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recurring flaky patch on shaft of penis

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I'm a 28 year old adult male. About six months ago my girlfriend noticed a flaky patch of skin on the shaft of my penis. We believed it might have been related to friction from sex, and it started to go away on its own. But as it was healing, just to be sure, I visited my primary care physician who informed me that it was just normal friction related irritation as I suspected and that there was nothing to worry about.

A couple of months later it came back. Same spot, on the left side of the shaft, same flaky rough skin. There is no redness, no itching, no sores, no fluid, no blisters, no seeping, just flaky rough skin. Since that first time it seems to go away and come back every 2-4 weeks. I visited a dermatologist the second time it occurred, and was informed that without there being much to see, there wasn't any way to diagnose as dermatology is a "visual medium". I tried to inform the dermatologist PA that what was there was basically as bad as it gets, but to no avail. Some tests were run for herpes, which came back negative for simplex 2 (genital) and positive for simplex 1 antibodies (mouth).

The dermatologist PA said that the condition was likely due to herpes that can "travel" despite her own admission that 90% of the adult population has herpes 1 and that I had never seen any symptoms at any point in my adult life until 6 months into a monogamous relationship. Nevermind that my symptoms didn't seem to match herpes at all (like I said, dry and flaky, not seeping or blistery). I brought this up to the derm PA who quickly backtracked a bit and prescribed a cream for itching and redness (again, I am experiencing neither of these).

Frustrated, I went back to my primary care and saw a different PA who took a look at some photos I took when the symptoms were most evident. She said if I tested negative for herpes 2 then there was really no chance that's what it was, but decided to test me again just in case the last one was a fluke. She said if I tested negative this time then the condition was likely "some kind of dermatitis" or skin problem.

The test was negative, so she suggested it could be something like eczema, or an allergy, but couldn't give me a definitive. I've seen all kinds of forum topics with stuff ranging from lichen planus to sebaceous prominence, but none quite matches my symptoms to the point of me being sure. I suppose eczema seems likely but the fact that it's always in the same place seems strange.

So to sum up, does anyone have a clue what this painless, isolated, flaky, rough patch of skin on the shaft of my penis is?
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replied November 9th, 2012
I have the same exact problem. Did you her find out what it was?
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replied November 9th, 2012
I never knew exactly what is was but it hasn't occurred in at least the last 6 months or more. One thing I have been doing is to make sure to thoroughly rinse and clean everything immediately after sex, and this seems to have alleviated the issue. As embarrassing as it sounds I had been pretty lax about doing a post sex wash up and this may have been a factor. My guess is it may have been a reaction to the fluids or the condoms that developed if the area wasn't cleaned right away after exposure. Hope this helps!
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replied December 27th, 2012
Yo guys i have the exact same problem. Its reccurring and seems to get better sometimes on its own and then comes back again. Then it sometimes more flacky and sometimes the skin cracks and it bleeds and all these stages fluctuate, each period ranging sometimes for about 2 weeks up to a month. I read about 6months ago about someone who had the same symptoms. And after many attempts with the gp he was sent for a skin biopsy. The biopsy showed that he actually had superficial skin cancer. After that he had light surgery to area and it was gone. So guys go and ask your doctors that you want to be sent for a skin biopsy. Ive also found a good website with more info. Type "superficial skin cancer mayo clinic" into google and have a read
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replied September 2nd, 2013
How I got rid of penile eczema
Use a natural crystal deodorant.
Usually this is used for underarms. But it works for wetting the crystal and then wiping on your penis shaft.
This must work by killing the bacteria which is causing the inflammation
I use deo nat crystal deodorant but any similar to this one should do the same.

Also stop eating sugar. The sugar will cause the inflammation also.
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replied October 12th, 2013
Okay guys i have been doin sum research as well ive been to the doctors so magy times, paid soo many co-payments sfioll to get no definitive answer. Upon more & more intense research i ran into an article that explained it could be some form of Phyriosis. So i went to my local walgreen's and gof this cream called "MD-12" or 14,15 or something im not around it at the moment but it had me looking brand new for about 6months, but eventually it came back after about 3 months of not using it , not a permanent solution but it actually addresses the issue temporally. Its an over the counter drug that cost about $12 , just ask them where are the psoriasis products located. When u get home wash/#scrub penis and testicles before using as many times a day as u can. When applying put it on like mayo on a sandwich(THICK). ***WARNING*** it will make the dry spots/exact effected area fell like its "Freezing" off ... good news if its not an effected area it wont have any effect or felling so if its freezing, its working. After applying dont put any underwear on, instead lock the door if u dont live alone. Aim a fan directly at you balls and let it dry before putting cloths on. One of the reasoning that we have this problem is heat, and too much moisture from sweat. And our testicles are not adjusting temperatures property, dont believe me. ... okay put your hand in your paints and hold your balls right now ... there hot i know lol we have to try and wear as thin of a pair of pants and shorts as possible to keep air circulating to keep them dry. Im not a specialist but i have been struggling with this for a while with no proper diagnoses in site but i will find a solution
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replied October 22nd, 2013
Hey had similar problem but the flakey patch was on my head of my penis a doctor prescribed me this cream called Clotrmazole and Betamethasone Dipropionate cream I apply it once daily an continued a week after to be safe it cleared up I applied it rate after I took a shower it worked for me
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replied February 27th, 2014
I have no clue what exactly it is but I know what gets rid of it. Not sure if you can get it otc like you can here in honduras but I got some stuff. Called Betaderm G.C. and it cleared it up in a matter of a week. Even after the first day or two I could tell a BIG difference. I hope this helps someone else out there.
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replied March 26th, 2014
Did you ever peel white flaky patch off of shaft? I did now it slightly hurts. Had this problem for about a year, very worriesum its not any worse then when first noticed it but very inconvenient if you know what I'm sayin. Better check you're self b4 you wreck yourself!
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replied April 3rd, 2014
This may sound really ghetto but I've had this problem for ages and have tried many many things. To my surprise it was the most unexpected that worked. You now may disregard it as bs straight away or you may actually try it. I found that I got dry skin as I stressed more. Anyway, to the point. The thing that worked was styling wax. Yes. Actual hair styling wax. I figured it might work because of how greasy it makes hair and how well it says on, and what do you know after 2 applications and about a week it was much much better. It does sometimes try to come back and that's what I use to keep it away. I am literally not joking. Try for yourself! What I used was the Systeme pro vitamin wax and it worked wonders. Hope that helps a bit!
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replied August 2nd, 2014
I had this my whole life until about half a year ago (28 years).

The things I did:

- Sulfate free soap, shampoo, conditioner. Right now I'm using olive oil soap and Trader Joe's tea tree oil shampoo/conditioner. (good for flaky scalp)
- Stopped lathering up the affected area. I just wash around it and let the soap rinse down over it.
- Apply witch hazel/alcohol toner after shower
- Stopped using petroleum based lubricants (Vaseline, lotion, etc.)
- Went gluten free a few years earlier for a different reason. Probably unrelated but I thought I'd mention it.

Like I said I had this my whole life so it's pretty awesome to finally be free of it. Some of the stuff on the list is probably unnecessary but I did it all at the same time except the gluten free part. Hope this helps someone.
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