A related discussion,
resolution? was started.
Yes.
I must ask you to stop posting these questions and to stop calling my office, as I will no longer respond.
Dr. Rockoff
I think the skin was thinning as I was using the cream but I did nit realize.I was obbessed with this stupid rash.If the skin was slowly thinning over a period of time and I did not realize,will it still return.
maybe a trip to Mass. would be a good idea.You be the judge.
How long could it take.I am desperate.
Yes, it will return. Atrophy (skin thinning) returns even after you inject cortisone into the skin.
As we discussed, you need to deal with your depression, which I believe is more significant than the skin thinning issue.
Dr. Rockoff
I really appreciate you answering all my questions.You know this has crushed me emotionally.I went to another derm. and he said the same thing about the skin being thin.He also said that the skin at the base of the penis was very thin and the veins were in jeopardy.He says my sex life may be jeopardized.He gave lidocaine to use for pain.He did not say anything about the skin returning after so long a time.You gave me assurance it will.I hope it is true.Why would the other derm. tell me it was permanant.
You know, in all my years, I have never seen thinning of the skin anywhere on the body which put "the veins in jeopardy."
If your sex life were at risk, then the skin would have broken down while you were using the cream, not now after it's been healing. The same is true for skin breakdown of any sort--if it were going to happen, it would already have happened.
I really think you should get another opinion, just so you don't work yourself into more of a tizzy than you already have.
Go to another city if you want. But get somebody else to look at it. That's my advice.
Dr. Rockoff
I USED THE NYSTATIN/TRIAMCINOLONE 6 TIMES,FOR THREE DAY PERIODS OVER 3 MONTHS.NOT FOR WEEKS AT A TIME.i WOULD NOT EVEN LEAVE IT ON THROUGH THE NIGHT.bUT IT STILL THINNED THE SKIN MY DERM.SAYS.NOT EVEN HALF 1/3 OF A TUBE.I AM VERY DEPRESSED.wIL IT RETURN AFTER 6 MONTHS BEING THIN.
When I look at the whole left side of my penis I see thinner looking skin .If I twist my penis I see small wrinkles on the whole side.It looks more transparent than the other side.Could atrophy reverse after 6 months.How will atrophy last throughout my life if it is permanant.It is painful and gets abrasions even with proper lubrication.This is the whole left side and bottom of my penis.The rash was on my scrotum and my penis laid over that.
As the dermatologist said, Lotrisone has a stronger steroid than triamcinolone. Whilie it is in theory true that thriamcinolone can thin the skin, 1) 6 times over 3 months wouldn't do it, and 2) atrophy is reversible.
It seems that the dermatologist is interpreting some whiteness as atrophy, while the urologist is interpreting it just as color change. Abrasions can happen on any thickness of skin; atrophy would result in skin breakdown, which you say is not happening.
Lots of people use triamcinolone or the equivalent on the penis, and nothing happens to them.
There is, in any case, nothing to be done for atrophy but wait, even if you have atrophy, which I believe you do not. If you need added reassurance, show the white patch to another dermatologist.
But my advice is to keep the skin lubricated to avoid or minimize abrasions, and just leave it alone otherwise. You'll be fine if you give yourself a chance.
Best.
Dr. Rockoff
Dr. Rockoff