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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Swollen Inguinal Lymph Nodes. Zits On Penis Shaft. No Pain Or Itching. What Could This Be?

my inguinal lymph nodes are pretty swollen and I have also developed 3 weird zit looking things on the shaft of my penis..what could this be? The bumps do not hurt or itch at all and I have done quite a lot of research and they look like they could be molluscum . Can mulluscum contagiosum also involve swelling of my glands? I am freaking out!
Tue, 26 Mar 2013
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General & Family Physician 's  Response
Hi,

Based on the information it more closely resemble to " SECOND STAGE -LYMPHOGRANULOMA VENEREUM " (LGV),

LGV- It is a infection with "Chlamydia" a kind of microorganism, we classify it as parasite. LGV is primarily an infection of lymphatics and lymph nodes.It gains entrance through breaks in the skin, or it can cross the epithelial cell layer of mucous membranes. It is a type of sexually transmitted diseases .
PRIMARY STAGE -LGV may begin as a self-limited painless genital ulcer that occurs at the contact site 3–12 days after infection.
SECONDARY STAGE - The secondary stage most often occurs 10–30 days later, but can present up to six months later. The infection spreads to the lymph nodes through lymphatic drainage pathways.

ADVICE :
**(A) Please have safe sex practice , (use protection)
**(B) Please consult physician
here is what they normally tend to do
1) Physical exam
2) will take some blood test to confirm the CAUSE
3) may ask to get "HIV- test" - as LGV- is commonly seen in HIV PATIENTS.
3) will prescribe the antibiotic medication for the same
(mostly the TETRACYCLINE group is used to treat)

ANSWER OF YOU QUESTION " can it be molluscum?" --"NO" not according to the presentation.
Nothing to worry the LGV is infection and can be cured by antibiotics.

Hope it helps.




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Swollen Inguinal Lymph Nodes. Zits On Penis Shaft. No Pain Or Itching. What Could This Be?

Hi, Based on the information it more closely resemble to SECOND STAGE -LYMPHOGRANULOMA VENEREUM (LGV), LGV- It is a infection with Chlamydia a kind of microorganism, we classify it as parasite. LGV is primarily an infection of lymphatics and lymph nodes.It gains entrance through breaks in the skin, or it can cross the epithelial cell layer of mucous membranes. It is a type of sexually transmitted diseases . PRIMARY STAGE -LGV may begin as a self-limited painless genital ulcer that occurs at the contact site 3–12 days after infection. SECONDARY STAGE - The secondary stage most often occurs 10–30 days later, but can present up to six months later. The infection spreads to the lymph nodes through lymphatic drainage pathways. ADVICE : **(A) Please have safe sex practice , (use protection) **(B) Please consult physician here is what they normally tend to do 1) Physical exam 2) will take some blood test to confirm the CAUSE 3) may ask to get HIV- test - as LGV- is commonly seen in HIV PATIENTS. 3) will prescribe the antibiotic medication for the same (mostly the TETRACYCLINE group is used to treat) ANSWER OF YOU QUESTION can it be molluscum? -- NO not according to the presentation. Nothing to worry the LGV is infection and can be cured by antibiotics. Hope it helps.