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Suggest Treatment For Sebhorreic Dermatitis On Face And Redness On Foreskin

Posted on Thu, 24 Sep 2015

Question: Hi,

I recently went to a dermatologist for what is apparently sebhorreic dermatitis on my face and redness on my foreskin (which is apparently also sebhorreic dermatitis). She prescribed econazole 1% cream and desonide .05% cream to be used on my face twice daily for 2 weeks and on my foreskin twice daily for 1 week, but I completely forgot to ask her about my red scrotum. It started around the same time as the sebhorreic dermatitis so I'm wondering if it is safe to use those two creams on the scrotum for a week? Its not a huge issue because there is no itching or pain except for embarrassing excessive redness and I know that some steroid creams and antifungals can have side effects - especially on think skin like the scrotum or genitals - so I just want to check to see if it would be ok to use them on my scrotum (and if it is even possible for sebhorreic dermatitis to cause red scrotum).

Thank you.

Answered by Dr. Dr. Rahul Kumar (1 hour later)

Brief Answer:
It can be used on scrotum

Detailed Answer:
Hello
Thanks for the query.
Desonide is a very mild steroid.
It is safe and can be used on any part of body.
You can use it along with econazole on scrotum.
Let me know if you have any other doubts.
Thank you.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Dr. Rahul Kumar (26 hours later)

Hi,

Could this be sebhorreic dermatitis, balanitis or could it be steroid damage? I used hydrocortisone 1% 1-2 times a day for 4 days on the advice of another dermatologist before I went to this one and I am afraid it might have caused some damage unless this is something else. I'm pretty sure the red spots (1st picture) were not there before today and I just used my first application of desonide and econazole today. My glans is also sensitive and it looks blotchy especially after I have masturbated. I'm just worried about steroid damage because some of it can be permanent or take a long time to heal I hear.

Thanks for the help.

Answered by Dr. Dr. Rahul Kumar (25 hours later)

Brief Answer:
fungal infection

Detailed Answer:
Hello
Thanks for the follow up.
Can you please upload the photograph again.
I could not find any attachment.
There is an option to upload reports on right side of query page.
Please utilise it.
It is unlikely to be steroid damage. Steroid damage happens when super potent steroid like Clobetasol is used for months. And appearance of new blotches is suggestive of fungal infection. It takes time to settle down.

Though fungal infection is my likely possibility based on your description, I wish to look at pictures of the lesion before submitting my final reply.

Let me know if you have any other doubts.
Thank you.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Dr. Rahul Kumar (20 hours later)

Sorry, I thought I had added the pictures.

Answered by Dr. Dr. Rahul Kumar (15 hours later)

Brief Answer:
Seborrheic dermatitis

Detailed Answer:
Hello
Thanks for the photographs.
It is seborrheic dermatitis.
You can continue with econazole and desonide.
It will give you good response.
Use it for a week.
There wont be any skin damage with short term use of steroid.
Let me know if you have any other doubts.
Thank you.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr. Rahul Kumar (2 days later)

One more question (not sure if a dermatologist is the one to ask this though): I have an occasional (light) pain in the tip of the urethra whenever I go to the bathroom and soreness that comes and goes, could this be caused by the dermatitis or is it something else?

Answered by Dr. Dr. Rahul Kumar (20 hours later)

Brief Answer:
Get urine culture

Detailed Answer:
Hello
This can be due to a mild persistant infection.
Please get a urine culture done.
This will help in finding out the causative organism and hence effective treatment can be done.
Let me know if you have any other doubts.
Thank you.

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Neel Kudchadkar