Description

Contact dermatitis (venenata = poison/toxin) may involve the skin of the penis. Usually the causative agent can be identified by a careful history and physical examination.


 

Clinical appearance:

(1) macular erythema

(2) edema

(3) papules, vesicles and/or bullae

(4) scaling (if chronic)

 

Possible causes of a penile contact dermatitis:

(1) poison ivy, poison oak or poison sumac (exposure may include smoke from a fire)

(2) nickel allergy (associated with genital jewelry)

(3) latex allergy (associated with latex condom)

(4) soap or detergent

(5) lubricant

(6) topical ointment or antibiotic

(7) clothing

(8) exposure to chemical at work or with a hobby

(9) topical herbal agent

 

Questions:

(1) chemical exposures at work

(2) sexual practices

(3) other foci of contact dermatitis:

(3a) on hands

(3b) scrotum and adjacent skin, especially with a bathing trunk distribution

(3c) generalized contact dermatitis

 


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