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Hey Doctor So Last Week I Had A Case Of
Question: Hey doctor so last week I had a case of dermatitis on the shaft of my penis. I was prescribed a hydrocortisone 1% strength cream by my doctor which cleared it up within a week. However where my penis was sitting on the shaft it was touching the scrotum after I had applied the cream and now both sides of my scrotum are really red and it kind of itches and burns the scrotum skin. I visited my doctor again today and she got me to do an ultrasound of my testicles which was fine and also urine test to check for infection which I will get back tomorrow along with prescribing me Hydrozole(Anti-fungal/steroid cream) to apply to the scrotum skin. I also did have a fungal infection of my glans last month which was confirmed by a swab and the re swab didn’t show any infection either. My main concern is that I am leaving the country in 48 hours so I was wondering what you think it could be do you believe it sounds like maybe jock itch the rash is just bright red in nature and not really dry or scaly or could it be dermatitis however I did try to use just the steroid cream on there the last 2 days and it didn’t help at all so now I’m using the combo. What else could it be do you think if the ultrasound and urine test come out normal would I be able to manage for 2 weeks overseas with it if it were a fungal infection or a skin issue?
Hey doctor so last week I had a case of dermatitis on the shaft of my penis. I was prescribed a hydrocortisone 1% strength cream by my doctor which cleared it up within a week. However where my penis was sitting on the shaft it was touching the scrotum after I had applied the cream and now both sides of my scrotum are really red and it kind of itches and burns the scrotum skin. I visited my doctor again today and she got me to do an ultrasound of my testicles which was fine and also urine test to check for infection which I will get back tomorrow along with prescribing me Hydrozole(Anti-fungal/steroid cream) to apply to the scrotum skin. I also did have a fungal infection of my glans last month which was confirmed by a swab and the re swab didn’t show any infection either. My main concern is that I am leaving the country in 48 hours so I was wondering what you think it could be do you believe it sounds like maybe jock itch the rash is just bright red in nature and not really dry or scaly or could it be dermatitis however I did try to use just the steroid cream on there the last 2 days and it didn’t help at all so now I’m using the combo. What else could it be do you think if the ultrasound and urine test come out normal would I be able to manage for 2 weeks overseas with it if it were a fungal infection or a skin issue?
Just to add the fungal infection I had last month on my penis glans was cleared with one dose of fluconazole 150 mg and I have had no problems since and the re-swab I did showed the infection cleared up so I am unsure how I may have got an infection on the scrotum skin? Do you maybe think it’s more so a bacterial infection?
Just to add the fungal infection I had last month on my penis glans was cleared with one dose of fluconazole 150 mg and I have had no problems since and the re-swab I did showed the infection cleared up so I am unsure how I may have got an infection on the scrotum skin? Do you maybe think it’s more so a bacterial infection?
Brief Answer:
It could be a reactive eruption to steroid
Detailed Answer:
Hello,
Thanks for the query.
The signs and symptoms are more likely suggestive of something called red skin syndrome (RSS) which is nothing but a reactionary eruption to topical steroids. Fungal infection or jock itch is unlikely as it will cause severe itching and a white hue will be there, redness and burning sensation will not be there.
As of now stop the steroid combination ointment. You can apply plain antifungal creams or emollients like Vaseline for symptomatic relief.
Nothing much to worry and you will be fine in five to six days.
If symptoms persist better to consult a dermatologist and get evaluated.
Wishing all the best.
Thanks
It could be a reactive eruption to steroid
Detailed Answer:
Hello,
Thanks for the query.
The signs and symptoms are more likely suggestive of something called red skin syndrome (RSS) which is nothing but a reactionary eruption to topical steroids. Fungal infection or jock itch is unlikely as it will cause severe itching and a white hue will be there, redness and burning sensation will not be there.
As of now stop the steroid combination ointment. You can apply plain antifungal creams or emollients like Vaseline for symptomatic relief.
Nothing much to worry and you will be fine in five to six days.
If symptoms persist better to consult a dermatologist and get evaluated.
Wishing all the best.
Thanks
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Brief Answer:
It could be a reactive eruption to steroid
Detailed Answer:
Hello,
Thanks for the query.
The signs and symptoms are more likely suggestive of something called red skin syndrome (RSS) which is nothing but a reactionary eruption to topical steroids. Fungal infection or jock itch is unlikely as it will cause severe itching and a white hue will be there, redness and burning sensation will not be there.
As of now stop the steroid combination ointment. You can apply plain antifungal creams or emollients like Vaseline for symptomatic relief.
Nothing much to worry and you will be fine in five to six days.
If symptoms persist better to consult a dermatologist and get evaluated.
Wishing all the best.
Thanks
It could be a reactive eruption to steroid
Detailed Answer:
Hello,
Thanks for the query.
The signs and symptoms are more likely suggestive of something called red skin syndrome (RSS) which is nothing but a reactionary eruption to topical steroids. Fungal infection or jock itch is unlikely as it will cause severe itching and a white hue will be there, redness and burning sensation will not be there.
As of now stop the steroid combination ointment. You can apply plain antifungal creams or emollients like Vaseline for symptomatic relief.
Nothing much to worry and you will be fine in five to six days.
If symptoms persist better to consult a dermatologist and get evaluated.
Wishing all the best.
