Pruritic papules on the scrotum and glans penis are frequently caused by tinea cruris and are not contagious.
a) True _ _ _ _ _ _ _ _ _ _ Wrong answer ¯ ¯ ¯ ¯ ¯ ¯ ¯ ¯ ¯ ¯ b) False _ _ _ _ _ _ _ _ _ _ Correct ¯ ¯ ¯ ¯ ¯ ¯ ¯ ¯ ¯ ¯ Answer and Commentary _ _ _ _ _ _ _ _ _ _ Tinea cruris may be present in the inguinal area and extend onto the scrotum but is generally not intensely pruritic and does not form papules. Pruritic papules on the scrotum should alert the physician to look for the presence of scabies burrows between the fingers or toes. Pruritic papules on the glans penis is pathognomonic of scabies infestation. The treatment consists of permethrin cream 5% applied as a single therapy once at bedtime from the neck down, with removal the next morning. Frequently the pruritis persists for some time after the treatment, and repeated treatment is not required. Skin-to-skin contacts should also be treated and contact isolation until 24 hours after treatment is also recommended. ¯ ¯ ¯ ¯ ¯ ¯ ¯ ¯ ¯ ¯
