There are itchy cracks on my scrotum. What is it?

Question

Hello doctor,

I have a skin problem on my scrotum. I am having this issue since six months. It itches every time and there are cracks on my scrotum. I am using Betnovate. When I use the ointment, it goes away and when I stop it, it recurs. Previously, I had a skin disease, which I think as keratosis pilaris. Please help.

Thanks.

Answer 1

Hi,

Welcome to icliniq.com.

I have read your query in detail and do understand your concern.

From your description it seems that your symptoms could be due to:

1. Scrotal dermatitis.

2. Second possibility is fungal infection.

You may put up two to three pictures of the affected area for better evaluation, guidance and to differentiate the conditions.

Treatment Plan:

1. For scrotal dermatitis you can take antihistamines like tablet Levocetirizine 5 mg twice daily.

2. You can use a combination of Sertaconazole and Beclomethasone cream (Onabet-B cream) on the affected skin for four to five days when dry itchy skin occurs.

3. Apply Elovera cream (Aloe vera and Vitamin E acetate) twice a day.

4. Use a medicated gentle cleansing lotion on your skin for bath like Cetaphil cleansing lotion once a day.

5. Avoid soaps or perfumed cosmetics or creams on the affected area.

6. Wear cotton clothes.

Revert back with the pictures to a dermatologist online.

I hope this information will help you.

Thanks.

Answer 2

Hi,

Welcome back to icliniq.com.

I understand your concern.

I have seen the pictures (attachment removed to protect patient identity) and your symptoms are due to scrotal dermatitis. Firstly, take the already mentioned medications along with the following.

Apply mid-potency steroid like Mometasone cream over it twice a day for a week.
Avoid repeatedly rubbing or itching over the area as it will increase the problem.

I hope this information will help you.

Thanks.