Conversation: The conversation between human and AI assistant.
[|Human|] Hello Scrotal itching with raised lesions that began approximately 4-5 years ago... The lesions eventually subsided, but the itching persisted. Only recently, two family medical doctors were consulted on the issue and the itching still persists despite the use of a topical steroid and antifungal, respectively. My concern is the possibility of Neoplasia equivalent to a female (Paget disease or Sq cell CA). Any thoughts on the matter?
[|AI|]  HelloWelcome to Chat Doctor, I have gone through your question very diligently, and I really appreciate your concern. Excessive itchiness in scrotum might be related to poor hygiene, use of irritants, tight undergarments, atomic or seborrhea dermatitis. Here, I would like further information for better assessment of the condition like possible upload me a photograph, Does it remain same throughout the day or changes in intensity? Have you ordered any investigation, if yes please upload me the reports? I would advise you for a battery of investigation like CBC, AEC, Liver function test, blood sugar, ultrasound or color Doppler of the testis and urine routine and microscopy test.Meanwhile, you can take anti-allergic Chat Doctor. Wear loosely fitting undergarments. Hope this answers your question please feel free to ask for follow-up question with all the details I have asked for, So that I will be able to tell you more precisely. Best wishes