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toddler with Penis irritation
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toddler with Penis irritation

Hi,
My now 20 month old son, Jackson, developed a very red patch of skin on the head of his penis surrounding his urethra. It all started after several baths with Mr. Bubble. This could be totally unrelated though.  
This redness, it seems to go through cycles. It gets very red with white bumps, peels and then gets less red.  Then the process starts over, only now it seems to be getting bigger.
There is also a bumpy patch on his scrotum that comes and goes.
We have been to children's dermatologist numerous times and have tried several creams.  Steroid, anti-fungal and now we are on Protopic.
It seems to be getting worse, and more red, since we started the Protoic last week.
It doesn't really seem to bother him at all.  It looks painful to me though.  Dr. Kress says that to him it either looks like psoriasis or lichen planus but which ever it may be the course of treatment would be the same.
My father has a history of psoriasis and psoriasis on his penis as well. Only his went away with steroid cream as a youngster.
He has had this for about 3 months.
Any suggestions to bring to our Pediatric Dermatologist?
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2 Comments Post a Comment
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Avatar_dr_f_tn
Hi

Your child's skin condition appears to be chronic. That is it is persistent and it does not appear to respond to the medications. Also, there’s a significant history of psoriasis in the family. All these may suggest that this is likely a chronic inflammatory condition. Chronic inflammatory conditions may involve a fungal infection, dermatitis and psoriasis. A microscopic evaluation of the scales from the area may help determine if a fungal infection is likely here. This would be a first step towards management. Once an infectious process is ruled out here, then psoriasis may be likely differential.
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Avatar_n_tn
Hello,
This was posted back in '08, but my son seems to have the same problem. Although, we just noticed the rash and have not gone through any cycles or anything. Have you found a solution to Jackson's problem? Any advice?

Thanks :)
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