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Zee J
Zee J,
Category: Medical
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Experience:  Expert
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These small pimple like things have appeared on my buttocks

Customer Question

Hi,These small pimple like things have appeared on my buttocks for the third time in 3 years. They’re largely painless although a little itchy when rubbed. Any ideas on why this has been happening?Thanks
Submitted: 14 days ago.
Category: Medical
Expert:  Zee J replied 14 days ago.

Hello and thanks for your question. I’d be pleased to assist you. Kindly answer following questions for further advice:

Age? Male or female?

Past medical history?

Any medicines using?

Customer: replied 14 days ago.
Male. No notable medical history or medicine use
Expert:  Zee J replied 14 days ago.

Thanks

Expert:  Zee J replied 14 days ago.

Looks like folliculitis

Expert:  Zee J replied 14 days ago.

A common skin condition, folliculitis happens when a hair follicle becomes infected or inflamed. This condition may look like acne, often starting out as small red bumps. You can have folliculitis on your face, arms, back and legs

Folliculitis is a very common skin condition that many people will experience throughout their lives.

Customer: replied 14 days ago.
Is it common that it would recur in the same place multiple times?
Expert:  Zee J replied 14 days ago.

Yes they can

Customer: replied 14 days ago.
This was the previous outbreak, last October
Customer: replied 14 days ago.
Is that consistent with what you’ve said so far?
Expert:  Zee J replied 14 days ago.

Yes most likely

Do you have any other skin problems also???

Customer: replied 14 days ago.
No. My concern was that it was herpes
Customer: replied 14 days ago.
I do have a small patch of Tinea versicolor
Expert:  Zee J replied 14 days ago.

Herpes usually very painful

Expert:  Zee J replied 14 days ago.

it does not look like herpes

Expert:  Zee J replied 14 days ago.

also does not look like tinea

Expert:  Zee J replied 14 days ago.

Best would be to use antibiotic cream

Expert:  Zee J replied 14 days ago.

or if needed tablets of antibiotics

Customer: replied 14 days ago.
The tinea is on my chest. I do wonder if I’m just susceptible to fungal issues?
Expert:  Zee J replied 14 days ago.

There is a possibility of tinea also actually if you have Tinea on other parts of body

Customer: replied 14 days ago.
Yeah but the buttocks one comes up in bumps.
Customer: replied 14 days ago.
They look like blisters but I can’t say they’ve ever popped in any of the three times this has appeared
Customer: replied 14 days ago.
The bumps just scab over
Expert:  Zee J replied 14 days ago.

I would suggest try hydrocortisone cream initially and if does not respond then need antibiotics cream containing Mupirocin

Customer: replied 14 days ago.
Okay. I will look into that. You’re fairly convinced it wouldn’t be herpes?
Customer: replied 14 days ago.
Even though it’s recurring in the same spot?
Expert:  Zee J replied 14 days ago.

Yes not herpes

Customer: replied 14 days ago.
Okay, what particularly about the outbreak convinces you of that?
Expert:  Zee J replied 14 days ago.

It is my clinical assessment

Expert:  Zee J replied 14 days ago.

Why you think it is herpes?

Customer: replied 14 days ago.
I don’t know. I just find it strange that it reappears in the same spot every 9-12 months
Expert:  Zee J replied 14 days ago.

Usually herpes is very painful

Plus it comes in the form of vesicles

Expert:  Zee J replied 14 days ago.

So this one is not painful and just mild itchy and shape most likely indicate Folliculitis

Customer: replied 14 days ago.
Those don’t look like vesicles then?
Expert:  Zee J replied 14 days ago.

Not really

Customer: replied 14 days ago.
Okay, I think you’re probably right
Customer: replied 14 days ago.
Sorry for so many questions
Expert:  Zee J replied 14 days ago.

No problem

Do you have any further questions???

Customer: replied 14 days ago.
Just one
Customer: replied 14 days ago.
Would you mind reviewing just one last image from a previous outbreak and confirming if upon seeing it, your diagnosis still stands?
Customer: replied 14 days ago.
This one
Expert:  Zee J replied 14 days ago.

Thanks

Here it looks like herpes also to be honest

Expert:  Zee J replied 14 days ago.

I would suggest you should have a swab test to confirm the diagnosis

Customer: replied 14 days ago.
Okay. That was it when it was mostly healed. It looked a bit bruised but there was no discharge that I was aware of
Customer: replied 14 days ago.
Even if that could be herpes. Is it still also potentially folliculitis based on that image?
Expert:  Zee J replied 14 days ago.

If you had herpes before in the same area then it could be herpes also

Customer: replied 14 days ago.
I assume if it was herpes I could expect it to be much more painful?
Expert:  Zee J replied 14 days ago.

When you have limited history, it is difficult to make a diagnosis just by seeing pictures

Customer: replied 14 days ago.
I don’t know if I had herpes there before. It went away before I could get a swab
Expert:  Zee J replied 14 days ago.

what was the diagnosis when you had that lesion before???

Customer: replied 14 days ago.
I was unable to get it tested as it was during coronavirus lockdowns
Expert:  Zee J replied 14 days ago.

Now you should get swab then

Expert:  Zee J replied 14 days ago.

to see what it is

Customer: replied 14 days ago.
I will
Customer: replied 14 days ago.
Has your opinion now changed to herpes?
Customer: replied 14 days ago.
I just want to be prepared with what to expect
Expert:  Zee J replied 14 days ago.

Either herpes or folliculitis

I would stay more with folliculitis

Customer: replied 14 days ago.
Okay thanks for your help this evening.
Customer: replied 14 days ago.
I have no further questions
Expert:  Zee J replied 14 days ago.

You are welcome

Please do let me know if you have any further questions in future I would be happy to answer

Best of luck