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 discomfort during cleaning or urination. The presence of patches in the groin area could be related to irritation or infection secondary to the phimosis.
- Other Likely Diagnoses
- Balanitis: Inflammation of the glans penis, which can be caused by poor hygiene, infection, or irritation. The patches in the groin area might be a sign of a related skin condition or infection.
- Eczema/Dermatitis: A skin condition that can cause patches and irritation in the groin area, potentially related to or exacerbated by the foreskin issue.
- Contact Dermatitis: An allergic reaction or irritation caused by soaps, detergents, or other substances used for cleaning, which could contribute to the patches and discomfort.
- Do Not Miss Diagnoses
- Testicular Torsion: Although the testicles are descended and no masses are present, any sign of pain or discomfort in the genital area warrants consideration of testicular torsion, a medical emergency.
- Sexually Transmitted Infections (STIs): Despite the patient's age, STIs should be considered, especially if there's any possibility of sexual abuse or accidental exposure.
- Lichen Sclerosus: A chronic skin condition that can cause scarring and affect the genital and anal areas, potentially leading to phimosis and skin patches.
- Rare Diagnoses
- Bullous Pemphigoid: A rare autoimmune skin disease that can cause blistering lesions, potentially affecting the genital area.
- Pemphigus Vulgaris: Another autoimmune disease that causes blistering of the skin and mucous membranes, which could very rarely present with genital lesions.
- Genital Warts (Condylomata Acuminata): Caused by the human papillomavirus (HPV), these could potentially cause lesions in the groin area, although they are less common in this age group without known sexual exposure.