Question: Doc, u were advising me on my recurrent folliculitis on shoulder and upper back... U had suggested R cin 650 and augmentin 650... And pus culture test for active lesions with pus.

At that moment I had no lesion with pus but over last two days I have developed couple lesions with swollen bump and pointed pus peak... Rest of the lesions are on decline and are healing well.

Unfortunately am not in XXXXXXX now and based in Lagos Nigeria where may not get reliable pus culture test...look forward to your advice whether to start cause of r fin and augmentin for 1 week as suggested by you earlier.

I had been evaluated as hsv1 positive with igg of 1.93 Against XXXXXXX of 1.2, this was in Nov 15 and had taken one 10 day course of Herparex 400, do I need to repeat the same or not.

Thanks doc, will not take r cin, can this be another outbreak is hsv1 lesions... Shall I take 5 days of Herparex.... Or only body was will do...

My family is coming to Nigeria later this week, if they have to buy this body wash, by which name they can buy from medicine shop and in which quantity as I won't be coming back to XXXXXXX for a year at least.

Hi doctor, am unable to find here benzoyl peroxide gel or body wash in concentration u suggested, though am getting benzoyl peroxide cream in 10% concentration. Shall I buy the same.

Also my lesions on left shoulder have multiplied from 1 on Sunday to 4 now. I also have developed 1 lesion each on my left buttock and left thigh. Important to share that had safe Swedish oil massage on Sunday and post that lesions have started to increase. Did massage cause some issue here...

My other worry due to my hsv1 igg coming positive at 1.93 is that this may be a hsv1 outbreak, I had potentially my first in sept with lesions on shoulders and upper back only which started disappearing after 10 days of Herparex 400 followed by 10 days of r cin 600. My question is shall I repeat 5 day course of Herparex 400, will that create any side effect if I don't have side effects. I just want to get rid of these lesions or folliculitis which are on my shoulder and upper back since September. Pl advice.

Also somewhere I read that igg 1.93 is low positive and maybe false reading as well, so will you suggest I repeat blood test for Hsv again.

In between post having Herparex and , I had probable urticaria wherein I was taking Allegra 180 every day for 15 days to manage itching and redness of skin at various parts of my body. However for last 5 days this urticaria has reduced significantly while still I feel itchiness on various parts of my body but it is manageable and I'm managing without Allegra.

Finally am attaching photographs of my left shoulder, left buttock and just for comparison photo of my right shoulder with healed lesions.

Look forward to your advice. Sorry for long mail.

Thanks, have taken doxycycline for 2 months between oct and Nov and it was not helping much... You still will suggest I go with doxycycline.

Also I was wanting to repeat Hsv test as I read that low positive igg can be wrong test result as well..shall I repeat the same.To add, I was also given Minolux 100 in place of Doxycycline by the skin doctor in XXXXXXX alongwith Herparex 400 and that calmed the lesions down...

So instead of Doxycycline, shall I take minolux 100 for next 2 weeks...

Thanks Doc, will start with minolux then... for 2 weeks? how many times I take it in a day?

Also if you can share what can be the probable cause of recurrent folliculitis which is literally not going since middle of Sept'15.... am worried if this is due to any major reason...

My vitamin D and vitamin B12 are low... getting injections for them for last two weeks.

My TSH is high at 7.2 while T3 and T4 are normal...

Havnt done diabetic check... yet...

anything else need to be worried....
Sorry am troubling you, but need the worry to be away from me, doctors here in Lagos did half kill me with various severe options. And my mind wondered on Internet and read various sites which further drowned me...emotionally.

My key thing is how I can protect my family from hsv1, are there any tips you can share with me...

Also how did I recognise Hsv 1 outbreak, any visible symptoms which can help me identify and take appropriate precautions.

Looking for your advice.

Lastly I was feeling itchy in my groin area, did check now, did'nt found much. Still forwarding the picture if you can assess as well.

I think my problem is equally psychological as clinical... Will look to your advice how I approach the same.

I have this NUFORCe gym cream with me, will that do...

Doc, my worry is how do I protect my family from acquiring this hsv1, what precautions can I take...