[Question #2513] Molluscum or Something Else?

42 months ago
Hi, I recently found two groups of red bumps that I am worried about. Married for 6+ years and neither of us have been with anyone else in over 9 years. Though, we both had multiple partners in college. The groups of red bumps are just on the outskirts of my pubic hair/pelvic area where there is no hair. At that point there are 3 dark red bumps close together, about the size of a pen hole each(small but red). The center of them is a bit darker red. Close to 2 1/2 inches up and diagonal (towards my hip but still upper thigh) there are 2-3 other that are similar in look. They don't itch or hurt. I first saw them Monday and I've been applying Maximum Strength Hydrocortisone 1%, which seems to be making them slowly fade/go away. Other than that, they haven't changed in appearance. My wife looked and thought possibly broken vessels, but they are raised so I didn't think this was the cause. 

It has been hot in the midwest, so unsure if this could be acne or folliculitis? I'm not very familiar with Molluscum. 

As you can tell from prior posts, I've also had major anxiety re: HSV. I've had multiple igg tests, as has my wife, all negative and I had a Western Blot that was negative for both. Never any sores/bumps on my penis, always anxious about bumps on thighs, etc. 

Is Molluscum just sexually transmitted? Would that or HSV respond to Hydrocortisone? I don't have hair in the areas where this is happening, can you still get folliculitis? The one patch is close, but still not in an area with hair.

Thanks for all you do. 
Edward W. Hook M.D.
Edward W. Hook M.D.
42 months ago
I'm perplexed by your longstanding and misplaced genitally focused anxiety.  Why is it that you continue to worry about occasional blemishes and skin irregularities following multiple negative tests, while in a long standing monogamous relationship and when numerous trained professionals have told you you need not worry.  As I said 9 months ago "Your concerns about some sort of long standing HSV infection which has been missed by the testing you have had so far is even more illogical than any concerns about getting HSV through clothing.  The reason we have tests is to inform and guide decision making.  You now have negative tests, no recent exposures, and no symptoms that sound the least bit like HSV. Your time would be better spent worrying about being struck by lightening."    Have you spoken with a trained counselor/mental health professional and if not, why not?

Obviously, I cannot examine you to comment.  What you describe do not sound like molluscum.  As you describe your "spots" folliculitis was the first thing to occur to me.  The lesions you describe sound about right, are in a reasonable place for folliculitis and you do not need to have visible hairs to get folliculitis.  Telangiectasias (vascular malformations that occur as el age) are another possibility.  At the very least, if you cannot shake this off, you should ask a dermatologist, but the real question is why do you continue to worry about herpes from activities that occurred years ago. 
---