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Suggest Treatment For White, Painless Patches Of Skin On Scrotum

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Posted on Fri, 24 Oct 2014
Question: Recently I noticed white smooth painless patches of white skin on my scrotum and I am curious about the reason for this. The skin does not itch.
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Answered by Dr. Ronald Schubert (2 hours later)
Brief Answer:
vitiligo

Detailed Answer:
Thanks for contacting HCM fro your medical questions

I also appreciate the photos of the areas as they really help my ability to diagnose the problem. What I see here is a condition called vitiligo which is a disorder of the pigmentation of the skin. This is a benign condition and thought to be an auto immune disorder where the bodies antibodies destroy the pigment cells. There is occasional other auto immune disorders that accompany this disorder like Hashimoto's thyroiditis. The patches may enlarge and you may still get more hypo-pigmented areas. Once you have lost the pigment it is unlikely to return to normal.

There are no treatments that work consistently. Some doctors have tried using steroid creams but as your lesions are in such a delicate area and are not cosmetically distracting I would not treat.

Hope I have answered your question. If you have any other medical questions please feel free to contact me again
Above answer was peer-reviewed by : Dr. Yogesh D
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Follow up: Dr. Ronald Schubert (25 hours later)
I have read that vitiligo may be connected to other more serious problems with the body. When there are more serious problems does this mean the vitiligo will spread to other areas? Or does that have nothing to do with ones physical condition? I plan on seeing a doctor soon but I would like to know just in case I see the vitiligo spreading or starting in other areas of my body. Thank you.
doctor
Answered by Dr. Ronald Schubert (13 hours later)
Brief Answer:
Vitiligo associated with Hashimoto's disease

Detailed Answer:
Thanks for your question related to Vitiligo. There maybe an Association between vitiligo and autoimmune disorders though very rare. Hashimoto's thyroiditis is seen occasionally with vitiligo it is a form of hypothyroidism. Your doctor should check for thyroid diseases with a thyroid panel and TSH. to cover other autoimmune disorders a sed rate Rheumatoid factor and ANA, These tests check for forms of arthritis.

hope this answers your question. Please contact me again if you have further questions
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. Vinay Bhardwaj
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Answered by
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Dr. Ronald Schubert

General & Family Physician

Practicing since :1984

Answered : 2407 Questions

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Suggest Treatment For White, Painless Patches Of Skin On Scrotum

Brief Answer: vitiligo Detailed Answer: Thanks for contacting HCM fro your medical questions I also appreciate the photos of the areas as they really help my ability to diagnose the problem. What I see here is a condition called vitiligo which is a disorder of the pigmentation of the skin. This is a benign condition and thought to be an auto immune disorder where the bodies antibodies destroy the pigment cells. There is occasional other auto immune disorders that accompany this disorder like Hashimoto's thyroiditis. The patches may enlarge and you may still get more hypo-pigmented areas. Once you have lost the pigment it is unlikely to return to normal. There are no treatments that work consistently. Some doctors have tried using steroid creams but as your lesions are in such a delicate area and are not cosmetically distracting I would not treat. Hope I have answered your question. If you have any other medical questions please feel free to contact me again