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What Causes Redness And Itching On The Testicles?

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Posted on Fri, 3 Nov 2017
Question: hi doc. i have had previous conversation about redness and uncomfortable itching on my testicles i have been using ketoconazole for a few weeks but didnt see serious resulys i am including pics
doctor
Answered by Dr. Dr. Rahul Kumar (1 hour later)
Brief Answer:
Allergic reaction

Detailed Answer:
Hello
Thanks for the query and photograph.
You have developed scrotal dermatitis.
It is an allergic reaction.
Ketoconazole is an antifungal and would not be helpful.
I treat such cases with a mild steroid cream like cortisone to be applied twice daily for a week.
This should help you.
Let me know if you have any other doubts.
Thank you.
Above answer was peer-reviewed by : Dr. Yogesh D
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Follow up: Dr. Dr. Rahul Kumar (1 hour later)
ok great thanks doc, how are you able to tell that it isnt a fungal infection which is what you thought at first (i am not questioning your answer, just trying to understand) you do not have to respond if you do not want to. thank you very much have a gr8 night (or day, wherever you are)
doctor
Answered by Dr. Dr. Rahul Kumar (9 hours later)
Brief Answer:
Use cortisone

Detailed Answer:
Hello
Thanks for the follow up.
Both scrotal dermatitis and fungal infection looks similar.
We do lab tests like KOH mount for fungal hyphae.
Since that is not possible in online queries it is better to go ahead with the treatment of more common condition that is fungal infection.
If there is no response diagnosis as well as treatment changes.
Hope that helps you.
Let me know if you have any other doubts.
Thanks
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Dr. Rahul Kumar

Dermatologist

Practicing since :2010

Answered : 6354 Questions

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What Causes Redness And Itching On The Testicles?

Brief Answer: Allergic reaction Detailed Answer: Hello Thanks for the query and photograph. You have developed scrotal dermatitis. It is an allergic reaction. Ketoconazole is an antifungal and would not be helpful. I treat such cases with a mild steroid cream like cortisone to be applied twice daily for a week. This should help you. Let me know if you have any other doubts. Thank you.