HomeAnswersDermatologyfolliculitisMy pubis is dry with white flakes. Is that a sign of STD?

Will Clindamycin phosphate cause dry and flaky pubis?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At January 9, 2020
Reviewed AtJanuary 9, 2020

Patient's Query

Hello doctor,

My pubic area is white, flaky and dry. I was prescribed a lotion last month for folliculitis bumps and it went away. Now this problem persists. I got tested for STD two months ago, everything was fine.

Hi,

Welcome to icliniq.com.

It is not clear about your age, the exact morphology, duration, symptoms, treatment taken, etc. Can you please send the photos and details so that we can get the real picture of the rash?

It is good that you have been tested negative for STDs (sexually transmitted diseases). It is not clear what lotion was prescribed? I consider it may be for scabies or Calamine lotion. Both can cause dryness and flaky. Use gentle soaps or cleansers like Cetaphil to wash the area. If the area is already shaven you can apply moisturizer cream or lotion.

Stop applying the lotion given which might be causing you this or maybe due to other conditions. It is unlikely to be any STD, so you can relax and be free of any anxiety. Take antihistamine tablets like Cetirizine if any itching or allergy.

Please get back to me with details and photos for a more correct assessment of the situation and management.

Patient's Query

Thank you doctor,

I am 22 years old and have no other health problems. The dermatologist gave me Clindamycin phosphate. I used it for a month for bumps. Clindamycin was effective for bumps after that my skin was very dry. If results were negative for STDs is it possible I could still have them?

Hi,

Welcome back to icliniq.com.

I have gone through the photos. (attachment removed to protect patient identity).

The images are not so clear. If you can send clear images it would be fine. But I could make out there are areas of redness with some white pimple like white lesions in the pubic area. Some glare or white skin in some areas is doubtful? You can be sure these are not STDs. These are either

1. Folliculitis due to hair trimming too short or shaving.

2. Fungal infection.

These are not due to STDs, allay fears about it. Please clean the area with warm water twice daily. Then see that there is no friction or irritation. Take oral antibiotics and oral antifungal as of now to cause less irritation.

I suggest taking oral antifungals like Fluconazole 150 mg weekly once for four weeks. Also, please take oral antibiotics Doxycycline 100 mg twice daily for five days. You can get back to me for any clarification.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Basti Bharatesh Devendra
Dr. Basti Bharatesh Devendra

Dermatology

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