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Beginning in the fall of last year, I noticed some irritation in my right side of scrotum. I would just rub or scratch the area and it would subside. As a big runner I figured it was jock itch, and thus saw a doctor and got a medical grade anti fungal. I treated with this and it stayed at bay, for a while. It was still bothersome from time to time and around July it got very bad. I tried to throw a few things at it, including gold bond with menthol (burnt badly, scared i burned the scrotum from this) and more fungal cream with hydrocortisone.
I went to bed on July 20 with what you see in the first picture. Minor irritation, but no significant reddening. I woke back up the next morning and my scrotum was very red. I went to a dermatologist that week and was given predisone- i followed up and was given an anti fungal pill and cream. That did not work and I followed up and was given a biopsy which came back as spongeotic dermatitis with traces of bacteria- i was then given a anti bacterial cream and pill. About a month after this i followed up and was once again given doxycline and gapabentin for "red scrotum syndrome" as well as elidel cream.
I then received patch testing which came back negative. Following the patch test I was prescribed topicort steroid cream.
I am at my wits end trying to figure out what is going on. I don't know if this is eczema, psoriasis, if a cream would help, if there is a pill that may help?? Its very itchy and bothersome if wearing any kind of tight clothing. I am on leave from work currently as my anxiety got so bad that i was having trouble keeping up with my responsibilities.
Are there any suggestions or ideas to what this may or may not be?
When it is irritated badly it will get spot patches all the way up my penis. THe scrotum becomes almost brownish red, and the itch is unbearable even with antihistamines.
It is always red, but just varies in terms of severity.
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