Q. What can be done about itchy cracks on scrotum that are spreading?

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Patient's Query

Hello doctor,

I have read your previous enquiry on a patient that had itchy-cracks on his scrotum and I am experiencing the same. I also have some white spots on my penis, also in the head. I did some tests before to see if it was a fungus, but the results were negative. I have been having this issue for the past year and it is scattering around more and more. Please help. Thank you.

Doctor's Answer

Dr. Jyotisterna Mittal
MBBS., MD DERMATOLOGY
Cosmetology, Dermatology, HIV/AIDS Specialist, Venereology

Hello,

Welcome to icliniq.com.

Please answer the following:

Is the scrotal skin dry and itchy?
Any other symptoms like burning sensation?
Does it involve only scrotum or other areas too?
Any history of local ointments application over this area?
What treatment have you previously taken for this issue?

Revert with more information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist

Patient's Query

Hello doctor,

Yes, the scrotum is dry and itchy. Sometimes, it gets really itchy and I just want to scratch but I am not sure if it is a burning sensation. I am using an ointment compounded by Salicylic acid 2.2 % and Benzoic acid 4.4 %. Any idea why there are white spots on the penis? Thank you.

Doctor's Answer

Dr. Jyotisterna Mittal
MBBS., MD DERMATOLOGY
Cosmetology, Dermatology, HIV/AIDS Specialist, Venereology

Hello,

Welcome back to icliniq.com.

I have seen the files (attachment removed to protect patient identity).

Stop using this ointment. You seem to have scrotal dermatitis. You can use plain emollient instead like Cetaphil moisturizing cream repeatedly.

Antihistamines like Loratadine 10 mg can be taken twice daily. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent.
Undergarments should be 100 % cotton.
Use soap minimally over this area. Avoid it on most days.
If these measures do not help, your dermatologist may advise tablet Doxycycline 100 mg once or twice daily for a few days.

The white spots seem to be post inflammatory hypopigmentation and will resolve by itself. This happens due to some prior inflammatory process over the area. No active intervention is needed.

If you have any further queries, please feel free to contact me.

For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist

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Q. What can be done about itchy cracks on scrotum that are spreading?

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