Red Bumps on Glans: Causes, Symptoms, and Treatment Options

The presence of red, bumpy lesions on the glans that are peeling but not itchy could be indicative of several conditions. One possibility is a fungal infection, such as candidiasis, which can cause redness and flaking. Another potential cause could be a condition known as balanitis, which is inflammation of the glans that can result from irritation, infection, or allergic reactions. It is also important to consider other dermatological conditions, such as psoriasis or lichen planus, which can affect the

Hello, I would like to ask about red, bumpy lesions on the glans that peel and spread but do not itch.
I have seen doctors who prescribed topical corticosteroids, which help when applied, but the lesions return when I stop using them.
This has been ongoing for 10 years.
What condition might this be, and how should I manage it?

Xiao Rong, 30~39 year old female. Ask Date: 2016/01/23

Dr. Wu Yuxin reply Dermatology

Without actually seeing the lesion, it cannot be confirmed.
It is recommended to have a dermatologist evaluate it for a proper diagnosis.

Reply Date: 2016/01/23

More Info

Red bumps on the glans, especially when they are red, peeling, and not itchy, can be indicative of several conditions. Given that you have been experiencing this for 10 years and have been treated with topical corticosteroids, it is essential to consider a few potential diagnoses and treatment options.

Possible Causes
1. Pearly Penile Papules: These are small, benign bumps that can appear around the glans and are often mistaken for a pathological condition. They are normal anatomical variations and do not require treatment unless for cosmetic reasons.

2. Lichen Simplex Chronicus: This condition can cause red, scaly patches on the skin due to chronic irritation or friction. It may not be itchy but can lead to skin changes over time.

3. Lichen Planus: This is an inflammatory condition that can affect the skin and mucous membranes, including the genital area. It can present as red, shiny bumps and may cause peeling.

4. Balanitis: Inflammation of the glans can lead to redness and peeling. This condition can be caused by infections, irritants, or skin conditions.

5. Psoriasis: This chronic autoimmune condition can affect the genital area, leading to red, scaly patches. It can be persistent and may require specific treatments.

Symptoms to Monitor
- Changes in Appearance: Note if the bumps change in size, color, or texture.

- Discomfort: While you mentioned no itching, any new sensations such as pain or tenderness should be noted.

- Associated Symptoms: Keep track of any other symptoms such as discharge, odor, or systemic symptoms like fever.

Treatment Options
1. Topical Corticosteroids: As you have already been prescribed, these can help reduce inflammation and manage symptoms. However, long-term use may lead to skin thinning, so it's essential to use them under medical supervision.

2. Moisturizers: Regularly applying a gentle, fragrance-free moisturizer can help maintain skin integrity and reduce irritation.

3. Avoid Irritants: Identify and avoid any potential irritants, including harsh soaps, detergents, or tight clothing that may exacerbate the condition.

4. Antifungal or Antibacterial Treatments: If there is a suspicion of an infection, your doctor may prescribe topical antifungal or antibacterial medications.

5. Dermatological Evaluation: Given the chronic nature of your condition, a referral to a dermatologist or a urologist specializing in genital skin disorders may provide further insights and treatment options.

6. Lifestyle Modifications: Maintaining good hygiene, wearing breathable cotton underwear, and avoiding irritants can help manage symptoms.

Conclusion
It is crucial to have a thorough evaluation by a healthcare professional who can assess your specific situation and possibly perform a biopsy if necessary to rule out any serious conditions. Chronic skin conditions can be frustrating, but with the right management plan, symptoms can often be controlled effectively. If the current treatment is not providing relief, discussing alternative therapies or a more comprehensive evaluation with your healthcare provider is advisable.

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