Psoriasis of the Penis

  • Danya Reich
  • Corinna Eleni Psomadakis
  • Bobby Buka


A 31-year-old sexually active male visited Primary Care for evaluation of erythematous raised plaques on his penis. The plaques’ appearance was consistent with psoriasis. Psoriasis is a chronic immune-mediated condition that occurs due to increased production of keratinocytes. The excess skin cells build up and form erythematous patches with silvery scale. Psoriasis can affect any part of the body; however, it most frequently affects the extensor surfaces of knees and elbows, intergluteal cleft, and scalp. The initial onset of psoriasis may occur after a trigger event such as trauma or infection, and the penis is frequently the first affected site. Mild psoriasis of the penis can be managed with mild corticosteroids. More severe or wide spread psoriasis warrants consultation with a dermatologist, and may require management with stronger corticosteroids, vitamin D derivatives, or UVB phototherapy.


Psoriasis Penis Plaques Genital Immune Inflammation Pruritus Corticosteroids 


  1. 1.
    Wolff K, Johnson RA, Suurmond D. Chapter 32, Disorders of the genitalia, perineum, and anus. In: Fitzpatrick’s color atlas & synopsis of clinical dermatology. 5th ed. New York: McGraw-Hill; 2005. p. 1038–9.Google Scholar
  2. 2.
    Menter A, Korman NJ, Elmets CA, Feldman SR, Gelfand JM, Gordon KB, Gottlieb A, Koo JYM, Lebwohl M, Leonardi CL, Lim HW, Van Voorhees AS, Beutner KR, Ryan C, Bhushan R. Guidelines of care for the management of psoriasis and psoriatic arthritis: Section 6. Guidelines of care for the management of psoriasis and psoriatic arthritis: case-based presentations and evidence-based conclusions. J Am Acad Dermatol. 2011;65(1):137–74.CrossRefPubMedGoogle Scholar
  3. 3.
    Teichman JM, Sea J, Thompson IM, Elston DM. Noninfectious penile lesions. Am Fam Physician. 2010;81(2):167–74.PubMedGoogle Scholar
  4. 4.
    Griffiths CE, Barker JN. Pathogenesis and clinical features of psoriasis. Lancet. 2007;370(9583):263–71.CrossRefPubMedGoogle Scholar
  5. 5.
    Menter A, Griffiths CE. Current and future management of psoriasis. Lancet. 2007;370(9583):272–84.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2017

Open Access This chapter is distributed under the terms of the Creative Commons Attribution Noncommercial License, which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.

Authors and Affiliations

  • Danya Reich
    • 1
  • Corinna Eleni Psomadakis
    • 2
  • Bobby Buka
    • 3
  1. 1.Department of Family MedicineMount Sinai School of Medicine Attending Mount Sinai Doctors/Beth Israel Medical Group-WilliamsburgBrooklynUSA
  2. 2.School of Medicine Imperial College LondonLondonUK
  3. 3.Department of DermatologyMount Sinai School of MedicineNew YorkUSA

Personalised recommendations