rash around anus, scrotum, penis stem.

Red rash around anus, scrotum, and penis stem.  I have had this for a few years now.. Ok, I went through a treatment of nystatin and triamcinolone acetonide cream and my rash went away.. it came back with a vengence!!  then I just went through a treatment of just anti fungal cream.. No effect.  I have undergone a treatment of doxycycline as well too, no change..  So the cream with steroid was the only effective treatment but because the rash goes around the scrotum it is not wise to use steroids for prolonged periods of time.  HELLLPP!!!!!  

details: Rash goes through stages, tender redness painful to the touch (even water), then the skin appears to "grow back" only to start itching because its peeling I assume. The only time it has gone away full was with the steroid cream.

[Bhupinder Kaur, MD]

Hello,
It can be due to intertrigo skin. An intertrigo usually appears red and raw-looking, and may also itch, ooze, and be sore.

Please keep the area clean and apply some topical antiseptics. Also wear loose-fitting cotton clothing and use an antibacterial soap or mild soap like dove. Avoid any kind of cosmetics. Topical zinc oxide cream like Sudocrem, Desitin are very helpful(apply with a paper towel and not directly with hands).Application of mild steroid cream like dermacort also helps. For the itching please take some over the counter antihistaminic like benadryl or Claritin. In case the symptoms persist then antifungals may be needed.

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.