Possible causes of scaly, itchy scrotal skin not responding to antifungal treatment

• Consider eczema, psoriasis, contact dermatitis, bacterial infection, or chronic fungal infection.

Relevance of past scabies infection

• Scabies history may not directly cause current symptoms but could have resulted in skin changes or secondary infections.

Recommended next steps

• See a dermatologist for accurate diagnosis, possible skin scraping, or biopsy and tailored treatment.

Treatment options beyond topical antifungals

• Corticosteroids, antibiotics, or other specific treatments depending on the diagnosis.

When to seek urgent care

• Seek immediate attention if you experience severe pain, spreading redness, fever, or ulceration.