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Suggest Treatment For Itchy Scrotum While On Avelox

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Posted on Mon, 13 Nov 2017
Question: I have had itchy scrotum for about 6 months now . Tried over counter sprays. nystatin/triamcinolone cream. Diflucan150mgx5 days. even avelox 400 mg . Thought it might be staph. still no resolution. I am A dentist. So I prescribe my own meds. I forgot, I also have MS and Take the infusion drug Ocrevus, an Immunosupresant
doctor
Answered by Dr. Ornela Ademovi (4 hours later)
Brief Answer:
Eczema

Detailed Answer:
Hello,

I understand your concern. I think that, given the medication you have used hasn’t provided any release, a fungal infection can be safely excluded.
In order for me to narrow down the possible causes I need to know whether there is a rash associated to this and if yes, what does it look like? Does it spread beyond the scrotum? What time of the day is the itching more intense?
Please provide this information so I can give you a more accurate answer.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Ornela Ademovi (13 hours later)
I considered eczema as a possibility. So I discontinued all antifungals. Thought maybe I was treating an infection that wasn't there. So I tried using just Gold Bond Medicated lotion. But the itching intensified over the next couple of days. Making me think once again maybe it is tinea, and I just can't shake it because of the ocrevus l take . It is a B cell depleting medication. Prior to that I was on Tysabri, a T cell depleting medication. So as you can see my immune system is compromisedTo answer your question, there is no rash. But the itching has spread to the back side of my upper left leg. The itching has no specific time of day
doctor
Answered by Dr. Ornela Ademovi (44 hours later)
Brief Answer:
Could be a neurological problem

Detailed Answer:
Thank you for the additional information. I think eczema and an infection may safely be excluded, given the medication used.
The only explanation can be neurological, which can also be supported by your MS diagnosis.
Itching can sometimes be a sign of mild nerve damage or nerve regeneration. I recommend you talk about this to your neurologist. If you haven't already had a CT or MRI, I recommend you do a lumbar imagery for further investigation.

I hope this helps.
Wishing you good health and all the best.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Ornela Ademovi (3 hours later)
Thank you for your analysis. I will have an MRI in 2 weeks and discuss this with my Ms neurologist. Have a great day!
doctor
Answered by Dr. Ornela Ademovi (1 hour later)
Brief Answer:
Please see as below

Detailed Answer:
I hope to have been of help.

Wishing you 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. Raju A.T
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Answered by
Dr.
Dr. Ornela Ademovi

General & Family Physician

Practicing since :2004

Answered : 725 Questions

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Suggest Treatment For Itchy Scrotum While On Avelox

Brief Answer: Eczema Detailed Answer: Hello, I understand your concern. I think that, given the medication you have used hasn’t provided any release, a fungal infection can be safely excluded. In order for me to narrow down the possible causes I need to know whether there is a rash associated to this and if yes, what does it look like? Does it spread beyond the scrotum? What time of the day is the itching more intense? Please provide this information so I can give you a more accurate answer.