A form of skin inflammation around the penis in
males with Reiter's syndrome. The skin around the shaft and tip (glans) penis can
become inflamed and scale. This inflammation around the penis can be helped by cortisone
creams (such as TOPICORT).
R eiter's syndrome is a systemic rheumatic disease, systemic since it can affect
the system (the body) far from the joints and cause inflammation in areas such as
the eyes, mouth, lungs, kidneys, heart, and skin.
The classic areas of the skin that can become involved with Reiter's syndrome
are the palms of the hands and soles of the feet (although other body surface areas
can less commonly be affected). Inflammation in these areas can come and go. When
present, it causes reddish, raised, pustules that can be painful and tender. These
patchy areas can group together and peel periodically. This skin inflammation (which
is microscopically similar to another skin disease called pustular psoriasis) is
also referred to as keratodermia blennorrhagicum (KB).
KB can be treated with topical medications. These include skin softeners (emollients),
and medications that clear off the peeling dry skin (keratolytic medications). Sometimes
these treatments are used along with vitamin D creams, such as calcipotriene.
It is important to note that sometimes emotional stresses and medications (such
as propanolol, VASOTEC, and hydroxychloroquine/PLAQUENIL) have been reported to
aggravate the skin inflammation including the circinate balanitis in Reiter's syndrome.
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