Scrotal eczema

Introduction to scrotal eczema Scrotal eczema is the most common skin disease of the scrotum. It is an allergic reaction. It is also a common sexual organ skin disease in men. It is not a sexually transmitted disease. It is commonly known as hydrangea wind and cell leak. The disease is very stubborn, and patients often suffer from pain or secondary infections due to scratching or inappropriate stimulation. The disease is divided into acute and chronic, which are closely related to the occupation and living environment in which people are engaged. For example, people who work in coal mines, tunnels and other humid places for a long time, people who live in wet areas or rooms for a long time. Susceptible to this disease, some people believe that the occurrence of this disease is related to genetic factors, hot water scalding, irritability and other factors, the disease is severe itching, and repeated attacks. basic knowledge The proportion of illness: 0.03%--0.07% Susceptible people: male Mode of infection: non-infectious Complications: genital itching

Scrotal eczema etiology

Allergic constitution (25%):

People with allergies, people with long-term mental stress and high fluctuations in mood are susceptible to this disease; irritable the physique is generally a person who is prone to allergic reactions and allergic diseases and cannot find the cause of the disease. It is "allergic". People with "allergic constitution" can develop a variety of allergic reactions and allergic diseases, such as eczema, urticaria, some allergic asthma, and some are particularly sensitive to certain drugs, can occur drug-like Dermatitis, even exfoliative dermatitis.

Chronic digestive system disease (20%):

People suffering from some diseases, such as chronic digestive diseases, gastrointestinal disorders, endocrine disorders, and metabolic disorders, are also susceptible to this disease under the influence of external factors. Gastrointestinal dysfunction, also known as gastrointestinal neurosis, is a general term for a group of gastrointestinal syndromes. Mental factors are the main causes of this disease, such as emotional stress, anxiety, difficulties in life and work, troubles, and accidental misfortunes. Etc., can affect the normal activities of gastrointestinal function, and then cause dysfunction of the gastrointestinal tract.

The environment is humid (15%):

The environment in which work and work are wet is humid, and the humidity of the air is relatively large.

External stimulus (10%):

External stimuli, cold or hot, sweating more, excessive scratching and so on.

Tights are tight (10%):

The underwear is tight, or the foreign matter is rubbed, and the chemical fiber underwear can induce scrotal eczema.

Scrotal eczema prevention

Scrotal eczema is a disease that is stubborn and difficult to cure, so it is necessary to protect it. The protection needs to do the following.

(1) The underwear should be loose and comfortable, preferably pure cotton products. Do not wear tight underwear, change the underwear in time, especially after exercise, clean and change the underwear.

(2) Eat more fresh vegetables and fruits, do not eat or eat less spicy products.

(3) When there is scrotum itching, it is necessary to actively treat, do not over-scratch and scald, especially do not use soapy water to wash.

Scrotal eczema complications Complications, genital itching

Acute scrotal eczema is not treated in time and can evolve into chronic scrotal eczema.

Symptoms of scrotal eczema Common symptoms Scrotum on white scrotum scrotum peeling scrotum sputum skin pigment deepening eczema skin dry papules insomnia knot scaly

Acute manifestations of scrotal epidermis can be seen in the size of the needle, clusters of papules and blisters, and the edges are diffuse. When continuing to develop, the blister sometimes fuses to form larger blister, and the blister ruptures to form a smashed surface, which has exudate and forms after the slurry is dried. Hey, the scrotum is red and swollen. When there is a secondary infection, there is pus outflow. After that, the inflammation gradually reduces, the redness and swelling disappear, the secretions decrease, the papules and herpes no longer occur, and the erosion heals, but some patients have obvious infiltration due to scratching the skin. Thick, forming more or less mossy changes, acute eczema has been converted to chronic eczema.

According to the clinical manifestations, chronic eczema is divided into two types: dry and moist. The wet scrotum is swollen and prominent, with mild erosion, discharge, scarring and significant infiltration, hypertrophy, deep wrinkles, slightly bright, deep pigmentation, scrotum Significantly larger than normal, due to severe scratches between the severe itching, the other is dry type, the edema is thicker than the former is prominent, there are thin tendons and scales, gray, due to thickening of the infiltration, there are cracks, there may be Regular pigments disappear.

The clinical classification is divided into the following two categories according to the course of disease and performance:

(1) According to the course of the disease, it is divided into acute scrotal eczema and chronic scrotal eczema.

(2) Chronic scrotal eczema is divided into two types according to the clinical manifestations: wet type and dry type.

The main symptom of acute scrotal eczema is itching. The patient often finds the disease due to the itching of the scrotum. As the disease progresses, the itching gradually worsens. The scratching can not relieve itching. In severe cases, it affects sleep and work. The symptoms of rash include the following :

(1) Small papules, herpes and small blisters in the scrotum can be found in densely distributed millet-sized herpes or small blisters with basal flushing.

(2) The exudate and erosion surface caused scratching due to itching, and the skin lesions such as papules, herpes, and blisters were scratched, and the slurry was continuously exuded, and the underwear was often wetted to form a smashed surface.

In addition, topical soaping with hot water and scratching can make the skin lesions worse, drinking, insomnia, tension can also make the skin lesions worse.

Chronic scrotal eczema due to long time, coupled with constant scratching, makes the skin of the scrotum dry and thick, wrinkles deep, walnut skin, often with thin suede and scales, skin pigmentation deepens; The situation of decline, often severe itching, can not fall asleep, due to treatment difficulties, repeated unhealed, scrotal skin may appear like a skin swelling.

Scrotal eczema examination

Scrotal eczema examination, blood routine examination can sometimes see elevated eosinophils, no specific examination, when combined infection, the total number of white blood cells can be increased.

Diagnosis and identification of scrotal eczema

diagnosis

The diagnosis of scrotal eczema is not difficult, and the diagnosis can be made according to the characteristics of the lesion and the severe itching.

Differential diagnosis

Sometimes it is necessary to identify with the scrotal neurodermatitis, scrotal itching caused by riboflavin deficiency and extraembryonic eczema-like cancer.

(1) Scrotal neurodermatitis can be seen as a flat papule connected to the scrotum. It is severely distributed throughout the scrotum. It is characterized by the fact that it is itchy, but it has no exudation. The skin becomes thicker and more striate.

(2) The course of scrotal itching caused by riboflavin deficiency is generally short, generally no obvious skin hypertrophy, oral administration of riboflavin can be effective in a short period of time, often accompanied by glossitis or angular cheilitis.

(3) The appearance of extraembryonic eczema-like cancer is similar to that of eczema, but careful observation shows that the skin lesion is a clear red patch with clear sputum and keratosis on the surface, gradually expanding, and even ulceration, requiring histopathological examination. Clear diagnosis.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.