Vulva bumps

I have had multiple bumps on my groin for years now. I'm worried I might have  Hidradenitis Suppurativa but I'm not sure. I'm only 16 and haven't been to a doctor because I don't know what to say and I would be devastated if I got diagnosed with HS seeing as it gets WORSE. This is what one of the bumps looks like: http://i201.photobucket.com/albums/aa62/sininenenkeli/hurt017.jpg

http://i201.photobucket.com/albums/aa62/sininenenkeli/hurt025.jpg

The bumps usually just appear and itch but sometimes one will hurt and then itch, after that it gets really dry and crusty like. Or sometimes it will get round and shiny and I pop it and pus comes out and blood (the pus has no odor). I thought I might have recurring folliculitis. any ideas? I have a few more pictures if needed.

thanks

Oh and in the pass when I had these bumps and got a physical my doctor didn't even mention them


This discussion is related to red itchy bumps on legs and in groin region.

[Vanessa Lacuesta]

Hi,

I understand your concern.

Has this condition been going on for quite some time ?

Hidradenitis suppurativa is not very common.One has to consider the more common conditions first prior to considering this as a diagnosis . One differential will be folliculitis.Have you had your physician checked this lately?

You may need topical medications for your condition. If folliculitis is not treated initially,they may spread and recur.Folliculitis is contagious and may even require oral medications.

Have you informed your parents or guardian about this?

[uberlightnow]

I haven't had it checked at all but I will talk to my doctor next time I go. I haven't told my mother because of the area it happens. I wouldn't want her to know.

But I also have bumps under my arms, I know it might be from antiperspirant use but Hidradenitis can cause underarm bumps too.  

[Vanessa Lacuesta]

Hi,

If your underarms are also involved,then hidradenitis suppurativa may be a differential.

Hidradenitis suppurativa is given as a diagnosis if a primary differential of a folliculitis does not respond to antibiotics.If the bumps continue to recur inspite of the medications,then hidradenitis suppurativa may be a primary differential.

Have you previously been taking antimicrobials for this?

This may not be something urgent but if this is hidradenitis suppurativa then you need to have this assessed by your dermatologist so you may be properly managed. You need to discuss this with your parents so they may  help you set an appointment.

[uberlightnow]

I haven't been to the doctor for the bumps or had any medicine either, But if it is folliculitis  then its been here for a while untreated, I mean YEARS. I haven't asked my doctor about it because I guess I was scared of what she would think.

[Vanessa Lacuesta]

Hi,

I feel that you need to have this assessed by your physician.The fact that this has been present for years may indicate that this requires treatment and management. This does not sound urgent but one has to consider differentials for your case. A folliculitis is contagious and hidradenitis suppurativa is something that may produce scarring when not managed. For your case, it is wise to seek an expert's opinion on this.It is best to have this assessed early on so that you may be properly managed.

[uberlightnow]

I know I should go to a doctor but it will probably be misdiagnosed anyway and I'll get put on antibiotics for the rest of my life. I know I have hidradenitis because I have blackheads in my groin area that are double ended (I can push the stuff out of one end). I heard that was a hidradenitis trademark.

[Vanessa Lacuesta]

Hi,

An experienced dermatologist or internist will be able to give a definite diagnosis through a complete medical history and physical examination.I suggest that you obtain at least an initial consult with a physician.Hidradenitis suppurativa may cause scarring and thus,needs proper management.