[19M] With penile cuts, groin rash, and swollen lymph nodes
Patient Description
A 19-year-old male presents with cuts on the penis and foreskin that appeared suddenly approximately a week and a half ago. The patient reports small dots appearing gradually in the same area, which are somewhat painful. There is a rash in the groin area that itches when rubbed by clothing, and the rash has been spreading. The patient also notes swelling and tenderness in the groin lymph nodes. There is no associated fever, body aches, or general malaise. The patient denies any blistering or fluid-filled lesions. There have been no new sexual partners or known exposure to sexually transmitted infections (STIs). The patient recently used new personal hygiene products but discontinued them without improvement in symptoms. There is no history of previous STI testing, no known allergies, and no chronic illnesses. The patient is not currently taking any medications.
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Arora's Assessment
What might be happening
Based on your symptoms, here are some possibilities:
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Friction or Irritation: The cuts and rash could be due to friction from frequent sexual activity or irritation from new personal hygiene products. This can cause skin damage and discomfort.
- Treatment involves avoiding further irritation and using soothing ointments or creams to promote healing.
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Balanitis: Inflammation of the foreskin and head of the penis, often caused by irritation, infection, or poor hygiene. It can lead to redness, swelling, and pain.
- Treatment includes good hygiene, avoiding irritants, and possibly using antifungal or antibiotic creams if an infection is present.
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Sexually Transmitted Infection (STI): While you mentioned no new partners, some STIs can remain dormant. Testing can rule this out.
- Treatment depends on the specific infection and may involve antibiotics or antiviral medications.
What you can do
- Avoid Irritants: Stop using any new products that might be causing irritation.
- Maintain Hygiene: Gently clean the affected area with mild soap and water, and keep it dry.
- Use Soothing Creams: Consider using over-the-counter creams like hydrocortisone to reduce inflammation.
- Monitor Symptoms: Keep track of any changes or worsening of symptoms using the MDandMe journal.
What you should look out for
Seek medical attention if you notice:
- Worsening of symptoms or no improvement
- Development of blisters or fluid-filled lesions
- Fever or general feeling of being unwell
- Painful urination or discharge
It's important to consult a healthcare professional for a proper diagnosis and treatment plan.
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27 d ago