How to get rid of a rash with leathery skin on the genitals?

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Do you have any history of atopy or allergies? Did you use any harsh soap? Do you have any history of using scented moisturizer or lotion use? Did you scratch or rub the lesions excessively? Will the itching aggravate during the night? Do you have any history of a fungal infection in the past? Do you have any dryness? Answer the questions for details.

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It appears to be Dermatitis due to mite allergies or genital scabies. Use Fucibet (Betamethasone and Fusidic Acid) cream at night for seven days and Permite BB (Elestab 0.1%) bar soap for bath for one month. Clean genita or affected area with Cetaphil cleanser or Episoft cleanser daily. Use 5% Permethrin cream on day one and day seven at night (contact period 8 to 12 hours) apply the cream on genitals. If there is burning, you can apply Lactocalamine lotion to cool and soothe the lesion. To moisturize the scrotal skin, use Aveeno moisturizer after the lesion heals. Avoid high potency steroids like Clobetasol. Wear loose, comfortable thin cotton inners. Maintain proper genital hygiene. Avoid using harsh soaps. Avoid scratching and rubbing of the lesions. Regards. Follow-up after seven days.

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Night aggravation of itching is typical of Scabies. (It is a diagnostic sign of Scabies). I saw the picture (attachment removed to protect patient identity); there is only inflammation present. It could be due to the potent steroid use also (irritant contact dermatitis). Avoid possible irritants. So apply Fucibet cream at night for 7 days. Apply 5 percent Permethrin cream on day one and day seven (one week after) at night. Leave overnight for 8 to 12 hours and then wash off the next morning. Prescription cannot be given to overseas countries as per icliniq rules. So I cannot provide it. You can get it by showing this conversation or OTC (over-the-counter). Regards. Do you have any history of Herpes?Do you have a fever? Do you have any tingling sensation? Have you been tested for HSV (Herpes simplex virus) 2 or genital herpes? Because burning lesions or painful lesions are the symptoms of Herpes. Do you have a history of a recurrent episode? Do you have a history of swelling or inflammation of the glans penis? Do you have a history of recurrent Balanitis? Just get HSV 2 and IgM (Immunoglobulin M) test done to rule out genital Herpes.