What are the tiny smooth painless bumps on the butt?

Question

Hello doctor,

I am 21 years old. About a month ago, I realized I had tiny smooth, painless bumps on the inside of my butt cheek. They do not have pus, itch, or hurt. I have had unprotected sex, so I went to a clinic. That doctor said it was not herpes, and she did not think it was warts because there were too many of them and they were too smooth. She recommended I see a dermatologist. I do not shave my bottom, so I know it is not razor bumps. I do not remember ever seeing them before, and they do seem to be spreading, although some have disappeared. Any idea what it could be?

Please help.

Answer 1

Hi,

Welcome to icliniq.com.

I went through your query.

I saw your clinical pictures (attachment removed to protect patient identity).

I am very sorry the pictures are bit blurry, but it looks like molluscum. You will have to meet dermatologist because you are saying that they are spreading. Molluscum is also sexually transmitted viral infection. Molluscum is a highly contagious viral infection, presents with pearly white papules (bumps) with a central pit. It can be confirmed by dermoscopic examination. Another possibility is folliculitis in that area, they are usually painful pustules.

Hope it helps.

Thank you.