Scrotal eczema is not a fungal infection. Scrotal eczema is usually caused by allergic factors, mental tension and other factors, and is not related to fungal infection. When the presence of scrotal eczema is determined, it should be treated with medication in a timely manner. During treatment, one should eat a light diet, avoid stimulating foods, avoid smoking and alcohol, and keep the scrotum clean. Most scrotal eczema is related to allergic factors, such as contact with or consumption of substances containing allergens, and may also be related to mental tension, endocrine abnormalities, scrotal humidity and other factors that cause abnormal reactions of the body’s immune system, resulting in symptoms of local skin damage, but is not related to fungal infections, so scrotal eczema is not a fungal infection. When eczema appears in the scrotal area, it can lead to localized skin papules and erythema with itching as well as exudate, and in the chronic phase the skin will thicken and become mossy, and the fungus cannot be found under the microscope. When a fungal infection is present in the scrotum, it leads to localized erythema with itching and flaking, and the fungus can be found under the microscope. When scrotal eczema occurs, it is mainly treated with medication, such as topical tacrolimus ointment and pimecrolimus cream to improve the discomfort, and if necessary, oral anti-allergy medication, such as cetirizine hydrochloride tablets and loratadine tablets. With reasonable treatment, most scrotal eczema can be cured and generally does not cause serious effects.