Eczema on the Glans: Symptoms, Treatments, and Care - Dermatology

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Eczema on the glans, also known as genital eczema, can be a challenging condition to manage, especially when it presents with symptoms such as redness, itching, and dryness. Based on your description, it appears that you have experienced a progression of symptoms, starting with small red spots and itching, which improved with the use of a topical corticosteroid (美康乳膏), but later developed into a broken skin area that required a different treatment (甘得黴軟膏).
Eczema is an inflammatory skin condition that can occur in various areas of the body, including the genital region. It is characterized by symptoms such as redness, itching, dryness, and sometimes oozing or crusting. The condition can be triggered by various factors, including irritants, allergens, and even stress. In your case, the initial small red spots and itching could indeed be indicative of eczema or another inflammatory skin condition.

The fact that you have seen some improvement with the use of topical treatments suggests that you are on the right track. However, the persistence of small red patches and the rough texture you describe may indicate that the eczema is still present, albeit in a less acute form. The dryness and slight roughness could be remnants of the inflammatory process, which can take time to fully resolve.

Regarding your question about whether the small red patches are remnants of eczema inflammation, it is quite possible. After an eczema flare, the skin can remain sensitive and may take time to return to its normal state. This is often referred to as post-inflammatory erythema, where the skin remains red even after the initial inflammation has subsided.

As for your concern about using topical corticosteroids, it is understandable to be cautious, especially if you have been using them for an extended period. Long-term use of topical steroids can lead to skin thinning and other side effects, so it is wise to limit their use when possible. Instead, you can consider using emollients or moisturizers, such as petroleum jelly (凡士林), which can help to hydrate the skin and create a protective barrier. Applying a thick layer of petroleum jelly can help lock in moisture and soothe the skin, especially in areas that are prone to dryness.

In addition to using emollients, it is essential to identify and avoid any potential triggers that may exacerbate your eczema. This could include avoiding harsh soaps, fragrances, or other irritants that may come into contact with the genital area. Wearing loose-fitting, breathable clothing can also help reduce irritation.

If the condition does not improve with the use of emollients and avoidance of irritants, or if you notice any signs of infection (such as increased redness, warmth, swelling, or discharge), it is crucial to consult a healthcare professional or a dermatologist. They can provide a more accurate diagnosis and recommend appropriate treatments, which may include non-steroidal anti-inflammatory creams or other therapies.

In summary, the small red patches you are experiencing could be related to eczema or post-inflammatory changes. Using a gentle moisturizer like petroleum jelly is a good option for care, and it is advisable to avoid prolonged use of topical steroids. If symptoms persist or worsen, seeking medical advice is essential for proper management.