Dr. Sidharth Sonthalia
FELLOW OF INTERNATIONAL SOCIETY OF DERMATOLOGY - FISD (DERMATOSURGERY & COSMETOLOGY)., MEMBER OF NATIONAL
Cosmetology, Dermatology, HIV/AIDS Specialist, Hair Transplant Surgeon, Venereology
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Your problem seems to have lingered on to become a chronic hyperkeratotic scrotal eczema.
This is a result of your hyperallergic tendency, constant scratching, sweat induced maceration and intermittent but incomplete treatments with suboptimal medicines.
- As of now answer few questions of mine. Are you a known diabetic? If not, then please get it tested.
- Do you have a history of generalized dry skin that worsen in winter? Did you have childhood eczema or sinusitis or childhood asthma?
- Does your occupation entail a lot of sweating in the groin area? What kind of fabric do you use for undergarments either pure cotton and loose ones or tight synthetic fabric ones?
Till you revert with the answers, I advice you to do the following:
- Wash that area twice a day with a moisturizing non-medicated, non neem based soap; like the dove or pears. Removal of sweat by regular washing is important.
- Prefer loose cotton undergarments and prefer wearing cotton shorts once you reach home to allow aeration of that area.
- Start applying a cream named Tenovate-M (Clobetasol propionate) twice a day over the affected part after bath for seven days and then shift to using Onabet-B or Sertacide-B (Sertaconazole nitrate) cream twice a day for 5 days. Then start with Lulifin cream (Luliconazole) just once at night for two weeks.
- If your general health is good, then you must take an oral antifungal as well. Take tablet Terbicip 250 mg (Terbinafine hydrochloride) twice a day for the first week then once a day for next three weeks and complete a course of four weeks.
- To reduce itching, you may take a tablet of Levosiz 5 mg (Levocetirizine) or Teczine (Levocetirizine hydrochloride) one tablet at night for 5-10 days.
The Probable causes:
1. Sweating.Investigations to be done:
2. Tight undergarments.
3. Constant scratching.
4. Application of inappropriate creams intermittently.
1. Blood sugar levels fasting and postprandial.Regarding follow up:
2. Serum levels of IgE antibodies.
Follow up in two weeks with pictures to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist