Dry scrotal skin flaking like fish scales may be due to scrotal fungal infection, scrotal eczema or scrotal neurodermatitis. 1. Scrotal fungal infection: usually superficial lesions, may itself have tinea pedis, or other parts of the body have fungi, cross-infection of the scrotum, scrotal skin dry skin like ichthyosis, you can follow the doctor’s instructions for topical antifungal drugs, such as miconazole cream, etc. for treatment. 2. Scrotal eczema: mostly see the scrotum red, swollen, itchy, because eczema often recurring, over time, the scrotum skin is dry and flaky like fish scales can follow the doctor’s advice to choose cetirizine hydrochloride tablets and other antihistamines to stop the itching. 3. Scrotal neurodermatitis: is to itchy skin, mossy as the main characteristics of the skin disease, can present scrotal skin dry flaking like fish scale state, this situation need to comply with the doctor’s instructions for the local use of low-strength glucocorticosteroid cream such as Dinaid cream, and with the use of antihistamines such as Loratadine and vitamin B. The appearance of scrotal skin dry flaking like fish scales should go to the regular hospital, clear cause, under the guidance of the doctor for treatment.