Help: Spreading Rash

[americus]

After a regretable brief episode of receiving oral sex, I began to have a burning around the penis and my rear a day later. (The individual also tried to put saliva on my rear and I stopped the whole episode.) In several days i noticed a slight rash these 2 areas. I kept area clean and medicated first with antifungal cream. Didnt think it was working and went to antibotic (antibiotic) cream. Slight burning came and went for about 2 or 3 weeks. No sores; no lesions; not even pimples; just the rash. Even though i wash my hands frequently, i later  must have touched my nose somehow and infected left nostril. Never did this person touch me here.   It began to burn and feel like i had a cold. Some slight redness appeared like you get when u have a runny nose and use the hanky too much. Concerned i may have picked up herpes and went to doctor about a month after possible contact. Dr. examined me and said was not herpes. Did STD tests and negative. Since then i have noticed a redness around the top of my neck, upper check and even along my hairline? It seems to spreading; seems to be activated at moisture. Also I feel unusally drained and tired all the time. I know my body and something is not right. The rash seems, and notice I say seems, to do better with a lot of antibotic (antibiotic) cream; but I dont know. Seems to go in, but reappears. Also seems the burning begins in an area and then the reddish rash appears. Going on since first of December. It's still there. Any ideas???????????????? I know I need to see a  dermatologist.

[BhumikaMD]

Hi,

This could be dermatitis, molluscum or even folliculitis.

MC can affect any area of the skin but is most common on the body, arms, and legs. It is spread through direct contact or shared items such as clothing or towels.

In adults, molluscum infections are often sexually transmitted and usually affect the genitals, lower abdomen, buttocks, and inner thighs. In rare cases, infections are also found on the lips, mouth, and eyelids.

The virus can spread through contact with contaminated objects, such as towels, clothing, or toys.

In people with normal immune systems, the disorder usually goes away on its own over a period of months to years.

Individual lesions may be removed surgically, by scraping, de-coring, freezing, or through needle electrosurgery. Surgical removal of individual lesions may result in scarring. Medications, such as those used to remove warts, may be helpful in removal of lesions, but can cause blistering that leads to temporary skin discoloration.

Avoid direct contact with the skin lesions. Do not share towels with other people.

Avoiding sex can also prevent molluscum virus and other STDs. You can also avoid STDs by having a monogamous sexual relationship with a partner known to be disease-free.

Male and female condoms cannot fully protect you, as the virus can be on areas not covered by the condom.

Individuals who are predisposed to folliculitis should be extremely careful about personal hygiene. Application of antiseptic washes may help prevent recurrences. A topical antibiotic cream, mupirocin (Bactroban®), has been effective at reducing bacterial colonization in the nostrils. It is applied twice daily for a week and is repeated every 6 months.


Apply calamine lotion at the site of the lesions and see if it helps. You could take some oral antihistamine medications like cetrizine or loratadine. You need to maintain a good personal hygiene .

Anti-itch drugs, often antihistamine, may reduce the itch during a flare up of eczema, and the reduced scratching in turn reduces damage and irritation to the skin.

For mild-moderate eczema a weak steroid may be used (e.g. hydrocortisone or desonide), whilst more severe cases require a higher-potency steroid (e.g. clobetasol propionate, fluocinonide).

A visit to your doctor will help confirm the diagnosis.

Let us know if you need any other information.

Regards.