HomeAnswersDermatologyscabiesIs it the same scabies that present as big boils in my penis?

I have big red boils in my penis with a history of scabies. What is that?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At August 13, 2020
Reviewed AtAugust 25, 2023

Patient's Query

Hello doctor,

I am 30 years old. I suffer from scabies. Doctors prescribed me Permethrin cream, and now I got relief. But some new and little big red boils are showing in my penis, I am scared. Kindly suggest.

Answered by Dr. Deepti Shukla

Hello,

Welcome to icliniq.com.

As you mentioned in history you have scabies, when scabies treatment is taken the parasite causing infection dies and that causes hypersensitivity reaction resulting in appearance of tiny bumps so you might have developed that. But as you mentioned big boils that is unlikely a hypersensitivity reaction. It could be a secondary infection also. But without seeing the lesion on photo it is really difficult to provide the definitive cause of these lesions. Please share a photo so I can suggest you the treatment. Also, take tablet Allegra (Fexofenadine)180 mg daily at night for seven days, this is for itching.

Patient's Query

Hi doctor,

Thank you for your reply.

I am attaching the pictures. Also, the skin specialist has suggested I use Clonate-F cream on those big bugs. But I have been using it for the past three days with no benefit. Please help.

Thank you.

Answered by Dr. Deepti Shukla

Hello,

Welcome back to icliniq.com.

I understand your concern.

I suggest not applying Clonate F (Clobetasol 0.05 % w/w) and Fusidic acid 2 % w/w) as they contain strong steroids, which can damage the thin skin of the scrotum. You have developed a secondary infection with the blister. I advise you to take tablet Ivermectin 12 mg and repeat it after seven days. Take only two tablets. Take the medicine only if you have not taken it previously. Apply Desonide cream (Desonide 0.05 % w/w) once daily at night in a small quantity over the red lesions on the scrotum for seven days. Apply Sodium fusidate cream daily on the red lesions for seven days. Also, take the tablet Allegra (Fexofenadine 120 mg) daily at night. Consult your doctor and take the medicine accordingly.

I hope this information will help you. Please revert in case of further queries.

Thank you.

Patient's Query

Hi doctor,

Thank you for your reply.

Can you please give the name of the medicine in a simple format?

Thank you.

Answered by Dr. Deepti Shukla

Hello,

Welcome back to icliniq.com.

I have uploaded the prescription and provided notes also. However, some medicines require video consultation in order to be prescribed. I have provided notes on the medicines required.

I hope this information will help you. Please revert in case of further queries.

Thank you.

Treatment plan

I advise you to take tablet Ivermectin 12 mg and repeat it after seven days. Take only two tablets. Take the medicine only if you have not taken it previously. Apply Desonide cream (Desonide 0.05 % w/w) once daily at night in a small quantity over the red lesions on the scrotum for seven days. Apply Sodium fusidate cream daily on the red lesions for seven days. Also, take the tablet Allegra (Fexofenadine 120 mg) daily at night. Consult your doctor and take the medicine accordingly.

Patient's Query

Hi doctor,

The red lesions on the scrotum have been developing again. I have been using the cream till now. It is good enough but, after stopping the cream the red lesions reappear. Please help.

Thank you.

Answered by Dr. Deepti Shukla

Hello,

Glad to have you back!

I am here to help you get the best medical advice.

I need to see these rashes now as I need to check whether it is scabies only or it is something else. Kindly revert back with a picture of the area.

I hope this information will help you. Please revert in case of further queries.

Thank you.

Patient's Query

Hi doctor,

I am attaching the pictures. Please check. The area is causing much irritation, especially during the night. Please help.

Thank you.

Answered by Dr. Deepti Shukla

Hi,

Once more, thank you for allowing us to be of service to you.

We value the high level of confidence you have in us!

Did you take all the medicines properly? Please tell me how you applied the cream. I hope you did not apply it daily. And did the infection resolve after taking this treatment and then recur again?

Thank you.

Patient's Query

Hi doctor,

I had applied the cream daily for 10 days initially. It was resolved after taking the medicines. But, apparently, after some days it started developing again at the same place where it first developed. Why is it not getting cured for a long time? Is it scabies or something else,? I have started using the same Desonide cream at night that you had prescribed before. Please help.

Thank you.

Answered by Dr. Deepti Shukla

Dear,

Welcome back to icliniq.com.

With passion, commitment, and experience, I hope I will be able to provide you top-class medical opinion.

It does look like scabies, but if you have taken Ivermectin tablets and applied Permethrin cream properly, then you should be relieved. How did you apply Permethrin cream? Did you apply it daily? I suggest you to visit a dermatologist in person if the condition is not better with this treatment.

I hope this information will help you. Please revert in case of further queries.

Thank you.

Patient's Query

Hi doctor,

I took Ivermectin tablets as you prescribed, one and one after a week, and I used to apply Permethrin cream. After that, you suggested Desonide and Sodium fusidate ointments. I visited a dermatologist last week, and he suggested Momate F and Tbis 0.1% cream, but it has not given any result till now. It will be great if you can help.

Thanks.

Answered by Dr. Deepti Shukla

Hi,

Welcome back to icliniq.com.

Thank you for choosing us as your provider for medical care.

You did not have to apply Permethrin daily. You were supposed to apply the whole cream of 30 gm tube, from neck to all over the body, finish the cream in one application, keep it overnight, and then take a bath the next morning. Repeat the application similarly after 10 days.

I hope this information will help you. Please revert in case of further queries.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Deepti Shukla
Dr. Deepti Shukla

Venereology

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