Suggest Treatment For Itchy Scrotum With Excessive Sweating

Posted on Thu, 12 Feb 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 12 Feb 2015 Answered on

Thu, 12 Mar 2015 Last reviewed on

Question : I have a sweaty groin, itchy scrotum, feels like rug burn. It never goes away, I have it all the time. I also get hard large boils every so often on my inner thigh. I have been to the doctor 4 or 5 times about this. I still have no conclusion on this.

Answered by Dr. Hardik Pitroda (-4 hours later)

Brief Answer:
Pictures required

Detailed Answer:
Hello,
Thank you for posting on HCM.
I can understand your concern regarding the skin lesions.
It seems you might have fungal infection or scabies but its difficult to point specific diagnosis in absence of clinical examination.
Therefore, I insist you to post good clinical pictures to me so that I can help you in a better way.
You can mail pictures to YYYY@YYYY
with subject titled ' ATTN Dr Hardik Pitroda'.

Thanks
Dr Hardik Pitroda

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Hardik Pitroda (19 hours later)

I actually do not have any leison's on my thigh at the moment. A couple times a year they get so big they are slightly smaller then a golf ball. The leison's on my thigh happen at least once a month, they varry in size. So I do not have a photo at the moment.

I also get these painful leison's on the underside of my stomach as well. I have attached a photo of these.

My daughter also has signs of an itchy vagina, she is constantly scratching and says it's itchy. She has not had any types of leison's. She seems to go to the washroom quite a bit during some times twice an hour. She get a really bad rash on her butt cheek. She is 6?

Answered by Dr. Hardik Pitroda (11 hours later)

Brief Answer:
Possibly Urticaria, Oral antihistaminics, avoid allergen

Detailed Answer:
I am sorry to say the picture you have sent is of low resolution and low clarity.
From review of picture, it looks like healed lesions of folliculitis, a bacterial infection of hair roots. It doesnot require any active treatment except application of antibiotic cream like mupirocin for few days.

From your history of recurrent evanescent lesions, it seems more likely that you are having Urticaria.

Urticaria or hives is an allergic manifestation of skin, where an allergen leads to release of certain substances from your blood, leading to itchy skin rash and swelling over soft tissues.

Its proper management requires thorough history, clinical and laboratory work-up.You may have to go for specific tests like patch test, food prick test, IgE antibody levels etc.

As for treatment part, best would be the avoidance of allergen as far as possible.
Try to eliminate possible triggering foods from diet.
I would also advise you various anti-histaminics for long duration( atleast 3 months) with or without oral corticosteroids.
For non- responding cases there are many other drugs like dapsone, cyclosporine, montelukast, omalizumab etc which can be used in certain selected cases.

Hope this will help you in resolving your query.
Thank you
Dr Hardik Pitroda

Above answer was peer-reviewed by : Dr. Ashwin Bhandari