What causes pricking sensation without itching in genitals?
Patient's Query
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.
Hi,
I am glad you chose icliniq for your medical-related queries.
I understand your concern and will try to help you with it.
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.
Thank you for consulting me.
You can always reach me at icliniq.com.
Patient's Query
Hi doctor,
Thank you for the reply.
Is there any cure really? Does it go away on its own?
Hi,
Welcome back to icliniq.com.
I read and understand your concern.
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.
Looking forward to your response in order to help you.
Thank you.
Patient's Query
Hi doctor,
Thank you for the reply.
Sure. I will follow your advice.
Hi,
Welcome back to icliniq.com.
I read and understand your concern.
No problem. Take care.
Looking forward to your response in order to help you.
Thank you.
Patient's Query
Hi doctor,
Thank you for the reply.
Sorry to bother again but I am a bit confused. You have advised twice which are a bit different from each other (the first in which you think it is not Fox Fordyce and the second mentions it). If you could let me know which line of treatment I should start?
Hi,
Welcome back to icliniq.com.
I read and understand your concern.
Kindly follow this
1. Maintain hygiene of area.
2. Shave off your hair.
3. Wash with mild soap and water.
4. Apply a combination of Hydrocortisone plus Gentamicin ointment BD over the lesions for 2 weeks.
5. Apply Vaseline (Petroleum Jelly) at one time.
6. Take nonsedating antihistamine tablet OD.
Looking forward to your response in order to help you.
Thank you.
Same symptoms don't mean you have the same problem. Consult a doctor now!
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