Male scrotal peeling

If a man has scrotal peeling, it will affect many problems. If it is not treated in time, it will cause sexual dysfunction. Therefore, special attention must be paid, especially for patients with chronic scrotal eczema. This chronic disease cannot be cured in the first time and must be treated for a long time.

1. Understand the characteristics. Skin lesions are mostly irregular, polygonal or flat round papules that merge into patches and are normal skin color or light brown. Over time, the skin becomes thickened, the skin grooves deepen, the skin ridges rise, and it is easy to form lichenification, which is an important feature of this disease.

2. Distinguish diseases and venereal diseases. The skin lesions at the beginning are mainly papules, or erythema, itching, red tongue, greasy coating, and rapid pulse. These are mostly wind, dampness, and heat evil blocking the skin, which is a real syndrome. If the disease does not heal for a long time, or recurs repeatedly, it will develop into blood deficiency and wind dryness. The skin lesions will be lichen-like, dry, thick, and scaly, like the skin of a cow's collar, accompanied by a pale red tongue and a weak pulse. These are mostly deficiency syndromes or a combination of deficiency and excess syndromes.

3. Understand the causes. This disease is often triggered or aggravated by mental factors, irritating foods, or friction and scratching of clothing.

Western medicine diagnosis

1. Chronic scrotal eczema: There is often an acute blisters phase. Even if it is chronic at the beginning, blisters are often seen in tissue pathology. The lesions are significantly infiltrated and thickened, often covered with scales and crusts, and the lichenification is not prominent. There are no blisters in clinical and tissue pathology of scrotitis. The skin lesions are mostly irregular, polygonal or flat round papules fused into pieces, and the lichenification is obvious. In terms of the cause of the disease, the former is mainly allergic, and the latter is mainly mental disorder.

2. Pruritus: At the beginning of the disease, it is just itching, without any primary rash, accompanied by burning, crawling, and ant-walking sensations. The affected area often has secondary damage such as scratches, rubbing, exudation, and blood scabs. The boundaries of lichenification are unclear. Scrotal dermatitis is caused by local itching and scratching, and polygonal flat papules merge into pieces. The boundary between lichenification and normal skin is clear.

3. Lichen planus: polygonal rash or triangular flat papules with a depression in the center, purple or dark red, waxy luster and strip-like damage. The cheek mucosa often has grayish white flat polygonal rash. Scrotal dermatitis does not have these manifestations.