What is the diagnosis for an uncircumcised male with a non-retractable foreskin causing pain during cleaning, descended testicles without masses, and bilateral groin area patches that appeared over the last couple of months?

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Differential Diagnosis for Uncircumcised Male with Foreskin Retraction Issue and Groin Patches

  • Single Most Likely Diagnosis
    • Phimosis: This condition is characterized by the inability to retract the foreskin, which can cause pain and difficulty with cleaning. It is a common issue in uncircumcised males, especially during childhood.
  • Other Likely Diagnoses
    • Balanitis: An inflammation of the glans penis, which can be caused by poor hygiene, infection, or irritation. The presence of patches in the groin area could be related to a fungal or bacterial infection.
    • Eczema/Dermatitis: The patches in the groin area could be a manifestation of eczema or dermatitis, which can cause skin irritation and inflammation.
    • Contact Dermatitis: An allergic reaction to soaps, detergents, or other substances that come into contact with the skin, causing irritation and patches.
  • Do Not Miss Diagnoses
    • Lymphoma: Although rare, lymphoma can present with skin patches or lesions, and it is essential to consider this diagnosis to avoid missing a potentially life-threatening condition.
    • Testicular Cancer: Although the patient has descended testicles with no masses, testicular cancer can present with skin changes or lesions in the groin area, and it is crucial to rule out this diagnosis.
    • Infectious Diseases (e.g., Tuberculosis, Syphilis): Certain infectious diseases can cause skin lesions or patches, and it is essential to consider these diagnoses to provide appropriate treatment and prevent long-term complications.
  • Rare Diagnoses
    • Bullous Pemphigoid: A rare autoimmune disease that causes blistering skin lesions, which can appear in the groin area.
    • Pemphigus Vulgaris: A rare autoimmune disease that causes blistering skin lesions, which can appear in the groin area.
    • Granuloma Gluteale Infantum: A rare condition characterized by the formation of granulomas in the diaper area, which can cause skin lesions and patches.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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