Wrinkled skin on scrotum with flaking skin

[asultani]

Hello,

I am 22. I have had for almost 2 months now a skin disorder on my scrotum. The first time I noticed it, it was a small area with white, dry skin. I could rub it and the skin flaked off. It simply went away for a few days and then it came back, but this time it was getting a bit itchy. I also noticed at another time the white dry skin also had some reddish scab-like skin in there too, which I could also rub off. This goes on and off. However, the area seems to be wrinkly all the time. I have some serious concerns about this, and it really annoys me and I don't want to scare my girlfriend with this issue. Now I have noticed that the area seems to be a bit bigger then usual. It evens worries me more now.

Thank you in advance. Any help would be appreciated.

[Bhupinder Kaur, MD]

Hello,
From the symptoms it can be seborrheic dermatitis, eczema or lichen sclerosus. Wash the areas several times with fresh water. Do not use any cosmetic products at the sites. You can apply some calamine lotion at the rash as it will help in soothing the skin. You can take some OTC oral antihistamine medications like Benadryl or Claritin and see if it helps.

For mild-moderate symptoms a weak steroid may be used. But they are available under prescription and should be taken only after consulting a dermatologist. Symptoms  can be exacerbated by dryness of the skin. Use good quality moisturizers to prevent moisture loss from the skin.

Please get the diagnosis confirmed from a dermatologist and then start with the treatment.
I hope it helps. Take care and regards.

[asultani]

I would also like to add that I have no pain, and the itching, although it is recurrent, it is mild. It's nothing severe.