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Date: Friday, December
05, 2003 1:00:15 AM
To: webmaster@stdweb.com
Subject: can you help?
hi Dr. Gian
i have
noticed little white puss filled sacs forming on my testicles and shaft
of penis, they dont ever go away their just constantly there, they do
not hurt, it just has been itching a lot latey. Do you have any idea on
what they can be. thanks for ur help
sincerly "concerned"
Hi Fred,
A good
possibility is Folliculitis which is the name given to a group of skin
conditions in which there are inflamed hair follicles.
To determine
if folliculitis is due to an infection, swabs should be taken from the
pustules for culture in the laboratory.
Bacteria.
Bacterial folliculitis is commonly due to Staphylococcus aureus. If the
infection involves the deep part of the follicle, it results in a
painful boil. Recommended treatment includes careful hygiene, antiseptic
cleanser or cream, antibiotic ointment, and / or oral antibiotics. Spa
pool folliculitis is due to infection with Pseudomonas aeruginosa, which
thrives in inadequately chlorinated warm water. Responds wel lto
antibiotics.
Yeasts The
most common yeast to cause a folliculitis is Pityrosporum ovale, also
known as Malassezia Furfur. Pityrosporum folliculitis is an itchy
acne-like condition usually affecting the upper trunk of a young adult.
Treatment includes avoiding moisturisers, stopping antibiotics and
topical antifungal or oral antifungal medication for several weeks.
Fungi
Ringworm of the scalp (tinea capitis) usually results in scaling and
hair loss, but sometimes results in folliculitis. In New Zealand, cat
ringworm (Microsporum canis) is the commonest organism causing scalp
fungal infection. Other organisms such as Trichophyton tonsurans are
increasingly reported. Treatment, which requires a doctor's
prescription, is with oral antifungal agents for several months.
Bye
Dr. Gian
From:
Sent:
To: drgian@stdweb.com
Subject: 2 worries
Dr Gian,
I have two questions. I'm pretty sure one is an STD/STI
and I'm pretty sure the other isn't.
The one that isn't:
While I was still a virgin I started getting monthly
styes on my eye, around about the same time as my period. This then
stopped, but then I started getting bumps on the outer lips- you know
where the hair is- of my vagina- the bumps are slightly sore vary in
size but generally about the size of a pea, sometimes much bigger. After
a while, If I squeeze the bumps puss oozes out. The bump then goes down
only a little bit, and stays one size for a long time. The number of
bumps varies. Sometimes there is just one bump at times even three.
I have had this stuff for several years, I'm now 22. I've
never seen a doctor about it. Do you have any idea what it could be? I
have often found hair on these raised puss-filled bumps, and taken the
hair out with a tweezer- upon doing that I have found that at the bottom
of the root there is clumped up shiny white stuff.
I thought it could be ingrown hair or something, but what
does it sound like to you?
The one that is:
I started having an abnormal yellowish, greenish, thin
and runny discharge a couple of weeks after the last time I had
unprotected sex with my boyfriend. I decided to see how this discharge
would 'pan out'. The discharge got thicker over time, and at times there
was intense itching inside the labia majora- on the hairless side.
When this thing itches (which is not often), there appear
millions of shiny, tiny bumps seemingly below the top layer of skin,
even on my clitoris and on my labia minora. The itching is incredibly
intense and when it does occur, it is usually at night.
I went to have a pap smear, and I had got "category two"
results (before the bumpy itching), the doctor thought it was fungul,
and gave me capsules to insert. The discharge diluted and seemed that it
would clear, but only momentarily. But it came back, and the discharge
seems to get heavier just before my period.
What is this Dr Gian?
Hi
I think you
are right on both counts. In the first case you may be dealing with a
hair follicle infection called folliculitis.
Bacterial folliculitis is commonly due to Staphylococcus aureus. If the
infection involves the deep part of the follicle, it results in a
painful boil. Recommended treatment includes careful hygiene, antiseptic
cleanser or cream, antibiotic ointment, and / or oral antibiotics.
As far as
the other observation of “shiny,
tiny bumps”
and in view of your PAP test results it is possible that you are dealing
with very small genital warts unconcealed by the inflammation and
infection and vaginal discharge which may be fungal and/or due to
vaginitis. You need to follow up with your Physician.
In good health.
Dr. Gian
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