About 4 wks ago, i noticed a pimple on the
upper part of my pubic area. My first
thought was herpes. I expected it to pop
and leave a lession. It didn't pop. a few
tiny pimples appeared. I'd been breaking
out on my face too since i was stressed. i
had unprotected sex 9 mths ago. It's been
4 wks of me thinking i have herpes, but
only 1 pimple like bump is big enough to
really see. The rest are very tiny, and
harder to see. A few were around my butt.
What make me think its herpes is that it
started itching about a week ago. Not
unbearable itching. what makes me think it
might not be herpes is the fact that it
has lasted so long without popping. And I
did some reaserch and the pimple i have is
raised and looks more like something
called Molluscum contagiosum. some sites
say M.C. isn't itchy, and some sites says
it can be. i have no other symptoms except
the itch and bumps, no reddness or pain.
can this be herpes? can bumps be very
raised and last 4 weeks without
changing?
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DoctorAnswer
Doctor Answer
Joined: 19 Dec 2005 Posts: 16777211
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Herpes Answer A2806 Posted: 05-29-07 06:34am
A herpes lesion is caused by the Herpes
simplex virus (HSV). Typically,
herpes-lesion go through an appearance
change over time. To be specific, HSV has
4 stages: During the first stage, a red
spot appears called an "erythema" that is
painful and itches; then a pimple filed
with serous liquid appears in the
vesicular stage; the pimple occurs in the
middle of the erythema; after few days,
the pimple pops and an ulceration stays,
and finally the ulceration turns into a
crust and heals with no scar. The whole
evolution of the herpes-lesion lasts about
14 days. Itching and redness is present
all the time.
In your case, you state that there is a
“pimple” but you are not sure if it is
filled with something or not. If it is
filled with pus, the skin condition is
called a superficial folliculitis.
Superficial folliculitis is a bacterial
infection. If there is nothing inside the
bump, the condition is called papula and
could beinfected with the Human papiloma
virus (HPV)-wart. Those small bumps you
notice could originate from the big one
which is typical for warts
(auto-spreading). Warts usually do not
itch.
Further, Molluscum contaginosum is a skin
viral infection caused by the virus
Monitor hominis. Here the warts have a
hole in the middle. When pressed from the
sides, these warts expel some yellowish
mass. Molluscum contaginosum can itch if
it is secondarily infected with bacterium.
You can visit your primary health provider
or a dermatologist for proper diagnosis
and treatment.
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