Does an STD produce itchy scrotum and penile base cuts?

Hi,

Welcome to icliniq.com. I have reviewed the attached photograph (attachment removed to protect patient identity) and I can see few red erosions at the base of the penis. They can be either an irritant reaction to something you have applied over the penis or due to herpes virus infection which is a STD (sexually transmitted disease). In herpes infection, there are small fluid-filled blisters to start with followed by erosions which are painful and heal over two to three weeks. To confirm herpetic infection you can go for ELISA (enzyme-linked immunosorbent assay) test, HSV 1 (herpes simplex virus), IgG, HSV 1 IgM, HSV 2 IgG, and HSV 2 IgM. In scabies, there is excessive itching on the body especially at night, positive family history of scabies and itchy red bumps on the body including penis and scrotum but cuts or erosions are not seen in scabies. On the erosions, you should apply topical antibiotics like Mupirocin or Neosporin (Neomycin) ointment. You can get oral herpes prescription in our online consultation platform. I hope this helps. The probable causes include irritant and herpes virus. Investigations to be done is enzyme-linked immunosorbent assay (ELISA) for herpes virus. Differential diagnosis is irritant contact dermatitis. The probable diagnosis is herpes genitalis. Treatment plan include Mupirocin ointment or Neosporin ointment. Preventive measures are 1. Wash the area with plain water. 2. Avoid soap on the affected area. Follow up should be done after seven days.