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

Question

Hello doctor,

I have been experiencing itchy cracks on my scrotum. I also have some white spots on my penis, as well as on 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 spreading more and more.

Please help.

Thank you.

Answer 1

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?

Kindly update us wih the answers.

Thank you.

Answer 2

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.

Thank you.