Patient's question:
The husband's reproductive organ has some white spots around the anus, similar to a fungal infection. It's a bit itchy. Can you identify what disease this might be?Help needed: Can you identify what disease this might be?
Doctor's answer:
Disease Analysis:(1) Small papules, vesicles, and blisters can be found densely distributed on the scrotum as small millet-sized papules or vesicles with erythematous bases.
(2) Due to itching, scratching leads to the rupture of papules, papulovesicles, and vesicles, resulting in continuous serous exudation that often soaks underwear, forming erosions. Additionally, local washing with soapy water and scratching can worsen the skin lesions. Alcohol consumption, insomnia, and stress can also exacerbate the condition.
Chronic scrotal eczema, due to prolonged duration and continuous scratching, causes the skin of the scrotum to become dry, thickened, and deeply wrinkled, resembling the texture of a walnut shell. It is often covered with thin crusts and scales, and the skin pigmentation may deepen. In some cases, scratching may lead to hypopigmentation. The condition is typically accompanied by severe itching and insomnia. Due to the difficulty in treatment and recurrent non-healing, the scrotal skin may develop elephantiasis-like changes.
Advice:
The diagnosis of scrotal eczema is not difficult. Based on the characteristics of the skin lesions and severe itching, a diagnosis can generally be made. In some cases, it may be necessary to differentiate it from scrotal neurodermatitis, scrotal pruritus caused by riboflavin deficiency, and extramammary Paget's disease.