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Rash On Neck, Scalp, Ears, Scrotum, Bulge Near Anus, Skin Protrusion

Posted on Fri, 5 Oct 2012

Question: have been suffering from
1) Rash on the back of my neck, scalp, ears- Its very itchy and powder comes off when scratched
2) Scrotum, anal area is very very itchy and some gray powder comes off when scratched. Its gets worse at nights while sleeping.
3) Bulge and roughness near anal area
4) Some skin protrusion, small kind of hanging extension near anus
5) Rashes on my arms which gets very itchy when exposed to sun
6) Some scars due to itching on my legs below knee

I am really suffering this from many years (some of these) and its kind of gives mental suffering also.

Can you please examine what is this and prescribe some remedy or suggest a good doctor/dermatologist in Bangalore.

Thanks & Regards,
XXXXXXX

Answered by Dr. Gaurang Krishna (19 minutes later)

Dear XXXXXXX

Thanks for your query.

I think you are suffering from Seborrheic and endogenous dermatitis. It is a chronic disease with a long up and down course. I would request you to please send me your lesions' pics to YYYY@YYYY . Subject: Attn Dr. Gaurang. I can then examine the lesions and give you a better opinion.

Do not forget to reply here after sending the pictures also as I can answer only over this forum.

In Bangalore you may consult Dr Venkatram Mysore and give my reference.

I shall be available for any further queries you have.

Thanks

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Gaurang Krishna (15 hours later)

Pictures received at YYYY@YYYY

Answered by Dr. Gaurang Krishna (7 hours later)

Hello XXXXXXX
Thanks for the pics. They were helpful. You have moderate to severe widespread endogenous dermatitis commonly known as eczema. I see that you have been scratching them a lot particularly the thiigh, scrotal and anal areas. The growth near the anus is called sentinel pile (skin tag) which is a result of excessive scratching. The pimple is a simple cyst. I suggest you start taking sedative antihistaminics at night and potent steroid cream twice daily on the lesions. Do a lot of moisturization. I can not give you a prescription here. In bengaluru you can XXXXXXX Dr Venkatram Mysore.
I hope I have answered your query. feel free to ask any further questions.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Gaurang Krishna (51 minutes later)

Dear Dr. XXXXXXX

Thanks a lot for your reply. I have some good information now.

I would like to know if eczema is the cause for my rashes on back of neck, scalp, forearm and legs?

You mentioned about Sentinel Pile. Does it mean that I suffer from "Piles".

Does both "Eczema" and "Sentinel Pile" have a permanent solution, or it is a chronic disease?

I shall consult Dr. Venkatram as per your advise.

Thanks & Regards,
XXXXXXX

Answered by Dr. Gaurang Krishna (4 minutes later)

Hello XXXXXXX

Thanks for following up.

Yes everything you have seems to be eczema ( or endogenous dermatitis as we call it).

Sentinel pile does not mean that you have piles. It just a term given to that skin growth. It has nothing to do with PILES disease. It seen in eczema patients due to chronic scratching.

As for the CURE, eczema is notorious for coming and going. Once resolved, it may come back again. But the good thing is that it can be managed easily. I have seen patients who get the relapses after a very long time and a few of them did not get any relapse at all. So that's not a thing to worry about a lot. It is just that you will have to take some extra care of your skin.

All the Best.

Regards

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar