Rash

[yessir]

Hi Dr.,

I have a red pinkish, Non Ichy rash on the head of my penis in which I just noticed one morning.  I figured it was just go away but it has not and its been about 3 weeks.  Its about 1/2 inch in size and scaly.  I am starting to get worried about what it is.  Thanks for your response.

[miitarybaby406]

i am 19 years old......i have recently developed a red circular rash on my FACE that looks like ringworm but i KNOW its not......i had gone to the doctor and was treated for strep throat on 4/12/2006......they gave me a shot of anti-infamitory and prescribed me OMNICEF......as far back as i can remember i have never had any allergies to ANY medications what-so-ever....the next day i went to the dentist because of horrible pains.....they couldnt do anything because of infections so she prescribed me penicillin and 800 mg of ibuprofen.....i've been on BOTH of those from the dentist before for about 4/5 years so i have a feeling it cant possibly be that, i even told them that i was on OMNICEF before they prescribed penicillin and ibuprofen so it wouldnt be a problem.... THe called the doctor and told her and she said it was because i am mixing antibiotics and my body shouldnt have that many in my system, etc.

In which case i will stop takin the OMNICEF (like they said) and continue with the penicillin and so forth.....IN CONCLUSION this rash was at first just one and then another on the other side of my face as well........then they spread and kinda of look like hives.... now i just have red circular rashes SLIGHTY raised above the skin all over my face.....ive used almost EVERYTHING to get rid of it after i read about side effects or reactions...

PLEASE HELP!
concerned (soon to be military baby!
thanks a lot!!!!

[arbindo]

Hisham, your condition looke like folliculitis. Are you prone to acne? Steroid consumption could cause this. Do you have it on your back as well? Friction folliculitis is another possibility- thro use of tight fitting clothes during games and sports. Oil folliculitis occurs in those exposed in the course of their work. Some of the lesions on the chest look like keloids are developing. Some people esp those with pigmented skins are prone to keloids which is a sort of growing scar tissue.

[arbindo]

Hi yessir, the red-pink rash on your glans may be one form in which psoriasis presents. We describe this as a plaque. It does not itch  but is scaly. Wonder if you have skin lesions on other sites including scalp? Any family history history of skin disease? You will have to exclude the 'chancre' of primary syphilis. This is a hard painless button like lesion on the glans or shaft of penis. You got to see a dermatologist or a doctor with STD experience

[hish]

i also have rashes....
i'm 21 years old guy....live in Malaysia....still doing my degree in engineering...
love to eat prawn,lobster,etc..

i actually dont remember when this rashes started to appear....it appeared ONLY on my chest, left arm & right arm...other part just normal skin..i'm just annoyed by all of them...but they not scratchy except when i'm sweating... i think it's almost near two years now I just ignored them.....but now getting tired of all these...i'm shy to open my t-shirt in front my friends because of those rashes...

what type of rashes are these & why it appear on my skin(just only chest,left arm & right arm only) ? maybe my eating habbit or what ??....I wish DR can help me to recomend the name of pills or medications which can help to resolve this problem..for few times i tried to use some creams i bought from farmacies...but i didn't work...not even to reduce those rashes...last but not least, wish some advices from DR....

i uploaded some pictures of them on my skins...

http://i2.tinypic.com/sq0bpt.jpg (chest 1)

http://i2.tinypic.com/sq10k6.jpg (chest 2)

http://i2.tinypic.com/sq13bc.jpg (left arm 1)

http://i2.tinypic.com/sq13xv.jpg (left arm 2)

http://i2.tinypic.com/sq13l1.jpg (right arm)

http://i2.tinypic.com/sq0ep5.jpg (closeup on chest 1)

http://i2.tinypic.com/sq0fib.jpg (closeup on chest 2)

thanks so much DR for your time reading my problem...i really hope u can help me....thanks again...

***@****
Malaysia..

[MakaveliMOB]

Hi All !!!

I spoke to a dermatologist a few times about Genital Warts, because of the differences in opinion in this group. And the research I presented and so on. Anyway,  he gave me this article that talks about HPV Vaccination, that just came out. Its dated Feb. 2006, Skin and Allergy News. I am not sure which Journel he got this from. But I took the time out to type it up for you guys. This is great news!!!

Enjoy!!

