What topical medication is effective for scrotal eczema?

Patient's question:

For more than half a month, I have been experiencing scrotal itching with subcutaneous papules and small red bumps appearing, but without any fluid leakage. Sometimes, I can't help but scratch it, which has severely affected my work and life.

Doctor's answer:

Hello, when scrotal eczema has an acute outbreak, the scrotal skin may become swollen, red, blistered, and crusty. If there is exudate, cold wet compresses with physiological saline can be applied externally; if there is no exudate, calamine lotion can be used externally. Once the skin lesions improve, Pramesone ointment or Hydrocortisone cream can be applied externally. It is important to keep the scrotum and underwear dry and comfortable. Under the guidance of a doctor, some topical corticosteroid anti-itch creams can be used externally. Avoid scratching and use some moisturizing cream appropriately. If the itching is severe, antihistamines can be taken.

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