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What are the bumps on scrotum with whole body itching?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

Initially, I had bumps on my scrotum and now I got a few bumps on my penis head. I have attached the pictures for a better idea. First It was told that these may be cysts. And later it was told as Fordyce spots. Please give me a correct diagnosis. Thanks.

Hi,

I am glad you chose icliniq for your medical-related queries.

I understand your concern and will try to help you with it.

They are neither cyst nor Fordyce spots. Sexually transmitted disease can be a probability. But, for proper diagnosis I need to know the complete history that is the onset, progression and duration of lesion.

  1. Did you experience any whole body itching predominantly at night? If so, how long it has been there?
  2. Do you have any history of unsafe sexual exposure?
  3. What is your main complain in them? Either burning or itching? Did it start as a fluid filled vesicle?
Please send me the photos of lesion on the scrotum too. Only then I would be in a position to make any valid comment.

Thank you for consulting me.

You can always reach me at icliniq.com.

Patient's Query

Hi doctor,

Thank you for the reply.

In the morning hours, I do have whole body itching including scrotum. But, I do not feel any itching on my penis. The bump has no fluid and I have these for about two months now. Before I only had two or three, but now I have many. Although it was the same partner I have had for a long time, I did have unsafe sexual exposure prior to getting these. I have attached the picture which you are looking for. Thanks.

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

I am beyond doubt that it is a case of scabies. Use Permethrin 5 % lotion and apply it all over your body after scrubbing in evening and repeat the procedure after a week. Take tablet Ivermectin 12 miligrams, on the day of application of Permethrin. Wash and iron all clothes which you use at home including undergarments. Treatment of all family members with Permethrin is necessary to eliminate Sarcoptes scabiei. It can take two to three weeks for lesion and itching to subside. You can apply a combination of Mometasone and Fusidic acid cream over the lesion of the penis and scrotum for two weeks.

Looking forward to your response in order to help you.

Thank you.

The Probable causes

Sarcoptes scabiei.

Probable diagnosis

Scabies.

Treatment plan

1. Permethrin. 2. Ivermectin.

Preventive measures

1. Treat all family personnel. 2. Wash and iron all clothes or discard them from usage at least for one week.

Patient's Query

Hi doctor,

Thank you for the reply.

Thank you very much for your advice. I will contact you when the need arises.

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

I am pleased with your comment.

Looking forward to your response in order to help you.

Thank you.

Medically reviewed byiCliniq medical review team

Published At January 9, 2016
Reviewed AtOctober 3, 2024

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