Eczema and Scrotal Nodules: Symptoms and Concerns

Eczema and scrotal nodules?

Hello! I would like to ask for your advice.
Ever since I developed eczema at the Chenggong Military Base, I have been troubled by it, especially in the scrotal area.
Over the past two days, while applying medication, I noticed that the small round hard lumps have increased in number.
When I pressed on them, they were hard but not painful.
One of the oldest lumps has slightly enlarged, and when I pressed on it, a substance resembling a comedo (blackhead) came out, which was yellowish and had a foul odor.
The substance that came out hardened and turned black shortly after.
I tried to clean out the lumps that expelled foreign material, and after squeezing, they reduced significantly in size and became a bit red and swollen, but there was no hard sensation and no pain.
There are still about 3 or 4 small lumps remaining, each about 2-3 millimeters in diameter, but I am hesitant to squeeze them.
Could you please tell me if these symptoms are serious?

Mr. Tang, 20~29 year old female. Ask Date: 2006/07/28

Dr. Pan Zhenqin reply Urology

It sounds like folliculitis of the scrotum, which can be managed by enhancing local hygiene and applying topical ointments.

Reply Date: 2006/07/28

More Info

Hello! Thank you for reaching out with your concerns regarding eczema and the scrotal nodules you've been experiencing. It sounds like you're dealing with a challenging situation, and I’m here to help clarify some of your symptoms and provide guidance.

Eczema, also known as atopic dermatitis, is a chronic skin condition characterized by inflammation, redness, and itching. It can occur anywhere on the body, including sensitive areas like the scrotum. The presence of nodules or hard lumps in the scrotal area, especially after a history of eczema, can be concerning, and it's important to understand what these might be.

The round, hard lumps you described could potentially be sebaceous cysts, which are common and usually harmless. They form when the sebaceous glands become blocked, leading to the accumulation of sebum (an oily substance). The fact that you mentioned they are not painful and that they have a foul odor when squeezed could indicate that they are indeed cysts, possibly infected or inflamed. The yellowish material you observed could be pus or sebum, which can harden and darken over time.

However, it’s crucial to differentiate between benign conditions and those that may require medical attention. Here are some considerations:
1. Infection: If the nodules are infected, they may require treatment with antibiotics. Signs of infection include increased redness, warmth, swelling, and pain. If you notice these symptoms, it’s essential to consult a healthcare provider.

2. Dermatological Evaluation: Given your history of eczema and the new developments with the nodules, it would be wise to see a dermatologist. They can perform a thorough examination and may recommend a biopsy if there is any suspicion of a more serious condition.

3. Avoid Squeezing: While it may be tempting to squeeze the nodules, this can lead to further irritation, infection, or scarring. It’s best to leave them alone until you can get a professional opinion.

4. Management of Eczema: Continue to manage your eczema with appropriate topical treatments as prescribed by your doctor. Keeping the affected area moisturized and avoiding irritants can help reduce flare-ups.

5. Monitoring Changes: Keep an eye on the nodules. If they change in size, color, or if you develop new symptoms (such as pain, fever, or increased drainage), seek medical attention promptly.

In summary, while the symptoms you describe may not necessarily indicate a severe condition, they warrant a professional evaluation to rule out any complications. It’s always better to err on the side of caution, especially when it comes to changes in your skin health. Please make an appointment with a healthcare provider to discuss your symptoms in detail and receive personalized advice. Take care!

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