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Noticed Red Ring Around Penis Head And Itchy Pimple Around Abdomen And Hip. Herpes Negative

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Posted on Wed, 3 Apr 2013
Question: A few months ago had a bloody red ring around my penis, right where the head meets the shaft. Along with that, I had breakout of itchy pimple like clusters around my abdomen, hips, and butt. These looked like pimples, and they itched, broke open and bled if i itched them too much. I thought it was herpes (HSV) - but I was tested and it came back negative. Does anyone know what that could be?
doctor
Answered by Dr. Mayank Bhargava (1 hour later)
Hi XXXXXXX,
Welcome to Healthcarecaremagic forum.

Do you have itching at penile pathology?
Is there any accumulated white discharge at affected penis area, which on removal showed blood?
Do you have any fever episode?
At what time duration, this itching is severe? whether night times or whole day.

With the available described symptoms, there appears to be possibility of fungal infection at head-shaft junction and scabies caused by mite.
Kindly attach the picture of affected site, if possible.

There appears to be least possibility of herpes infection as you have already defined.

Fungal infection at defined site is generally caused by normal commensal fungus "Candida Albicans".
This fungus gets proliferated when there is breech in immune system.
Body has normal protective mechanism to prevent proliferation of candida albicans.
Frequent wash with water with application wash predispose for fungus proliferation by removing protective mechanism.

Scabies is caused by a mite called as Sarcoptes scabiei which burrows in skin near hair follicles and may cause severe itching with pimple like small papule formation.
This generally involves area of the hands, feet, wrists, elbows, back, buttocks, and external genitals.

You should consult with XXXXXXX medicine specialist/ dermatologist and should go for thorough check up.
You should go for KOH mount preparation of scrapings from affected penis area.
You should apply Terbinafine ointment at penis affected area.
For pimple like lesion at other areas, you should apply permethrin lotion.
You should also use permethrin soap, if available.
You should wash your clothes in warm water and get dry in sun light.

Hope that helps.
Let me know your other queries.
Take care,
Dr. Mayank Bhargava

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Mayank Bhargava (44 minutes later)
I thought it was herpes and that's what I got tested for, now that it is negative I am trying to figure out what it was. It was a few weeks ago so the symptoms are gone.

Again - all I had was a bloody ring where the shaft meets the head of the penis, and then pimple-like clusters all over my lower abdomen (butt, below the belly button, and hips). Could it be a yeast infection? I get conflicting reports of what it could have been - but people are ruling out STD's.
doctor
Answered by Dr. Mayank Bhargava (8 hours later)
Hi,
Yeast / fungal infection/ Candida albicans are the same thing.
Defined affected penis area is prone for opportunistic fungal infection.
Exact diagnosis could be made by examination.
If your sex partner has such type of lesion, then possibility of STDs should be kept in mind.
Get well soon,
Dr. Mayank Bhargava
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Mayank Bhargava

Internal Medicine Specialist

Practicing since :2003

Answered : 1658 Questions

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Noticed Red Ring Around Penis Head And Itchy Pimple Around Abdomen And Hip. Herpes Negative

Hi XXXXXXX,
Welcome to Healthcarecaremagic forum.

Do you have itching at penile pathology?
Is there any accumulated white discharge at affected penis area, which on removal showed blood?
Do you have any fever episode?
At what time duration, this itching is severe? whether night times or whole day.

With the available described symptoms, there appears to be possibility of fungal infection at head-shaft junction and scabies caused by mite.
Kindly attach the picture of affected site, if possible.

There appears to be least possibility of herpes infection as you have already defined.

Fungal infection at defined site is generally caused by normal commensal fungus "Candida Albicans".
This fungus gets proliferated when there is breech in immune system.
Body has normal protective mechanism to prevent proliferation of candida albicans.
Frequent wash with water with application wash predispose for fungus proliferation by removing protective mechanism.

Scabies is caused by a mite called as Sarcoptes scabiei which burrows in skin near hair follicles and may cause severe itching with pimple like small papule formation.
This generally involves area of the hands, feet, wrists, elbows, back, buttocks, and external genitals.

You should consult with XXXXXXX medicine specialist/ dermatologist and should go for thorough check up.
You should go for KOH mount preparation of scrapings from affected penis area.
You should apply Terbinafine ointment at penis affected area.
For pimple like lesion at other areas, you should apply permethrin lotion.
You should also use permethrin soap, if available.
You should wash your clothes in warm water and get dry in sun light.

Hope that helps.
Let me know your other queries.
Take care,
Dr. Mayank Bhargava