White spots on the foreskin
Introduction
Introduction The phimosis and foreskin are too long to accumulate under the foreskin, the white bean curd-like smeg formed by the sebaceous gland secretions and the exfoliated epidermis, occasionally forming stones, and prone to bacterial infection, forming a foreskin penis inflammation, which will cause white on the foreskin. point.
Cause
Cause
1. Some small white spots on the foreskin may be caused by pearl-like papules.
Some small white spots on the foreskin may be pearl-like papules. A pearl-like papule is a papular-like skin disease that occurs in the male coronary sulcus. It is clinically thought to be related to excessive foreskin and chronic inflammation. Therefore, there may be some small white spots on the foreskin. It is related to the length of the foreskin.
2, some small white spots on the foreskin may be caused by foreskin balanitis
The reason for some small white spots in the foreskin may be foreskin balanitis. The foreskin balanitis can be caused by unclean sex life and excessive foreskin. It can be seen that some small white spots on the foreskin may be related to the excessive length of the foreskin.
3, in addition to Staphylococcus, Streptococcus, Escherichia coli, Candida albicans, Trichomonas, Chlamydia, Mycoplasma, fungi, gonorrhea or other bacteria can cause foreskin balanitis.
Examine
an examination
Related inspection
Foreskin phimosis check penis ultrasound examination penis examination
1, check the test: Candida balanitis (the dermatitis) can be found in the lesions of the glans, foreskin microscopic examination or culture can be found Candida. Trichomonas balanitis can find trichomoniasis on secretions.
2, caused by drug allergy is a delayed type of clinically quite common in general, 24 to 72 hours after eye drops.
Diagnosis
Differential diagnosis
First, acute superficial balanitis: mostly due to underwear friction, trauma or soap, local irritant caused by detergent, edema, erythema, exudation, erosion, secondary infection with purulent secretions, easy to form ulcers, conscious pain.
Second, the ring erosive balanitis: the glans and foreskin inflammation damage is ring-shaped, or ring-shaped with cheese-like smegma, it is easy to break into shallow ulcers, and if it loses the ring characteristics, it is not easy to distinguish from superficial balanitis. The disease can exist alone or as a mucosal symptom of Reiter syndrome.
Third, plasma cell balanitis: more common in middle age, for single or multiple long-term chronic inflammation, the lesion is plaque-like, smooth surface or desquamation or moist, infiltration is more obvious, clear and not easy to collapse, The surface can be seen as tiny spots like paprika, and the shape is difficult to distinguish from the proliferative erythema of the glans.
If a similar lesion occurs in the female genital, it is called plasma cell vulvitis.
Histopathology is specific, a large number of plasma cells infiltrate in the dermis, telangiectasia, and hemosiderin deposition.
4. Mica-like and keratinized pseudoepithelial balanitis: The glans damage infiltrates hypertrophy, hyperkeratosis and mica-like molting, the affected area loses normal elasticity, shrinks over time, histopathology sees hyperkeratosis, and the acanthosis is thick. Epidermal extension is pseudoepithelial neoplasia.
