[23M] With itchy and stinging rash on inner thighs, scrotum, and buttocks

Patient Description

A 23-year-old male presents with a one-week history of an itchy and stinging rash located on the inner thighs, scrotum, and buttocks. The rash is described as red, dry, scaly, and patchy. The itching is particularly unbearable on the scrotum and inner crevices of the thighs, leading to a stinging sensation due to the rawness of the skin when scratched. Over-the-counter itch creams, cortisone, powder, and petroleum jelly have been used without significant relief. The patient has a history of chronic respiratory infections since childhood and is allergic to Penicillin and Amoxicillin, which cause severe sickness. No other medications are reported to be in use, and no recent changes in diet, environment, or contact with individuals with similar symptoms have been noted. No fever, blisters, sores, or difficulty urinating have been reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible causes for your symptoms include:

  • Jock Itch (Tinea Cruris): This is a fungal infection that causes a red and itchy rash in warm and moist areas of the body. The inner thighs and genital area are commonly affected. The rash can be red, flaky, or scaly.

    • Treatment typically involves topical antifungal creams. Keeping the area dry and clean is also important.
  • Contact Dermatitis: This is a skin reaction resulting from exposure to allergens or irritants. Scratching can make the rash worse and cause it to become raw and sting.

    • Treatment involves avoiding the irritant or allergen, applying topical creams to relieve itching and inflammation, and in severe cases, taking oral medications.
  • Psoriasis: This is a skin disease that causes red, itchy, and scaly patches. It can occur anywhere on the body but is commonly found on the knees, elbows, scalp, and genitals.

    • Treatment can involve topical corticosteroids, vitamin D analogues, light therapy, and if severe, oral or injected medications.

What you can do

It would be best to consult a doctor about your symptoms so that they can provide a formal assessment and order relevant tests if necessary. In the meantime, you can try the following to relieve your symptoms:

  1. Keep the area clean and dry. Use a gentle cleanser and avoid harsh soaps or chemicals.
  2. Avoid scratching the area as much as possible. This can worsen the rash and cause further irritation.
  3. Over-the-counter creams and ointments containing hydrocortisone can help reduce itching and inflammation. However, if you suspect a fungal infection, an over-the-counter antifungal cream may be more appropriate.
  4. Wear loose, breathable clothing to prevent moisture build-up.

What you should look out for

Reasons to see a doctor more urgently:

  • If your symptoms worsen or spread to other parts of your body
  • If you develop a fever or other signs of infection such as pus, warmth, or increased redness around the rash
  • If the rash does not improve after two weeks of home treatment

Please remember, while I strive to provide accurate information, I'm not a doctor. It's important to consult with a healthcare provider for a formal diagnosis and treatment.

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1 yr ago

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People Also Ask


What is jock itch and how can it be treated?

Jock itch, or Tinea Cruris, is a fungal infection that affects warm, moist areas of the body, such as the inner thighs and genital area. It causes a red, itchy, and sometimes scaly rash. Treatment typically involves using topical antifungal creams and keeping the affected area clean and dry.


What are the common symptoms of contact dermatitis?

Contact dermatitis is a skin reaction that occurs when the skin comes into contact with an allergen or irritant. Common symptoms include redness, itching, and a rash that can become raw and sting if scratched. Avoiding the irritant and using topical creams to relieve symptoms are common treatments.


How can psoriasis be managed, especially in sensitive areas?

Psoriasis is a chronic skin condition that causes red, itchy, and scaly patches. In sensitive areas, management may include using topical corticosteroids, vitamin D analogues, and light therapy. In severe cases, oral or injected medications may be necessary. It's important to consult a healthcare provider for personalized treatment.


When should I see a doctor for a persistent rash?

You should see a doctor if your rash worsens, spreads, or does not improve after two weeks of home treatment. Additionally, if you develop a fever or signs of infection such as pus, warmth, or increased redness, seek medical attention promptly.


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