What causes pricking sensation without itching in genitals?

Question

Hello doctor,

I am having a pricking sensation (worsens if I am walking) in my genitals, and very infrequently in my armpits. No itching, only either pricky feeling or like a cut when touched. The dermatologist could not see any infection but another doctor told that it is Fordyce. This has been for the past 18 months. Now it has been reduced significantly for the past 7 to 15 days. The antifungal powder and cream I was using provide only temporary relief.

Answer 1

Hello,

Welcome to icliniq.com.

Looking at your photographs (attachment removed to protect patient identity), I can see the follicular prominences (the tiny raised bumps around hair) on the scrotal skin. They look more like Fordyce spots which usually do not itch. But itching can be due to secondary xerosis, friction, sweating or intertrigo (infection of the folds). You need to understand there is another disease known as Fox Fordyce's disease but that has severe itching, not infrequent and more common in the axilla. It does not seem you have that right now. It looks to me as Fordyce's spots along with intertrigo and xerosis. Follow the medication I am writing below. Treatment:

1. Cetaphil cream (moisturizing cream) apply twice a day.

2. Oilatum soap (ParaffinumLiquidum, Glycerin, Geraniol) for bath.

3. Tablet Teczine M (Levocetirizine and Montelukast) 10 mg once at night.

4. Tablet Ivermectin 12 mg once a week for two weeks.

Answer 2

Hello

Welcome back to icliniq.com.

It can resolve. But may take a little bit longer time. So, you have to use prescribed medication and regular follow up so that your treatment response can be assessed.