|Year : 1992 | Volume
| Issue : 2 | Page : 99-101
Tinea of the penis
Ramji Gupta, Uma Banerjee
Source of Support: None, Conflict of Interest: None
Six patients had tinea on their penile shaft. Observation of these 6 cases in a short span of 3 months suggeste that penile tinea is not as rare as is commonly thought.
Keywords: Tinea, Penis
|How to cite this article:|
Gupta R, Banerjee U. Tinea of the penis. Indian J Dermatol Venereol Leprol 1992;58:99-101
| Introduction|| |
Dermatophytic infection of the skin is a very common dermatoses seen in India. It usually involves groin, trunk, hands, feet, nails and hair. Scrotal skin may be involved in tinea cruris.. Involvement of penis is occasional.  Few cases having lesions on penile shaft have been recorded. ,,,, However, these records give the impression that penile shaft is a very rare site for dermatophytic infection. Recently we have seen 6 cases having lesions on penile shaft in a span of 3 months alongwith the lesions on groin and/ or scrotum.
| Case Reports|| |
Case 1 : A 28-year-old male noticed 2 rounded 4-6 mm' size itchy lesions with active border and scaling on dorsum of his penile shaft since 5 days. There was no lesion on his groin, feet or any other parts of body. Scraping from the active border of the lesion showed mycelia of dermatophyte in 10% KOH preparation. Culture of the material from the lesion on Sabouraud's agar media showed no growth. Lesions cleared during the next 15 days with topical application of 2% miconazole nitrate.
Case 2 : A 25-year-old male developed itchy scaly oval lesion of 2-3 cms size on right side of shaft of his penis since 10 days. Adjacent to the lesion, he noticed 23 small lesions of 0.5 cm size. There was no lesion on the groin. However he had few itchy scaly lesions on his scrotal skin of 10 days duration. Scraping from the lesion on penile shaft showed mycelia of dermatophyte in 10%KOH preparation. There was no growth on Sabouraud's agar media. All the lesions cleared during the next 15 days with 2% miconazole nitrate topical application.
Case 3 : A 21-year-old male noticed itchy erythematous, annular, scaly lesions on his both groins 30 days ago. He used betamethasone valerate 0.12% cream locally off and on. Since 7 days the lesions started increasing in size and number and involved shaft of his penis. There was two annular scaly lesions of 0.5 cm size with tiny pustules at the periphery on his penile shaft. Scraping from groin and penile shaft showed no mycelia in 10%KOH preparation. Culture of the material from both places on Sabouraud's agar media showed growth of Trichophyton rubrum. During the next 7 days his lesions improved with topical application of miconazole nitrate 2% with fluocinolone acetonide 0.01%. However change to miconazole nitrate 2% led to complete clearance during the next 7 days.
Case 4: A 25-year-old male noticed 5-6 ring like itchy, erythematous lesions with scaling and papulo-vesicles at periphery since 6 days at his pubic region, groin and thighs. Since 2 days he developed itchy circinate lesions of 4 mm size on his scrotum and dorsal surface of penile shaft. Scraping from the penile lesion and groin showed mycelia of dermatophyte in 10% KOH preparation. Culture of the scraping on Sabouraud's agar media from penile shaft as well as from groin showed growth of Trichophyton rubrum. he was put on griseofulvin F P 500 mg daily with miconazole nitrate 2% topically. He has not turned up for further follow-up.
Case 5 : A 24-year-old male presented with itchy scaly lesions with active border on his left groin, dorsum and side of his penile shaft of 10 days duration. Scraping from left groin and penile shaft seen in 10%KOH solution revealed fungal hyphae. Culture of the material on the Sabouraud's agar media showed growth of trichophyton rubrum from left groin and no growth from material of penile shaft. Local application of miconazole nitrate 2% cream cleared all the lesions during the next 10 days.
Case 6 : A 34-year-old male developed multiple ring like itchy lisions with scaling at the periphery on his both groin and thighs since 3 months. The lesions improved with irregular local application of betamethasone valerate 0.12% and chino form 3% cream. Since 3 days he developed mildly scaly pustular lesions of 0.5 to 1 cm size 'on dorsum of his penile shaft. 10% KOH examination of scraping for shaft and groin were negative for fungal hyphae so were the culture of the material on Sabouraud's agar media. All the lesions cleared during the next 10 days with miconazole nitrate 2% cream applied locally.
| Comments|| |
Exclusive involvement of penile shaft without any lesion on scrotum and/or groin is recorded by Palleschi et al.  Our case no. 1 also had lesions exclusively on penile shaft showing mycelia of dermatophyte in KOH preparation with negative culture. The lesions cleared with miconazole 2% topical application. Remaining 5cases had lesions on penile shaft in association with lesion on groin (4) and/or scrotum (2). In two cases trichophyton rubrum was grown from penile shaft as well as from groin whereas in one case it was grown from groin only. It was interesting to find no mycelia in KOH preparation from classical lesions on groin and shaft of penis in one case but growth of trichophyton rubrum on Sabouraud's agar medium from both sites. Observation of these 6cases in a short span of 3 months suggest that dermatophytic infection of penis is not as rare as is commonly thought, the disease could pass unnoticed because the clinical manifestations are slight and healing often is spontaneous.
| References|| |
|1.||Roberts SOB, Mackenzie DWR. Mycology. In: Text Book of Dermatology (Rook A, Wilkinson DS, Ebling FJG, eds), 3rd edn. Oxford : Blackwell Scientific Publications, 1979; 806. |
|2.||Pillai KG, Singh G, Sharma BM.Trichophyton rubrum infection of the penis. Dermatologica 1975; 150: 252-4. |
|3.||Pandey SS, Chandra S, Kaur P, et al. Dermatophyte infection of the penisAssociation with particular undergarments. Internat J Dermalol 1981; 20: 112. [PUBMED] |
|4.||Kumar B, Talwar P, Kaur S. Penile tinea. Mycopathologica 1981; 75: 169-72. [PUBMED] |
|5.||Palleschi GM, Guadagni R, Difonzo E, et al. Tinea of the penis, A rare occurrence. Internat J Dermatol 1986; 25 : 52-3. [PUBMED] |
|6.||Pavithran K. Dermatophytosis of the scrotum, penis and lip. Indian J Dermatol Venereol leprol 1987; 53 : 174-5. |
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