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Dermatology (Expert Forum)
bumps on bum and nasal oral dermititis
Answered by
Alan Rockoff, MD - dermatology, Child Skin Problems
The Rockoff Dermatology Center
Brookline - MA
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bumps on bum and nasal oral dermititis
by nicole33, Jan 08, 2004 12:00AM
I am writing again becuase i am confused about the answer that i was given for nicole33 on my last email. I have tiny red bumps that have persisted on my buttocks, upper theighs and ocassionally on my vaginal area. they are 1-2mm in diameter and are NOT usually associated with hair follicles. They do not look like there is pus associated with them when examined the liquid inside is clear. These bumps have persisted for the past 4 months and they are itchy and a tingling sensation and pins and needles are felt with them, however they usually subside within a day or so and are gone however new bumps apprear in different spots. I do not think that this is folliculitis becuase there is often no hair follicles associated with them and they do not look like a bacterially infected pustule. My last response i was worried about herpes but you said that this could not be so becuase it was not characteristic of herpes. Why is this so? Also in association with the bumps on my buttock area i recently went to the doctor and was given medication for nasal oral dermititis (given doxycycline to take). Also along with the bumps on the buttocks i also have a burning and itching sensation that has occured in the vaginal area for the past four months as well(not beside the bumps, those are located on the buttocks.
My questions to you are:
1)What are these bumps, becuase they do not seem like folliculitis to me?
2) Why have i had the nasal oral dermitis during the same time period (for the past four months)
3) What is the burning and itching sensation around the vagina area? is it associated with the bumps? (i have been tested for the common pap smear STD's and was negative, also yeast medications like monostat do not work)
4) WHy are these bumps not characteristic of herpes?
5)Searching the internet has made me very worried sick becuase i am a med student and i have found that HIV infection can cause persistent vaginitis, dermitis and other things. Should i be worried about this i am too embarrased to get an HIV test becuase i am a med student i think that i over react to learning about diseases and self diagnosing. I frequently get oral herpes however i have only had one in the past four months and i thought that HIV was associated with persistent herpes infection WHat ulse could be causing these things to occur togother?
Can you please help me with these 5 questions becuase i am completely worried. Thanks
My questions to you are:
1)What are these bumps, becuase they do not seem like folliculitis to me?
2) Why have i had the nasal oral dermitis during the same time period (for the past four months)
3) What is the burning and itching sensation around the vagina area? is it associated with the bumps? (i have been tested for the common pap smear STD's and was negative, also yeast medications like monostat do not work)
4) WHy are these bumps not characteristic of herpes?
5)Searching the internet has made me very worried sick becuase i am a med student and i have found that HIV infection can cause persistent vaginitis, dermitis and other things. Should i be worried about this i am too embarrased to get an HIV test becuase i am a med student i think that i over react to learning about diseases and self diagnosing. I frequently get oral herpes however i have only had one in the past four months and i thought that HIV was associated with persistent herpes infection WHat ulse could be causing these things to occur togother?
Can you please help me with these 5 questions becuase i am completely worried. Thanks
Doctor's Answer
by Alan Rockoff, MD, Jan 09, 2004 12:00AM
, Jan 09, 2004 12:00AM
1. I think they are folliculitis. Follicles are smaller than you can see, especially if they're inflamed.
2. I don't know--I see no obvious connection. Maybe you have two different things.
3. I don't think so. It could be that you have these sensations because you are worrying about the bumps.
4. Herpes causes blisters, not bumps. Herpes blisters are grouped together, not scattered. Also, they come and go, and do not persist for months.
5. These symptoms have nothing to do with HIV, as far as I can see.
I am very concerned by your level of concern, which seems impervious to reassurance. You need help, psychological help. Please see a doctor to get a definitive medical diagnosis and get the help you need.
Take care.
Dr. Rockoff
2. I don't know--I see no obvious connection. Maybe you have two different things.
3. I don't think so. It could be that you have these sensations because you are worrying about the bumps.
4. Herpes causes blisters, not bumps. Herpes blisters are grouped together, not scattered. Also, they come and go, and do not persist for months.
5. These symptoms have nothing to do with HIV, as far as I can see.
I am very concerned by your level of concern, which seems impervious to reassurance. You need help, psychological help. Please see a doctor to get a definitive medical diagnosis and get the help you need.
Take care.
Dr. Rockoff
