This 52-year-old male presents with a 2.5-year history of a cracking and bleeding rash on the corona. What is this rash and how would you treat this chronic condition? 
a) Candida balanitis
b) Balanitis xerotica obliterans
c) Dermatophyte infection
d) Psoriasis
e) Lichen planus
SCROLL DOWN FOR THE ANSWER
ANSWER: d) Psoriasis
Signs of psoriasis usually are noted by examining the nails, scalp, belly button and axillae-seborrheic distribution areas. Biopsy can be helpful if necessary. Lichen planus is usually not that scaly in this location. Dermatophyte is extremely rare unless diabetic or immune compromised (same with Candida). Balanitis xerotica obliterans is usually inflammatory with atophic scarring with hypopigmentation. Because the condition is chronic, use intermittent low-potency corticosteroids or any one of the non-steroidal options. Since genital psoriasis can be emotionally devastating, systemic therapy is not unreasonable and often covered by insurance plans.
This case was originally published in Consultant. 2013;53(12):924.
This 52-year-old male presents with a 2.5-year history of a cracking and bleeding rash on the corona. What is this rash and how would you treat this chronic condition? 
a) Candida balanitis
b) Balanitis xerotica obliterans
c) Dermatophyte infection
d) Psoriasis
e) Lichen planus
SCROLL DOWN FOR THE ANSWER
ANSWER: d) Psoriasis
Signs of psoriasis usually are noted by examining the nails, scalp, belly button and axillae-seborrheic distribution areas. Biopsy can be helpful if necessary. Lichen planus is usually not that scaly in this location. Dermatophyte is extremely rare unless diabetic or immune compromised (same with Candida). Balanitis xerotica obliterans is usually inflammatory with atophic scarring with hypopigmentation. Because the condition is chronic, use intermittent low-potency corticosteroids or any one of the non-steroidal options. Since genital psoriasis can be emotionally devastating, systemic therapy is not unreasonable and often covered by insurance plans.
This case was originally published in Consultant. 2013;53(12):924.
This 52-year-old male presents with a 2.5-year history of a cracking and bleeding rash on the corona. What is this rash and how would you treat this chronic condition?
a) Candida balanitis
b) Balanitis xerotica obliterans
c) Dermatophyte infection
d) Psoriasis
e) Lichen planus
SCROLL DOWN FOR THE ANSWER
ANSWER: d) Psoriasis
Signs of psoriasis usually are noted by examining the nails, scalp, belly button and axillae-seborrheic distribution areas. Biopsy can be helpful if necessary. Lichen planus is usually not that scaly in this location. Dermatophyte is extremely rare unless diabetic or immune compromised (same with Candida). Balanitis xerotica obliterans is usually inflammatory with atophic scarring with hypopigmentation. Because the condition is chronic, use intermittent low-potency corticosteroids or any one of the non-steroidal options. Since genital psoriasis can be emotionally devastating, systemic therapy is not unreasonable and often covered by insurance plans.
This case was originally published in Consultant. 2013;53(12):924.
