
Suggest Treatment For Angiokeratoma Of The Scrotum

I have several angiokeratomas on my scrotum and I was stupid enough to follow some advice found on the web. This means I have tried to remove some of them using the Wartner verrucas removal kit, which works by means of freezing. I applied the Wartner only for 20 sec on each blister, skin turned white for a few seconds, but now after a few days blisters are still there and I have some very visible red marks. I think I learned the lesson. But now ? What can I do ? Should I just wait and see if this heals ? Can I apply something ? Maybe cortisone ?
Irritant dermatitis
Detailed Answer:
Hello and welcome to healthcaremagic
I am Dr. Kakkar. I have gone through your query.
I would have preferred a few photographs showing me the latest condition of the skin over there. Can you upload?
I think the skin over there got severely irritated as a result of the topical preparation which you used. The kit was not meant for this area. Scrotal skin is delicate and may have reacted adversely to the topical preparation.
If I was the treating doctor I would have definitely suggested topical application of a combination of topical steroid+antibiotic ointment e.g Fluticasone+mupirocin ointment (Flutibact ointment), twice daily.
Cortisone would be mild. A moderately potent steroid like fluticasone propionate or mometasone furoate would be ideal, preferably in combination with a topical antibiotic
Angiokeratomas are best removed or cauterised with either electrocautery or CO 2 Laser. You should visit a dermatologist for the removal.
Regards


Irritant dermatitis
Detailed Answer:
Hi.
I have reviewed the photograph. It is drying up to form a scab. This should peel off in the next 3-5 days. I think it should be fine with the medicines I suggested.
Regards


Irritant dermatitis
Detailed Answer:
Hi
That's good. Don't peel them forcibly, let them fall off spontaneously.
You may use just a plain antibacterial ointment e.g either mupirocin 2% ointment or Neomycin Ointment or Neosporin ointment. That would do fine for you.
Angiokeratomas need to be cauterized. You need to go to a dermatologist for that.
Regards


OTC antibacterial/antibiotic cream
Detailed Answer:
Hi
Ask for a topical OTC antibiotic cream. 2% Mupirocin is an OTC product in many countries. If you can get it from your local pharmacy, that would be good.
Just ask for a topical antibiotic cream or ointment. The list is: Mupirocin, fusidic acid, Neomycin, polysporin, Betadine etc. You should get one or the other. One of these should be oTC
Regards

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