Q. Do chronic itching and burning of the scrotum that does not subside with antifungals suggest scrotal dermatitis?

Hello doctor,

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?

Please help.