your doctor may ask for skin scrapings or biopsy from the lesion for confirmation of a diagnosis. Treatment for the genital rash depends on the cause leading to these rashes. However, steroid creams can be applied locally to relive the symptoms due to inflammation. In case the rash is due to some autoimmune disorder the doctor will prescribe some medication to relive the symptoms.

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