-------------------


Washington - A human papillomavirus vaccine developed by Merck & Co. is 100% effective in preventing genital warts in women in addition to preventing cerivcal cancer. Dr. John t. Schiller reported at the anual meeting of the Interscience Conference on Antimicrobial agents and Chemotherapy.

The vaccine, known as Gardasil, includes HPV 6,11,16 and 18. Type 16 and 18 account for about of cervical cancer, and types 6 and 11 acount for about 90% of genital warts, said Dr. Schiller, head ofthe neoplastic disease section of the National Cancer Institute, Bethesda, Md.

At 2 years of follow-up, Gardasil achieved 100% efficacy against genital warts, vulvar neoplasia, and vaginal neoplasia, in addition to the previously reported 100% efficacy against cervical intraepithelial neoplasia (CIN).

The phase II Females United to Unilaterally Reduce Endo-Ectocervical Disease stude (FUTRE I) included 2717 women randomized to a vaccine group and 2725 randomized to a placebo group. Overall, there were no casese of genital warts in the vaccine group, compared with 40 cases in the placebo group.

Dr.Schiller also shared the latest findings from the FUTURE II study, a randomized, double-blind, phase III clinical trial that  included about 12000 women aged 18-25 years.  The intent-to-treat numbers in the FUTURE II study showed extremely strong protection at 2 years of follow up - only 2 cases of CIN grade 2 or 3 - and the vaccine was generally well tolerated. One case of CIN was associated with HPV type 16, and the other was associated with a combination of types 16 and 18. The phase III studies are ongoing, and the data remain under review, but findings similar to those from phase II study are expected with regard to genital warts and vulvar and vaginal neoplasia.

Merck filed its Gardasila data with the Food and Drug administration on Dec 1. 2005, and a vaccine could be available in the United States by late summer in 2006, Dr. Schiller said.

GlaxoSmithKline Inc. has stated that it will seek regulatory approval in 2005 for its vaccine, Cervarix, which immunizes against HPV 16 and 18, but that it might seek initial approval in Europe.

Once the vaccine becomes available, the top candidates for immunization will be 10- 13 year old girls. "They are the ideal first targets presumable, they have not yet been exposed to sexually transmitted viruses", Dr. Schiller said at the meeting, sponsered by the American society for Microbiology.

But before the vaccine becomesstandard for young girls, it may be used in young women because of the hight demand in that population, he noted. Some adult women may not have been exposed to the oncogenic strains of HPV and the vaccination may reduce transmission to their partners as well. An HPV vaccine has yet to be tested in men, but only 10% of HPV cancers occur in men, and high vaccination coverage of women may result in sufficient herd immunity, Dr. Schiller noted.

The HPV vaccines are based on purified viruslike particle (VLs) that consist of single proteins. They are noninfectious and nononcogenic, but the can induce high titres of neutralizing antibodies.

Despite the promising results, several questions about HPV vaccination  remain unresolved, including its effects on current cancer screeing programs, public acceptance, price, and distribution to underserved populations.

"women might think that they are protected from cervical cancer because they have the vaccine, and abandon their screening programs, which would be a disaster", Dr. Schiller said. Vaccination wold not replace the need for a pap test, he emphasized, although it might reudce the incidence of repeat paptests resulting from unclea results.

Vaccine acceptance is another issue but preliminary surveys of parents suggest that as many as 75% would agree to vaccination of their adolescent daughters. But the logistics of delivering thrree intramuscular  doeses of vaccines  to early adolescent girls over a 6 month  period may prove challenging , Dr. Schiller added.  The price of the vaccine is critical to how many women and girls receive it. It  is likely to be expensive at first. "perhaps as mch as $100 per does", Dr. Schiller said.

Price is a huge barrieer to providing HPV vaccine to the underserved women who need it mose. "Cervical cancer is a disease of poverty - 80% of cases occur in developing countries where women dont have acces to good quality pap screening", Dr. Schiller noted. "This vaccine will not have the impact it should if the only women who are vaccinated are those who already get good cervical cancer screening."

Regionaly production might be the best way to build up the amount of vaccine and reduce the cost. In addition , researchers contine to investigate a second generation vaccine that could be  administered orally.

[Alan Rockoff, MD]

Probably just irritation, common in that sensitive area.  Does not sound like an STD.  Best to leave it alone, don't do anything special with it, and show it to a doctor if it's still there the next time you go.

Best.

Dr. Rockoff