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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Scaly Skin Along With Itchy Rashes On The Genitals?

hi.my brother(25 years old) has been suffering from itching in private parts and scaly skin with rashes on his reproductive organs.he said that there was no use even after using so many anti-fungal ointments.he said that he didnt have any sexual contacts in any manner till now.can u suggest what is the best thing he can do right now?
Wed, 30 Dec 2015
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General & Family Physician 's  Response
Hi
I have gone through your complaints

If i were your treating doctor i would have liked to know
Are the lesions painful or not
Is there any discharge from urethra
Specific timings of itching
As you have said that there is no history of sexual contact so the chances of sexually transmitted diseases such as gonorrhea,chlamydia.lymphogranuloma venerum,haemophillus ducrei,syphillis and molluscum contagiosum have low chances.

In your situation top on my list would be
1-scabies.for which i would suggest you to take out your bedsheets and other stuffs and place them under sunshine.then i will suggest to apply permethrine lotion ie descab lotion to your whole body except face and eyes and take a shower after 24 hours.this also advised for every family member provided that there is no allergy.

2- second on my list will be eczema for which i will prescribe topical steroids such as mometasone / methylprednisolone for 14 days.

3-then psoriasis and allergy

I would suggest you to meet your dermatologist as these drugs are available on prescription and physical exam is mandatory.

Thanks
Hope you get your answer
Your questions will be appreciated
Wish you good health
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What Causes Scaly Skin Along With Itchy Rashes On The Genitals?

Hi I have gone through your complaints If i were your treating doctor i would have liked to know Are the lesions painful or not Is there any discharge from urethra Specific timings of itching As you have said that there is no history of sexual contact so the chances of sexually transmitted diseases such as gonorrhea,chlamydia.lymphogranuloma venerum,haemophillus ducrei,syphillis and molluscum contagiosum have low chances. In your situation top on my list would be 1-scabies.for which i would suggest you to take out your bedsheets and other stuffs and place them under sunshine.then i will suggest to apply permethrine lotion ie descab lotion to your whole body except face and eyes and take a shower after 24 hours.this also advised for every family member provided that there is no allergy. 2- second on my list will be eczema for which i will prescribe topical steroids such as mometasone / methylprednisolone for 14 days. 3-then psoriasis and allergy I would suggest you to meet your dermatologist as these drugs are available on prescription and physical exam is mandatory. Thanks Hope you get your answer Your questions will be appreciated Wish you good health