What is the cause of a vesicle on the glans penis?

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Differential Diagnosis for Water Blister near Head of Penis

  • Single most likely diagnosis
    • Genital herpes: This is a common sexually transmitted infection that can cause painful blisters or sores on the genitals, including the head of the penis. The presence of a water blister near this area is highly suggestive of this diagnosis.
  • Other Likely diagnoses
    • Friction blister: Friction from sexual activity, tight clothing, or other sources can cause blisters on the penis, including the head.
    • Contact dermatitis: An allergic reaction or irritation from soaps, lotions, or other substances can lead to blisters and skin lesions on the genital area.
    • Fixed drug eruption: A type of drug reaction that can cause blisters or lesions on the skin, including the genital area, in response to certain medications.
  • Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
    • Syphilis: Although less common, syphilis can cause a painless sore or blister on the genitals, including the head of the penis, and if left untreated, can lead to serious complications.
    • Penile cancer: Although rare, any unusual or persistent lesion on the penis should be evaluated for the possibility of cancer.
  • Rare diagnoses
    • Bullous pemphigoid: A rare autoimmune disorder that can cause blisters on the skin, including the genital area.
    • Pemphigus: Another rare autoimmune disorder that can cause blisters on the skin and mucous membranes, including the genital area.
    • Aphthous ulcers: Although more common in the mouth, aphthous ulcers can occasionally occur on the genitals, including the head of the penis, and can cause significant discomfort.

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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