Hi doctor,
I have these small skin-colored bumps on my pubic area and on my stomach, but now most of them have gone away. There is no itching, burning sensation, or complications, but they have been there for five months now. There are only about five to six small bumps, the biggest being the size of a ballpoint pen tip. What could be the reason for these bumps?
Hi,
Welcome to icliniq.com.
Thanks for writing in, and I understand your concern. A better assessment can be done if you can reply to the following questions. Do you have any history of using old razors? Do you have any recurrent folliculitis or boils? Are you maintaining proper genital hygiene? Any history of excessive scratching or rubbing? Any history of fever or pus discharge from the lesion? Kindly reply.
Hi doctor,
Thanks for the reply. There is no history of fever or discharge from the lesion. I shower at least once a day. Razor could be changed out more often. All the research I have done has pointed to molluscum. Do you think that is correct?
Hi,
Welcome back to icliniq.com.
It is folliculitis. I suggest the following. Apply 2% Mupirocin ointment twice daily in the morning and night for ten days on the lesion. Use Azac (Azelaic acid) soap for bathing for two months. Take Tablet Zifi (Cefixime) 200 mg twice a day after food for five days. Avoid scratching and rubbing of lesions. Maintain proper hygiene. Avoid pricking the lesion. Wash hands properly. Decontaminate the surroundings. Avoid occlusion or friction, or injury. Wear loose, comfortable thin cotton inners. Molluscum contagiosum is an STI (sexually transmitted disease). Are you sexually active? Do you have multiple partners? Have you got tested for STI? Do you have any symptoms like burning urination or increased frequency? Kindly reply.
Hi doctor,
Thanks for the reply. I have been sexually active but have been with the same partner for seven months now, and they do not have any of these symptoms. There is no pain, itching, discharge, or discomfort. These bumps seem to have a white dimple, which hardens and then goes away over time. Is that folliculitis or something else?
Hi,
Welcome back to icliniq.com.
The lesion appears as folliculitis (boil), but molluscum lesions also sometimes can turn to boil. The clinical image (attachments removed to protect the patient's identity) appears to be folliculitis (bacterial infection of a hair follicle or infected hair follicle). I suggest applying Mupirocin ointment twice daily for ten days; if the lesion improves, it is folliculitis. If it remains as it is, we can suspect molluscum infection. Cryotherapy, curettage, and laser are treatment options for molluscum contagiosum. I suggest avoid pricking the lesion. Decontaminate surrounding objects or surfaces. Follow up after ten days.
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