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What Does A White/yellow Crusted Bump On Inner Thigh Indicate?

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Posted on Fri, 11 Jul 2014
Question: Hello,

2 days ago I noticed a tiny white/yellow crusted bump on my inner thigh, I scratched it off (probably not the best idea) and it just left a red spot with a white center, since then it seems that that area has gotten more red surrounding it and I also developed a similar bump on the opposite thigh in what seems like an identical spot and when I noticed this one it appeared to have yellow ooze/fluid coming out if it. I've been told before that I have folliculitus but everytime it comes back I find myself worrying all over again! So I'd really appreciate your help. If it is jus folliculitus do you also think you could inform me what an STD type outbreak would really be like so I don't find myself in extreme anxiety everytime this happens?! Thank you for any help you can give! I also took pictures if you believe that will help!
doctor
Answered by Dr. M Y Shareef (34 minutes later)
Brief Answer:
It is an infection needing urgent assessment.

Detailed Answer:
Hi XXXX ! Good evening. I am Dr Shareef answering your query.

If I were your doctor, I would after a physical examination of the lesion might have tentatively diagnosed it as a fungal infection super added with secondary infection. I would have advised you for a topical anti fungal and anti septic cream along with an oral anti inflammatory and a broad spectrum antibiotic drug. Depending on the response I might add an oral anti fungal drug also. Before instituting the broad spectrum antibiotic, a culture sensitivity test of the yellow fluid/ooze coming out of the bump would be of much help.

Folliculitis occurs due usually to a bacterial infection of a hair follicle. This might have secondary infection with a fungus. The opposite thigh got the infection due to the infective fluid coming into contact with the other at the same point.

In case you are sexually active, specially if with more than one partner, I would definitely give STD a thought, and accordingly investigate you in that line. Further management would depend on the reports.

I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.

Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. M Y Shareef (4 minutes later)
So I should be worrying? I should also add that the bumps are completely painless and other than seeing them I don't even notice that they are there. When I don't agitate it it seems like te redness goes away and I just have a red spot on each thigh. When I looked really close it looked like each spot had a hair in it though they seemed like clear hairs which is weird because I have black hair. Thank you for any further help
doctor
Answered by Dr. M Y Shareef (18 minutes later)
Brief Answer:
Best judge would be your own doctor examining you.

Detailed Answer:
Hi XXXX ! Nice to listen from you so soon.

No ! There is nothing to worry at least for the present. I have advised you of various options on the management of a lesion of this kind. However, the best man to judge would be one who examines it clinically on site. Therefore, I would advise you to also see a Dermatologist and discuss with him on the options noted above and go with his advice. Also taking a little more care on your personal hygiene would go a long way in preventing such relapses. A routine blood sugar test might be handy as a base line.

Thanks and take care. Dr Shareef.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. M Y Shareef (2 minutes later)
Thank you! So while I am waiting for a doctors appointment by the sounds of it should I be worried about an STD and refrain from any activities of that nature? An STD is what I am most worried about at the moment!
doctor
Answered by Dr. M Y Shareef (18 hours later)
Brief Answer:
It is advisable to do so.

Detailed Answer:
Hi XXXX! My regrets for the delay.

Yes. In my opinion you should refrain from any such activities till the diagnosis is confirmed. However you need not be worried much as most of these are treatable.
So take care and all the best. Dr Shareef.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. M Y Shareef (2 hours later)
Okay so I woke up this morning and both spots were just, gone. Like I said all I hae been using is bactrician ointment or something like that I forgot the name. The first bump appeared on Tuesday. But now they are both gone. What condition would that be typical of? I hope this helps while I wait to get a dr appt.
doctor
Answered by Dr. M Y Shareef (2 hours later)
Brief Answer:
bactrician lessening the lesion is a good sign.

Detailed Answer:
Hi XXXXX! Good evening.

Good to know that the lesions are fading off with bactrician, which possibly is an antiseptic against bacterial infections (brand names vary from place to place). This possibly points to the fact that you do not have to have much anxiety due to this. Show it to your doctor, and he would help you out.

Good night. All the best. Dr Shareef.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. M Y Shareef (3 minutes later)
Thanks a lot! The bactrician is DEFINITElY helping, it's not completely gone but it is certainly fading. I believe I still should perhaps schedule an appointment due to the fact that this folliculitus or whatever it could be keeps reoccurring the past 6 months. I know that I read that antibiotics can be necessary sometimes. I shower often but it somehow still comes back
doctor
Answered by Dr. M Y Shareef (6 minutes later)
Brief Answer:
Yes. You are right, but it has to be by the doctor

Detailed Answer:
Hi ! Yes it is a fact that sometimes low dose systemic antibiotics are prescribed in cases of recurrent and persistent infections, but it has to be prescribed by your treating doctor only after a physical examination of the lesion.

Also, in case you are overweight, you should start making efforts to lose it as there is constant friction in between the thighs with worsening of the boils due to less of space in between the thighs in the obese. I hope you are not in this category. Also a routine blood sugar test might be useful.

Thanks for being following this thread intently on the heatlhcaremagic. Good luck. Dr Shareef.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. M Y Shareef (10 minutes later)
Nope not overweight only 5'2 120 pounds but I'm jus glad the signs are leaning away from a serious STD! Will make Dr. Appointment to perhaps get some antibiotics and hope it goes away. Thank you!
doctor
Answered by Dr. M Y Shareef (4 minutes later)
Brief Answer:
All the best.

Detailed Answer:
That is good XXXX Would like to have feedback on the diagnosis and further management by your doctor. Thanks. Dr Shareef.
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. M Y Shareef

General Surgeon

Practicing since :1979

Answered : 2457 Questions

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What Does A White/yellow Crusted Bump On Inner Thigh Indicate?

Brief Answer: It is an infection needing urgent assessment. Detailed Answer: Hi XXXX ! Good evening. I am Dr Shareef answering your query. If I were your doctor, I would after a physical examination of the lesion might have tentatively diagnosed it as a fungal infection super added with secondary infection. I would have advised you for a topical anti fungal and anti septic cream along with an oral anti inflammatory and a broad spectrum antibiotic drug. Depending on the response I might add an oral anti fungal drug also. Before instituting the broad spectrum antibiotic, a culture sensitivity test of the yellow fluid/ooze coming out of the bump would be of much help. Folliculitis occurs due usually to a bacterial infection of a hair follicle. This might have secondary infection with a fungus. The opposite thigh got the infection due to the infective fluid coming into contact with the other at the same point. In case you are sexually active, specially if with more than one partner, I would definitely give STD a thought, and accordingly investigate you in that line. Further management would depend on the reports. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef.