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Strange Red bumps in pubic area

I have about 20 or so red bumps in my pubic area the largest group of them is along my belt line and then down towards my penis. I have 3 visible bumps on the skin not the head of my penis and a couple that up near my belly button. I was told originally this was hot tub foliculitus however the Nystatin and Triamcinolone along with the clindamycin did not work. I am now on Triamcinolone Acetonide and that also does not seem to be making any difference. What are possibilities that this could be? I have look at over a hundred warts pictures and they do not seem to look like anything I have seen on reputable sites like mayo clinic. However these bumps will not go away.  They are small, round, red  some fleshy colored, and they do not itch but they do seem to still keep spreading. I have a picture but I do not see how to enter it here.
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Are their any over the counter treatments that I can do for molluscum contagiosum? However after reading a lot on this I do not notice the small dots in the center of the bumps. However their are a handful of bumps that have hair coming from the center (Follicles from what I know about them) Those tend to look the worst also.

From what I am understanding about Folliculitis  is that it is a bacterial/fungal infection. I had very very bad athletes foot a few years back that lasted 9 months and I had to get on a very heavy dosage of pills and creams along with benzoyl peroxide before I could get rid of it. Could this be something similar? Could it still be Folliculitis however I need stronger or different meds? I took Clyndamiasin when I was a kid for acne for quite a while also. Can your body build an immunity to this similar to other meds?
I am not avoiding a dermatologist I just travel for work nonstop and it is very hard to track down a specialist in my area due to I am only in an area a day or two.
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563773 tn?1374246539
MEDICAL PROFESSIONAL
Hello,
Thanks for posting your query.

I can understand your concern for these small bumps on the pubic area and have checked the photograph.

From the symptoms and photograph, two possibilities are coming to my mind which need to be checked by a dermatologist. First of all, it can be due to folliculitis skin but one reason that is going against this is the resistance to antibiotics. Folliculitis is the inflammation of one or more hair follicles. The condition may occur anywhere on the skin but is more common on chest, shoulders and thighs. It starts when hair follicles are damaged by friction from clothing or blockage of the follicle. In most cases of folliculitis, the damaged follicles are then infected with the bacteria Staphylococcus (staph).

It presents as red pimples with a hair in the center of each one. The pimples may have pus in them, and they may itch or burn.

Second possibility which needs to be ruled out is of molluscum contagiosum. It is a viral skin infection that causes either single or multiple raised, pearl-like bumps (papules) on the skin. It is a chronic infection which may take 6 months to an year to resolve.

The virus can spread through direct contact or sexual contact and then the virus spreads from one site on the body to another by scratching or rubbing. In adults it is usually found on the genitals, abdomens, and inner thighs. They present as small papules or lumps which are flesh colored, firm, dome-shaped and may have a dimple in the centre.

It can be diagnosed by physical examination but in some cases, to confirm the diagnosis the dermatologist may do a biopsy skin. Treatment can be started thereafter once the diagnosis is confirmed. Most lesions clear up naturally within two years (usually within nine months) but they can be easily transmitted during this period. When the growths are gone, the possibility for spreading the infection is ended.

The lesions do not look like HPV warts but a physical examination from a dermatologist and a biopsy skin can only rule it out.

Hope that this information helps and hope that you get better soon.

Wishing you good health.





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