Red Skin Rashes On Scrotum - Come And Go

[tiger39704]

Hello doc,

I have red skin rashes on the bottom/behind part of my scrotum. There’s no bumpy spot/any zit in the rashes, just plain pinky red skin areas, as if it was irritated skin areas. There are like 5 of them, close one to another. It appeared about 2 weeks ago and it didn’t get any better for few days until I visited a dermatologist at Saturday (9 days ago). I thought it was herpes but the dermatologist said it wasn’t herpes considering the pinky red areas never hurted , and there’s no bumpy spot at all, and I have been tested at 18 weeks after my latest sexual encounter and all IGG tests (for both HSV 1 and 2) came back negative. Now it’s been total 5 months and 2 weeks after that latest sexual contact and I’ve never had this kind of red pinky areas before. I also have been tested clean for all other STDs such as hepatitis B/C, HIV, syphilis, etc.

The dermatologist prescribed me a mixed cream of benison M and fuladic. If you don’t know what are they, check these links out:

http://www.****.com/Indonesia/drug/info/Benoson%20M/Benoson%20M%20cream

http://www.****.com/Indonesia/drug/info/Fuladic/

apparently benoson M is for fungal treatment?

And here are some pics of what it looked like:

http://****.com/9schdy.jpg

http://****.com/2h356vc.jpg

As you can see above, there were some “peeled off skin” on the redness area back in Saturday/Sunday but after 4 days using the cream those redness areas disappeared completely. I stopped using it and 2 days it came back, precisely at those spots. I tried to not using the cream for a day and it didn’t get any better so I can confirm it’s not usual skin irritation (because usual skin irritation would definitely look better after a day)

What do you think it could be?

[tiger39704]

Doc, it reappeared again for the 3rd time :(

Basically when it appeared the first time, i applied the cream i mentioned above for 5 days and it disappeared. 2 days later, it reappeared

Then i applied the cream again and 5 days later it disappeared again. This time I kept applying the cream for another 4 days (so total 9 days) and yes I never had any more of these red rashes during those 4 days...but then I stopped applying the cream and 2 days later it reappeared again!

I then bought a OTC antifungal cream and there I can read their instruction:

"You have to keep applying the cream for minimum a week after all symptoms gone"

So basically i need to apply the cream for at least 1-2 weeks after all symptoms (red rashes) gone right, instead of stop using it? Problem is, im afraid the fungal will be resistent to my cream considering the OTC cream has the same ingredient (miconazole nitrate). I have applied the new cream 2 days so far and nothing has improved...

do i need to change cream to another antifungal cream that's using different ingredient?

[tiger39704]

Hi doctor Rohit, thank you for answering my question.

As of now, my current redness has subsided since yesterday but i still applied the mixed cream that i mentioned earlier and plan to continue using it until tomorrow. I have been to my dermatologist again and he said no need to continue using it, as long as it's been subsided, then it's good...

I didnt get any oral antifungal treatment, i was only prescribed lameson 16 gram, which indication is for allergic and inflammatory condition (and not fungal treatment). Do you think by just using this oral drug and the previous antifungal cream for the next few days it would kill the fungi and it won't come back?

[Rohit Batra, MD]

Dear tiger39704,

Thanks for your query.

Fungal infections are quite common and present as red to pink patches with scaling at times in the groin area. These are itchy and can spread to nearby areas quite fast. Also fungal infections subside on applying fungal creams as well as steroid creams- in your case you applied a mixture of both. In order to get a complete relief, you should be prescribed a course of oral antifungals along with a topical antifungal.

Scaling of fungal infections can get attached to the undergarments but a thorough washing takes off the fungal scales and there is no need for you to dispose  those undergarments.

There isn't any need to panic as fungal infections are easily treatable are not serious though the itching can be frustrating at times.

Just discuss with your dermatologist to start a course of oral antifungals for you if the problem persists.

Hope that this information helps and hope that you will get better soon.

Thank you for using MedHelp's "Ask an Expert" Service, where we feature some of world's renowned medical experts in their fields. Millions have benefitted from our service to get personalized advice for them and for their loved ones.

Best Regards,
Dr. Rohit Batra.

[tiger39704]

i dont get it why the site censor the link name, i didnt try to promote any site, it was just to provide more information. Basically the links to provide the drug information was mims . com

and the pics of what my condition looked like was at: tinypic . com

[tiger39704]

an update,

today i visited the same dermatologist who prescribed me mixed cream of benoson M and fuladic, and he confirmed it's dermatitis on my scrotum and yes it has fungal infection, that's why the previous cream worked before it reappeared.

However, i totally forgot to ask him if this fungi could lived in the underwear and reinfected me?

i mean, i had a thought that the fungi might "jump" from my scrotum to my underwear when i had active infection last week and then i reuse that same underwear 1-2 days ago so it reinfected me, could it be possible? if yes, do i have to just throw away all my underwears and buy new ones?