Sydney Skin Hospital – Sydney Skin Hospital

Sydney Skin Hospital - Sydney Skin Hospital

About a month ago, I had some weird bumps on the tip of my penis. He said that it burns a little. I had protected sex a month ago. Herpes? This can last for several weeks and spread to other parts of the body with blisters similar to chickenpox. The first three or four healed up in about 4 days but the smaller two are still there. Weeks (almost a month) later and after a lot more *protected sex* I noticed 3 medium sized watery blisters on my outer labia….almost right on the groin area….and one red patch that first resembled an ingrown hair, and then ringworm…..I also noticed a similar blister on my inner thigh.

They can vary in size from that of a pin to the size of a large pea. There are a couple isolated small red spots on my inner right leg too. Or could this just be a fungi infection??? Warts Common, benign, painless growths caused by the papilloma virus occurs on the skin usually hands, feet or face. Can also be seen on genital and anal regions. The warts in HIV infected people usually are larger, more numerous and more widespread and can be particularly resistant to standard treatments. I took my last dose last Wednesday and notice the redness of my scrotum is gone.

Most often not treated as it is totally asymptomatic. Oral Candidiasis ‘Thrush’ A yeast infection found in mouth, vagina, skin folds under arms, buttocks and groin repeatedly and frequently occurs in many HIV patients. In the mouth it appears as white curd like patches and can cause soreness of the mouth or throat, provide swallowing difficulties and loss of taste. Can sometimes spread into the oesophagus causing burning sensations when swallowing. The yeast infection can be seen as a severe itchy red rash involving the groin, genitals and buttock which can be treated by creams and tablets. A bacterial skin infection commonly seen in HIV patients causes the development of multiple clusters of small soft fluid filled blisters which break easily oozing a yellowish liquid. When the blister are broken a large shallow ulcer remains with a yellowish crust.
Sydney Skin Hospital - Sydney Skin Hospital

It is important that careful observation is required of these skin lesions as there is a possibility that the bacterial infection with spread into the bloodstream. Skin cancer lesions caused by the herpes virus, do not hurt or itch and can appear anywhere in the body or mouth. Vary from pink to dark red, purple or brown and often mistaken for insect bites, birth marks or bruises. Range from size of pin to that of a large coin and continue to develop into thickened bumps or large tumor growths. There may be more than one lesion. Kaposi’s sarcoma can involve lymph nodes and also internal organs. Lesions on face or exposed areas can be removed surgically or treated with injections or x-ray therapy.

Seborrhoeic Dermatitis A flaky red inflammatory condition of the skin affecting the face (cheeks, forehead, eyebrows, nose and ears). Can also occur on the scalp as “dandruff”. The rash can occur on the chest and inner groin. Often requiring more vigorous treatment in HIV patients various creams and ointments are required. Hives, Papular Urticaria and ‘Itchy Red Bump Disease A widespread itching skin condition which manifests as tiny red bumps the size of a small pea. Larger patches of hives may occur and these itchy lesions are recurrent, requiring large doses of antihistamines or topical steroid creams. Folliculitis Acne like eruptions occurring around hair follicles on the chest, back, face, scalp, legs and buttocks, can be quite itchy and associated with hives.

The scratching can cause skin infections. It is treated with a combination of tablets and topically applied lotions and may respond to ultraviolet light. Facial lipoatrophy Is the redistribution of body fat, also known as lipodystrophy that occurs in people living with HIV. Lipodystrophy is a characteristic disorder of adipose (fatty) tissue. This is due to both the infection itself along with its antiviral treatment. Its main features are fat loss affecting the face, limbs and buttocks, accompanied by central fat accumulation in the abdomen and breasts and over the dorsocervical spine (the ‘buffalo hump’). Facial lipoatrophy is the most visible component of this disorder.

For information on Lipoatrophy treatment click here.

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