Scrotal eczema L30.86

Polyetiological dermatitis of the scrotal skin. Often cumulative-toxic, more rarely contact-allergic or manifesting as a form of lichen simplex chroncius . Not infrequently a minimal variant of atopic dermatitis or partial manifestation of a generalized form of atopic dermatitis.

Mostly therapy-resistant, chronic dermatitis, which is conspicuous by its sometimes excruciating itching (Note: the itching leads to the doctor!). The itching is particularly aggravated by stressful situations or long periods of sitting in uncomfortable clothing. Such situations can build up to an agonizing itching scenario in observed civilized surroundings.

Avoid or reduce the exposure to contact toxins. Topical glucocorticoids: Do not use highly potent topical glucocorticoids, do not use them for a long time and do not use them under occlusion! Omit soaps and detergents, cleanse with oil-containing baths (Balneum Hermal, Balmandol, Linola Fat Oil Bath). Treatment with refatting topical creams in a compatible base (Alfason repair, Linola Fett, Vaselinum alb., Excipial Almond Oil Ointment), if necessary addition of 2-10% urea (e.g. Eucerin Urea, Basodexan). Alternatively dexpanthenol cream(e.g. Bepanthen cream). Zarzenda cream (internationally known as Atopiclair) is approved in Germany. This is a steroid-free multicomponent cream with a strong antipruritic, anti-inflammatory effect (apply 2 times/day). Physiogel AI cream for itching can also be tried.

1. Krishnan A et al (2013) Scrotal Dermatitis - Can we Consider it as a Separate Entity? Oman Med J 28:302-305.

2. Ständer S et al (2003) Antipruritic effects of pimecrolimus and tacrolimus. Dermatologist 54: 413-417