Thank you to everyone who has been a part of this incredible journey. Your support has made GDT a success, and we are excited to see how the legacy of this series will continue to impact the field.
With gratitude, the @DermTalks Team
We hope that the discussions and knowledge shared will continue to inspire and educate future generations of dermatologists and academic professionals.
It is with mixed emotions that we announce the conclusion of Global Dermatology Talks (GDT). Founded during the uncertain times of the COVID-19 pandemic, GDT was inspired by the success of the @globalimmuno series.
contact dermatitis of genitals is often misdiagnosed as a fungal or yeast infection. Irritant is more common than allergic. Irritant is often poorly circumscribed, asymptomatic to painful, may not be observed in other body areas, may happen quickly.
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Genital lesions may occur in 4% of male patients with oral lichen planus. Genitals show either erosive or atrophic/reticular. Chronic inflammation can possibly lead to scarring and SCC (currently only 6 cases in literature of penile LP--->SCC or SCCIS)
Genital Lichen Planus affects around 1% of population with LP. Cases of genital LP are often underrecognized and underdiagnosed. Genital LP may be higher in circumcised men, but very low numbers. Most commonly see on glans penis. May be higher in South Asian population
what are some take aways for patients with GP?: 1) take a thorough history 2) evaluate the genital skin, but also other skin areas 3) dont be afraid to do a biopsy if needed to confirm diagnosis 4) assess severity (genital specific severity & quality of life severity)
Oftentimes Tinea mentagrophytes genotype VII, which can affect the penile shaft,can be confused for inflammatory diseases like psoriasis. This should be treated with oral terbinafine
when taking history for GP patient, Dr. Zampella recommends one to include a sexual history. 80% of patients disclose worsening of symptoms after sexual activity, 80% describe decreased frequency of sexual activity, & 55% reported reduced sexual desire.
Males are about 2x more likely to have genital psoriasis (GP); the mean time to onset of genital lesions is 6 years; younger patients (<40) with psoriasis are more likely to have GP
50-60% of patients with psoriasis have genital involvement (4-6 million people) and 3-5% of patients may have genital-only psoriasis. GP is often missed by providers and likely underdiagnosed
Dermatologists evaluate genitals during a TBSE in less than 50% of cases. Dr. Zampella believes dermatologists asking their patients during a TBSE if they would want to have their genitals evaluated should become more normalized