What is the cause of pruritus (itching) over the glans penis?

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Differential Diagnosis for Itch Over the Glans Penis

  • Single most likely diagnosis
    • Eczema/Dermatitis: This is a common condition that can cause itchiness over the glans penis due to irritation or allergic reactions. It's often seen in individuals with a history of eczema or allergies.
  • Other Likely diagnoses
    • Contact Dermatitis: This occurs when the skin on the glans penis comes into contact with an irritant or allergen, leading to an itchy reaction.
    • Psoriasis: A chronic skin condition that can cause itching, redness, and scaly patches on the glans penis.
    • Balanitis: An inflammation of the glans penis, often caused by poor hygiene, infections, or allergies, which can lead to itchiness.
    • Lichen Sclerosus: A rare condition, but more common in uncircumcised males, characterized by thinning and whitening of the skin on the glans penis, accompanied by itching.
  • Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
    • Sexually Transmitted Infections (STIs): Certain STIs like herpes simplex, syphilis, or genital warts can cause itching on the glans penis. Early diagnosis and treatment are crucial to prevent complications.
    • Squamous Cell Carcinoma: Although rare, this type of skin cancer can present with itching on the glans penis. Prompt diagnosis is essential for effective treatment.
  • Rare diagnoses
    • Zoon's Balanitis: A rare condition characterized by a chronic, painless, and erosive balanitis, often associated with itching.
    • Fixed Drug Eruption: A condition where certain medications cause an allergic reaction, leading to itching and lesions on the glans penis.
    • Keratosis Pilaris: A condition that causes small, rough patches on the skin, which can sometimes occur on the glans penis and cause itching.

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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