Generally, what causes scrotal eczema?

Patient's question:

I have white small bumps on my scrotum, and they also appear at the base of my penis. It has been about ten years. At the beginning, it was extremely itchy, and my scrotum was moist. It relieved when the weather was hot. For about a year, it wasn't itchy anymore, but the white bumps still remained. The dampness and heat at night made it difficult to sleep, and I felt restless. It is not contagious. Recently, I feel it has worsened, with swollen and warm lymph nodes on both sides of the groin, slightly painful. I am afraid the condition will worsen. A thorough examination at the hospital confirmed it as scrotal eczema.
What kind of help do I need: What are the common causes of scrotal eczema?

Doctor's answer:

Scrotal eczema is mainly caused by factors such as allergic constitution, long-term mental stress, humid environment, excessive alcohol consumption, etc. Short-term topical weak corticosteroids are used for treatment. It is recommended to pay attention to personal hygiene, maintain clean and dry external genitalia, avoid scratching with hands, and wear cotton, soft, and loose underwear and pants. Avoid prolonged sitting or cycling, which increases friction, and engage in appropriate activities. Avoid spicy, irritating foods and alcohol.

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