I am a 31-year-old married male. For the last ten years, I have had an itching and burning sensation on my scrotum that increases at night. It is also more during winter. I consulted a dermatologist who diagnosed it as Tinea incognito after I told him that I get relief with cream Mometasone Furoate 0.1 % and tablet Teczine. He has prescribed antifungal medications for two months (Itraconazole, tablet Bilastine, Luliconazole, Pacroma creams, and a moisturizer). The symptoms reduced but started again after stopping the medication. I observed that only cream Pacroma was giving relief. I am using it with Elovera cream and Physiogel in the morning and night after a bath. Also, I am using Cetaphil soap on the affected area. It is working only temporarily. Also, Pacroma cream and the tablet Bilastine are not working at times.
I feel it is scrotal dermatitis and not a fungal infection, as even two months of antifungals have not helped. The symptoms are reducing only with immunosuppressants. Also, I have read online that prolonged use of steroids is not good for sensitive skin and makes it thin. Is there a permanent cure for my problem, as it is also affecting my quality of life and sleep?
I reviewed your photos (attachment removed to protect the patient's identity). It is scrotal dermatitis. Due to chronic itching, scrotal skin has become thick. Scrotal dermatitis can occur due to multiple causes like atopic dermatitis, allergy to irritants, and many more. I suggest you get a patch test to rule out any allergic causes.
I also suggest the following tips and treatment:
Use loose cotton underwear.
Do not wear tight jeans for a few months.
Try to keep the area dry by avoiding sweating, so try to stay in a cool place.
Use Olesoft max moisturizer (Liquid Paraffin and white, soft Paraffin) two to three times daily.
Apply 1 percent Luliconazole (topical antifungal medication) cream twice daily in the morning and night for four weeks ... Use Miconazole cream (topical antifungal) in the evening for three weeks Read full
.. and discoloration on your scrotum and penis may be due to fungal infection. But it could also be due to another condition called scrotal dermatitis. The first and most important thing is to wear undergarments that are loose to allow air circulations. Read full
This is a very curable condition in which topical antifungal drops have to be used along with the above medication ... The mainstay of treatment is antibiotics, topical antifungal drops like Clot Read full
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