What are the reasons for small white bumps under the blister?

Patient's question:

Under the skin in the middle of the foreskin, there are small white bumps, but not on the back. They are of different sizes and cause no pain or itching. What could be the reason for this? Is it a disease? How to treat it?

Doctor's answer:

Hello, this situation may be considered as acropustulosis. Acropustulosis is a benign condition, and in some cases, it can resolve after a certain period of time, while in others, it may persist for decades without any change. Since acropustulosis is non-communicable and does not affect health, it does not require treatment. However, to prevent the condition from worsening, prevention and care are key. If it is caused by phimosis, it is important to treat the phimosis as soon as possible. If it is due to local secretions causing irritation, it is recommended to frequently wash the penis and perineal area, and to change and wash underwear regularly. If a patient with acropustulosis requests treatment, laser therapy, cryotherapy, or the topical application of corrosive medications can be used to remove the condition.

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