Question: I am 21 years old and I have been with a stain that expands at the edges of the scrotum for more than a year.Pica, Hormiguea and Arde.Doctors tell me that it is Herpes, others say it is a fungus, but they have not served the treatments much and every time the stain expands and I worry, could they help me?
Felipe, Manabí
Answer: Reading the brief description of your cutaneous problem, the possibility of some diagnoses comes to mind.It can be a mycosis (fungi as they have said), since the place you indicate as "scrotum edge" must be the inguinal region, and this is a common site of fungal infection.
The lack of response to treatment could be that it actually refers to recurrences (it comes out again) and not because it does not respond to treatment, but because you can also have fungi on your feet and from that site you get infected again.
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However, it can actually be another disease, for example, contact dermatitis caused by irritants, as remains of the detergent that is used to wash clothes or the use of softener, which when mixing with the sweat of that area and being beingA fold site produces irritation (it says that itchs and burns).
Also people who have atopia (allergy) can present irritation with burning and itching in skin folds;But it could also be an erythrasma (bacteria infection), which produces a slightly peeled and pruriginous copper stain.
Any of the previous diagnoses could be altered by the use of inappropriate or prolonged treatments, for example, corticosteroids, which may have produced other over -agreed problems, such as stretch marks, which bite a lot.In any case, because of the description you give, it is not herpes, since in that diagnosis there are no spots but vesicles (water pumps).
As I always recommend, the only way to make a correct diagnosis is to observe dermatosis, and in certain cases even performing exams;Therefore, go to a dermatology specialist.
Dra.Blanca Almeida Jurado, dermatologist.
Tel: 210-9263, 099-847-3629.