Differential Diagnosis for Rash on Tip of Penis
Single Most Likely Diagnosis
- Balanitis: This is an inflammation of the glans penis and is the most common cause of a rash on the tip of the penis. It can be caused by poor hygiene, infections (bacterial, fungal, or viral), or allergic reactions.
Other Likely Diagnoses
- Contact Dermatitis: An allergic reaction or irritation from coming into contact with certain substances (e.g., soaps, condoms, or lubricants) can cause a rash on the penis.
- Herpes Simplex Virus (HSV): Genital herpes can cause painful blisters or rashes on the genitals, including the tip of the penis.
- Syphilis: The primary stage of syphilis can present with a single, painless chancre (ulcer) on the genitals, which could be mistaken for a rash.
- Fungal Infections (e.g., Candidiasis): Yeast infections can cause a red, itchy rash on the penis, especially in uncircumcised men or those with diabetes.
Do Not Miss Diagnoses
- Squamous Cell Carcinoma: Although rare, any persistent or changing lesion on the penis should be evaluated for the possibility of skin cancer.
- Lymphogranuloma Venereum (LGV): A sexually transmitted infection caused by certain strains of Chlamydia trachomatis, which can cause genital ulcers, among other symptoms.
- Granuloma Inguinale (Donovanosis): A rare bacterial infection that causes genital ulcers, which can be mistaken for a rash.
Rare Diagnoses
- Pemphigus: A group of rare skin disorders that cause blistering of the skin and mucous membranes, which can affect the genitals.
- Fixed Drug Eruption: A rare condition where certain medications cause a skin reaction that recurs at the same site each time the drug is taken.
- Zoon's Balanitis: A rare, chronic inflammatory condition of the glans penis, characterized by a well-demarcated, erythematous plaque.