Thanks
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Hey doctor thanks for the answer I just had a few more questions. I got back the ultrasound, urine test and a blood test to test for infection and they all came out perfectly normal. However I am just wondering why I’ve had a reaction to the steroid now but I have used it in the past quite recently in the last couple of months with no issues what do you think the reason for that could be? The skin just feels really dry and it looks/feels red and irritated. My GP said to wait 3-5 days to see if it would get better and if not apply the anti fungal cream to see if it will improve. I have also had the full range of STI tests in the last couple of months which came back normal and I have long term girlfriend who I’ve been with the last 4 months who also doesn’t have anything. I did get a swab done today also for HPV but I’ve had the vaccine when I was 15-16 years old so I doubt it is that do you think most likely I just had a bad reaction to the steroid or a fungal infection? Can these things be life threading as well if untreated for a couple of weeks? I am just heading over seas for work for 2.5 weeks.
Hey doctor thanks for the answer I just had a few more questions. I got back the ultrasound, urine test and a blood test to test for infection and they all came out perfectly normal. However I am just wondering why I’ve had a reaction to the steroid now but I have used it in the past quite recently in the last couple of months with no issues what do you think the reason for that could be? The skin just feels really dry and it looks/feels red and irritated. My GP said to wait 3-5 days to see if it would get better and if not apply the anti fungal cream to see if it will improve. I have also had the full range of STI tests in the last couple of months which came back normal and I have long term girlfriend who I’ve been with the last 4 months who also doesn’t have anything. I did get a swab done today also for HPV but I’ve had the vaccine when I was 15-16 years old so I doubt it is that do you think most likely I just had a bad reaction to the steroid or a fungal infection? Can these things be life threading as well if untreated for a couple of weeks? I am just heading over seas for work for 2.5 weeks.
Also to add I noticed little white specs on the skin can this be a sign of fungal infection or more so just the skin being dry?
Also to add I noticed little white specs on the skin can this be a sign of fungal infection or more so just the skin being dry?
Brief Answer:
Given.
Detailed Answer:
Hello,
The steroid might have triggered a minor reaction, superadded by infection or inflammation.
Spontaneous recovery is the rule out in most cases. In old aged and diabetic people it will trigger complications like Fournier’s gangrene.
If there is signs of infection and redness persist, you can apply topical antibiotics like mupirocin after cleaning with soap and water. A short course of oral antibiotics like amoxclav is also tried empirically.
It will be better if you attach a picture in the follow up query.
Given.
Detailed Answer:
Hello,
The steroid might have triggered a minor reaction, superadded by infection or inflammation.
Spontaneous recovery is the rule out in most cases. In old aged and diabetic people it will trigger complications like Fournier’s gangrene.
If there is signs of infection and redness persist, you can apply topical antibiotics like mupirocin after cleaning with soap and water. A short course of oral antibiotics like amoxclav is also tried empirically.
It will be better if you attach a picture in the follow up query.
Above answer was peer-reviewed by :
Dr. Yogesh D
Brief Answer:
Given.
Detailed Answer:
Hello,
The steroid might have triggered a minor reaction, superadded by infection or inflammation.
Spontaneous recovery is the rule out in most cases. In old aged and diabetic people it will trigger complications like Fournier’s gangrene.
If there is signs of infection and redness persist, you can apply topical antibiotics like mupirocin after cleaning with soap and water. A short course of oral antibiotics like amoxclav is also tried empirically.
It will be better if you attach a picture in the follow up query.
Given.
Detailed Answer:
Hello,
The steroid might have triggered a minor reaction, superadded by infection or inflammation.
Spontaneous recovery is the rule out in most cases. In old aged and diabetic people it will trigger complications like Fournier’s gangrene.
If there is signs of infection and redness persist, you can apply topical antibiotics like mupirocin after cleaning with soap and water. A short course of oral antibiotics like amoxclav is also tried empirically.
It will be better if you attach a picture in the follow up query.
Above answer was peer-reviewed by :
Dr. Yogesh D
Hey doctor so just a follow up so the skin has now calmed down and I don’t have any itching or burning symptoms anymore however it is still red especially after a shower and it looks like it’s quite dry as there’s some white peeling go on. Is this a sign that is healing do you think should I just keep leaving it as it is for now? I also did a blood test which showed no signs of infection so I don’t think it is that more so dermatitis possibly?
Hey doctor so just a follow up so the skin has now calmed down and I don’t have any itching or burning symptoms anymore however it is still red especially after a shower and it looks like it’s quite dry as there’s some white peeling go on. Is this a sign that is healing do you think should I just keep leaving it as it is for now? I also did a blood test which showed no signs of infection so I don’t think it is that more so dermatitis possibly?
Brief Answer:
Better to leave it alone.
Detailed Answer:
Hi,
If there is no redness or signs of infection, it will be in healing phase and better to leave it alone. If there is signs of infection the surrounding area will be red and severe pain will be there around the lesion.
Pealing white patches also a sign of healing.
It will be very useful if you attach a picture in the follow up query.
Wishing all the best.
Better to leave it alone.
Detailed Answer:
Hi,
If there is no redness or signs of infection, it will be in healing phase and better to leave it alone. If there is signs of infection the surrounding area will be red and severe pain will be there around the lesion.
Pealing white patches also a sign of healing.
It will be very useful if you attach a picture in the follow up query.
Wishing all the best.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Brief Answer:
Better to leave it alone.
Detailed Answer:
Hi,
If there is no redness or signs of infection, it will be in healing phase and better to leave it alone. If there is signs of infection the surrounding area will be red and severe pain will be there around the lesion.
Pealing white patches also a sign of healing.
It will be very useful if you attach a picture in the follow up query.
Wishing all the best.
Better to leave it alone.
Detailed Answer:
Hi,
If there is no redness or signs of infection, it will be in healing phase and better to leave it alone. If there is signs of infection the surrounding area will be red and severe pain will be there around the lesion.
Pealing white patches also a sign of healing.
It will be very useful if you attach a picture in the follow up query.
Wishing all the best.
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation
Above answer was peer-reviewed by :
Dr. Nagamani Ng
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