what is this painful and growing mole?

[richard772]

i have nine, growing moles on my scrotum.  i first notices four of them seven days ago.  they were very small, about that of the tip of a hair.  now, they are much bigger (about the size of a period with a gel pen) and have multiplied to nine.  

three of them are at the lowest point of the scrotum and have grown into each other.  the three had regular shapes and borders, but, the mole they formed does not.  it is irregular and much darker than the rest.  it is evenly colored for the most part.  these three moles cause me great discomfort and pain.  at one point i woke up from the pain.  it is like a burning, pinching pain.  it seems to be made worst with friction and it is somewhat relieved with repositioning.

two of them now look like sores with a dimple in the middle.  it looks like there is some clear discharge but i cannot really tell.  the lymph nodes in my groin area are very swollen (they can even be seen) and are extremely tender and somewhat painful.  

[richard772]

Hello,

recently i have developed new symptoms.  im wondering if these new symptoms are related to my diagnosis of HSV?  

the lymph nodes in my groin are still somewhat swollen, though no longer tender.  however, ive been having some discomfort in my lower back and legs.  the discomfort feels like tingling and/or restlessness.  but, its not the same tingling as one gets such as when a limb falls asleep.

upon palpation of my lower back, i discovered that my lymph nodes are swollen and somewhat tender in the sacral region.  and now i am developing adenopathy in my neck.  

i also have a sharp, stabbing pain in my lower abdomen, predominantly in my lower right quadrant.  two days ago i developed a soar throat, which seems to be going away.

are these related to HSV?  could it be something else, such as HIV?

when i was exposed to HSV i believe it was only minimal.  i had a condom on and the girl only gave me oral for just about a minute or two before i asked her to stop.  from this i believe i must have contracted HSV from a micro-lesion i may have had from scratching.  

[Bhupinder Kaur, MD]

Hello,
Chances of a biopsy being wrong are very rare. Most individuals have no or only minimal signs or symptoms from HSV-1 or HSV-2 infection. When signs do occur, they typically appear as one or more blisters on or around the genitals or rectum. The blisters break, leaving tender ulcers (sores) that may take two to four weeks to heal the first time they occur. Typically, another outbreak can appear weeks or months after the first, but it almost always is less severe and shorter than the first outbreak.

The only way of ruling it out is by getting yourself tested for herpes. Laboratory tests include: culture of the virus, direct fluorescent antibody (DFA) studies to detect virus, skin biopsy, and polymerase chain reaction (PCR) to test for presence of viral DNA. I sincerely advise you to consult a dermatologist and get it ruled out.

I hope it helps. Take acre and regards.

[richard772]

i visited three health care professionals.  all three suggested it may be molluscum.  however, a biopsy indicated it is herpes.

with your experience, is there a chance that the biopsy may be incorrect?

[Bhupinder Kaur, MD]

Hello,
One possibility for such kind of bumps can be molluscum contagiosum. Molluscum contagiosum is a common, benign, self limiting viral infection of the skin. It presents as multiple, small, dome-shaped papules, often with a central depression or plug. In adults, molluscum infections are often sexually transmitted or by skin to skin contact and can transmit from one site to other skin sites by aoutoinocultaion. Treatment includes physical destruction or manual extrusion of the lesions, cryotherapy, and curettage. My sincere advice would be to consult a dermatologist.

It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.