Background: I am a 22 year old male in other wise good health. Eight weeks ago, I had oral sex with another man (both giving and receiving, there was significant body contact as well).
Symptom1: Approximately, 2 weeks after the encounter I noticed a small white spot (about 1mm) starting to appear on my foreskin. This later developed into a small pimple like growth with a white center. The spot is neither painful nor itchy
Symptom 2: 2 weeks later (4 weeks after encounter), I noticed two small red dots (1mm or less) on my torso about 4-5 cm apart. I have since noticed more of these spots (1 near my wrist, 1 near my elbow, 1 near my shoulder). Spots have not grown once I noticed them. I do not know when they actually developed. I tried to ***** a couple with a needle. They spots remained under the scab. My visit to doctor 2 was at this point. The red spots are not painful and do not itch. In fact, I only noticed then, because I looked very closely.
I have had no other symptoms- no fever, no other rash, no sore throat etc.
Doctor 1 (Emergency care) diagnosed white spot on foreskin as molluscum contagiosum.
Doctor 2 (Primary care) diagnosed the red spots as benign and said they will grow as I grow older. He showed a couple on his torso. He was not sure about the molluscum diagnosis by doctor 1. But he also could not recognize it as a specific condition. He also ordered for HIV,Syphilis, Gonorrhea and Chlamydia tests. It was six weeks from the encounter (2 weeks after red spots) when I took the tests. All tests were negative.
Question: I am not sure about either diagnoses now. I have looked online and think none of the commonly described skin conditions associated with STDs seem to match the the red spots. Are there other conditions/diseases (STD or otherwise) that can cause these symptoms? Does this warrant a dermatologist consult or other tests?
Here are some pictures of the red spots.
Unfortunately, pictures you posted are not clear enough to give you any feedback on possible diagnoses. However, based on your description of lesions (acneiform) and diagnostic approaches of physicians you saw, we do support your idea to see a dermatologist and thoroughly evaluate your overall health and skin manifestations.
Penile white papule could be a manifestation of penile sebaceous gland prominence (physiological variant of the skin of penile shaft), viral wart, moluscum contagiosum, folliculitis, herpes simplex, etc.
Dissaminated erythematous macules sound like purpura (detailed medical history is necessary to uncover the cause), cherry angioma, etc. This will be investigated by your dermatologist.
Thank you for your question and please keep us posted on further developments.
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