Scrotal eczema is a common type of eczema that is confined to the scrotal skin and can sometimes extend around the anus, and less commonly to the penis. Clinically, it often presents symptoms of chronic eczema: the scrotal skin becomes dry and thickened, with deeper wrinkles and a walnut-like appearance, often with thin crusts and scales, and darkened skin pigmentation, although there can also be pigment loss due to scratching. When exudation occurs, the scrotal skin can show erythema, edema, crusting, and fissuring. There is often intense itching, which can prevent sleep. Due to the difficulty of treatment and recurrent nature, the scrotal skin can undergo lichenification.