Round dry Patch

Hi, My husband has a perfectly round dry patch of skin on one of his testicles. It is about the same size as a quarter.  It doesnt bother him at all, but it will not go away, even with cream everyday. Any idea what it is??

[Bhupinder Kaur, MD]

Hello,
I cannot confirm anything without examination but it can be lichen simplex chronicus or nummular dermatitis. Lichen Simplex Chronicus is seen in people with eczema.

It is treated like chronic eczema by decreasing water and soap contact, and applying emollients. Topical steroids are almost always needed to control the symptoms. You can use mild steroid cream like Dermacort and if the symptoms persist then high potency steroids and oral steroids may be needed.
My sincere advice would be to consult a dermatologist to get the diagnosis confirmed. It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.