Herpes on non-genital areas?

[indrisek]

Ok, so as of my last testing a few months ago I am negative for BOTH HSV-1 and HSV-2. In that time period I had protected vaginal sex with one individual and UNprotected oral sex with 2.



Recently I experienced a discomfort on my back, approximately one foot above my waistband and buttocks. This is an itchy patch of bumps, in an area roughly 6 inches in diameter. Each bump is maybe 3-4 mm in diameter themselves, and some appear like a "snakebite" (two dots next to each other). Each dot is circular and red and raised. They itched and I doubtlessly irritated them. They then seemed to heal over, blackish in color.



My question--should I have any concern that this could be herpes acquired through a sexual act? There is absolutely no discomfort or irritation on my genitals, thighs, or buttocks. I'm thinking this is either an allergic irritation, sweat irritation, or something insect-related. Again, keep in mind that this patch of irritated skin is on the middle of my BACK, approx. one foot above my buttocks. Any help appreciated. I understand you cannot diagnose physical appearances without seeing them in person, etc.

[H. Hunter Handsfield, M.D.]

The rash you describe almost certainly is not genital herpes.  It sounds like it could be herpes zoster (shingles).



See a health care provider right away.  If it is shingles, it can lead to serious pain later on  due to post herpetic neuralgia.  PHN can be prevented, but only if treatment is started right away.



Good luck--  HHH, MD

[indrisek]

ALSO: no fever, no sickness, no other signs or symptoms. And really nothing to do with either sexual act that would lead me to be overly concerned about HSV. Just a caveat there.

[indrisek]

Is Herpes Zoster contagious, or is it considered a sexual transmitted disease in any way? (I guess the main question would be: if that's what it is, how'd I get it and what do I have to worry about?)



That said, I will make a doctor's appointment this weekend. Is it better to see a general practitioner or a dermatologist, if I have the choice?



s

[H. Hunter Handsfield, M.D.]

Herpes zoster, or shingles, if that's what it is, is caused by the herpes zoster virus, also called varicella zoster virus.  Varicella is chickenpox, and shingles is recurrence of that childhood infection in localized form.  It is quite common.  It is not sexually transmitted and not usually infectious.  However, it could be a risk to a young child who hasn't yet had his/her routine varicella vaccine, or to someone with severe immune deficiency, for example if anyone in your household has advanced cancer, immunotherapy, AIDS, etc.



Most family medicine docs understand the disease well, but dermatologists are real experts--especially in treatments needed to reduce the risk of post-herpetic neuralgia.



HHH, MD

[matt184]

what does herpes of the mouth/throat look and feel like? ive got these tiny little bumps in the back of my throat and the roof of my mouth..

[H. Hunter Handsfield, M.D.]

That's not herpes.  But this is a thread jump; you will need to post a new question for further information.



HHH, MD

[indrisek]

OK FINAL question. I am going home this weekend. My father has AML Leukemia--he had a bone marrow transplant two years ago, has not had chemo since before then. Is there any risk involved if this IS herpes zoster with me being around the house, on the furniture, &c.? I don't want to be paranoid--I'm going home for a belated Father's Day-- but obviously I don't want him to be at risk, either.

[H. Hunter Handsfield, M.D.]

It sounds like your dad is in remission and probably has a pretty normal immune system.  But he should tell his leukemia health care provider about this and then follow whatever advice s/he may have.  Until then, just use common sense hygiene, and keep your rash well covered, and don't share bath towels or other personal items with your dad.  You're not being paranoid, just sensible; and unlike herpes simplex, VZV is quite easily transmitted.



HHH, MD