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Dermatology  (Expert Forum)
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Folliculitis, but now questioning
Answered by
Alan Rockoff, MD - dermatology, Child Skin Problems
The Rockoff Dermatology Center Brookline - MA
Welcome to the DERMATOLOGY FORUM! Questions in this forum are answered by Dermatologists from St. Luke's Roosevelt Hospital, under the direction of Andrew Alexis, M.D., M.P.H.

Folliculitis, but now questioning

by linnaeus35, Nov 21, 2006 12:00AM
I have a question regarding folliculitis.  This is the first time I've experienced this particular situation.

I recently had sexual intercourse with a new partner.  About 3-4 days afterward, I noticed a group of red bumps in my groin area (roughly at the hip joint) that were growing around hairs. Nothing appeared on my genitals (I used a condom), and I had no discomfort urinating or any itching or soreness on my genitals.  Most of the bumps then appeared to stop swelling and go down, except one, which looked a lot like a pimple.  I did poke and prod quite a bit, and at some point, the lesion was squeezed and what came out looked like what happens when you squeeze a pimple.  The sore remained red and the skin was peeling on the top of the bump.  I should also add that I shaved the area to get a better look, but that now looks like it wasn't a good idea, as the area now burns more, but not painfully so.

I do get cold sores, and what I observed on my groin didn't look like that.  It didn't look like a blister, and I didn't see the kind of clustered group of "blisters" that I see when I get a cold sore.

I went to a clinician to have it looked at, in case it might be herpes.  She examined the lesion and said that it didn't look like herpes, but rather folliculitis.  I felt reassured by this, but the next day, I noticed some red blotching, especially on my right thumb, but also some on a couple of my other fingers. The blotching is happening not on the side of the fingertip with the nail, but on the other side (where I actually grip things).  I did touch the bump in my groin with my fingers, and the fluid did touch the skin of my fingertips, but I ran to wash my hands as soon as I had done so.

My question is:  is it possible for the folliculitis infection (or whatever it is) to spread to other surfaces of the skin, including hairless areas like my fingertips?  It could be just a coincidence or I may be overly worried and reading too much into what I'm seeing.  I trust my clincian's judgement, but I thought I'd ask just for additional information.  Thank you!

by Alan Rockoff, MD, Nov 22, 2006 12:00AM
I agree with your clinician.  Even if this were herpes (which it isn't), you couldn't spread it to your hands by touching.  I think you are, as you put it yourself, looking a bit too hard.

Take care.

Dr. Rockoff
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