With a significant sexual history, STD's have to be ruled out. These white bumps and red spots may be folliculitis and fungal infections. Blood tests to rule out STD's have to be done. Also, KOH examination of skin scrapings from the area may help determine if a fungal infection is present. You may need oral antibiotics for this as a prophylaxis. A urinalysis and urine culture may be done to help determine if a UTI is present .Heat rash may also be a differential here especially in areas of the arm pits or in well covered areas.
Have these tests done first so that the right management be given you.
Could be fungal infection or heat rash. Miliaria is a common ailment in hot and humid conditions, such as in the tropics and during the summer season.
Miliaria occurs when the sweat gland ducts get plugged due to dead skin cells or bacteria such as Staphylococcus epidermidis, a common bacterium that occurs on the skin which is also associated with acne.
The trapped sweat leads to irritation (prickling), itching and to a rash of very small blisters, usually in a localized area of the skin.Symptoms of miliaria include small red rashes which may itch or more often cause an intense 'pins-and-needles' prickling sensation.
The symptoms relating to miliaria should not be confused with shingles as they can be very similar. Shingles will restrict itself to one side of the body but also has a rash-like appearance. It is also accompanied by a prickling sensation and pain throughout the region. If you have any doubts please do get a dermatologist to see it.
Topical agents which may reduce the severity of symptoms include anti-itch preparations such as calamine or menthol and/or camphor based preparations, and topical steroid creams.
If it does not respond then you can apply anti-fungal ointment available OTC to the affected areas.
thanks so much for the time you have both taken to help me out.its strange how much better you fell with just a little info on it or what it might be.even if is an std which i have now convinced my self it is even though it could well be something diffrent.thanks again . dan
oh and first stop is the doctors when i get back