The fairly well-defined erythematous plaques covered with silvery scale are typical for psoriasis. In some patients, the disorder may be limited to the genital skin.

A 27-year-old man noted a gradually increasing, asymptomatic rash on the glans penis. The remainder of the cutaneous exam was normal. The family history was strongly positive for psoriasis.
Key point: The “rash” consists of fairly well-defined erythematous plaques, covered with silvery scale. This is typical for psoriasis. This disorder may rarely be limited solely to genital skin.
Treatment: Low-potency topical corticosteroids and/or vitamin D derivatives (such as calcipotriene ointment) will usually resolve genital psoriasis.
Note: The most important differential diagnostic possibilities include seborrhea and balanitis circinata associated with Reiter disease.
Atopic Dermatitis: The Pipeline and Clinical Approaches That Could Transform the Standard of Care
September 24th 2025Patient Care tapped the rich trove of research and expert perspectives from the Revolutionizing Atopic Dermatitis 2025 conference to create a snapshot of the AD care of the future.