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What Causes Small And Itchy Bumps On Inner Thigh?

Posted on Mon, 14 Sep 2015

Question: I was diagnosed with hsv1 back in January of this year. The level was 2.88 snd i work up today a small red itchy bump on my inner thigh. Could this be an outbre

Answered by Dr. Ashok Kumar Dash (11 hours later)

it is always not linked to out break. now also consult doctor and give proper past history.

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

Follow up: Dr. Ashok Kumar Dash (36 hours later)

Ok so i have hsv1 and the level was 2.88. Hoewver i havent had any outbreaks genital of orally. I have attachdd pictures of a red bunp that i on my inner thigh about halfway up. It is itchy and has been there for 2-3 days now. It hasnt spread at all. I have been hsing cortizone and Iam just worried thay it could be an outbreak? Please help!

Answered by Dr. Ashok Kumar Dash (36 hours later)

Brief Answer:
doesn't seem like HSV rash

Detailed Answer:
Well, diagnosis of HSV is more a clinical diagnosis. Therefore based on my observation of this picture I don't favour HSV outbreak. Rather this could be an allergic dermatitis or a candidiasis. If the steroid application isn't helping the rash heal say in the next couple of days, I would suggest a close physical examination by a dermatologist.

I am not sure what level are you indication. I presume its the HSV antibody. If the doctors aren't able to conclude after a physical examination, perhaps we can go for repeat HSV IGM antibody tests or a viral culture or PCR tests to arrive at the diagnosis.

In other words, I don't feel this is like an HSV outbreak yet. However if the rash persists I would like you to have a physical examination and lab investigation.

Regards

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Ashok Kumar Dash (16 hours later)

Ok thank you... Its sfjll on my leg but nothjng different as far as change wise. Is this a normal spot for hsv1? And when i tols you my levels thay is my antibodies. I just dont know if that means i have hsv1 genial or orally? Also are there any symptoms with a rash on thighs with hsv? And lastly what is allerrgic dermatitis and candidia? I am worried. Can you olwase let me know asap?

Answered by Dr. Ashok Kumar Dash (3 hours later)

Brief Answer:
HSV is not likely

Detailed Answer:
Let me clarify. Clinically genital herpes is more associated with by HSV type 2 virus and the lesions of HSV type 2 are usually found below the belly button. However in the recent times there is a considerable overlap between the two types and differentiation is only after lab testing.

That being said, I stand by my previous statement that this is unlike herpes.

Allergic dermatitis is developing skin allergy to any thing like under garments or soap. Candida is fungal infection common to your site. Symptoms and appearance are same like rashes and itching. When there is controversy in comparative diagnosis we need to rely on physical examination finding and lab testing. Therefore a physical examination by specialist and repeat HSV antibody igm test is most important and essential.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Ashok Kumar Dash (7 hours later)

Ok thank you again. When you say repeat hsv testing, why is that? I was just tested in January with the results i told you..

Answered by Dr. Ashok Kumar Dash (43 minutes later)

Brief Answer:
Please repeat hsv1

Detailed Answer:

I have advised you to repeat even if it was in January. Secondly I have advised to consult specialist for local examination.

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj