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What Causes Itchy Flat, White Spots In Pubic Area?

Posted on Tue, 14 Jul 2015

Question: Afternoon,

I had genital warts about 8yrs ago and was given Warticon which cleared it up and never had a problem since however, a couple months ago i started to notice some flat white spots.
These spota were not raised or no pain but did itch a little. i had brought some more warticon but never used the treatment every 12hrs nor everyday. The apota had turned grey but each time i engage in sexual intercourse they seem to tear open like a sore and will be slightly painful when drawing back forskin. This tends to heal couple of sdays which makes me think this was.not genital warts .i have noticed tiny red dots on head of penis also which come and go

please help

Answered by Dr. Shahid Hassan (1 hour later)

Brief Answer:
upload photograph

Detailed Answer:
Hi, welcome to Healthcaremagic,

It seems to be lichen planus as per your description.

Please upload a clinical photograph for evaluation and correct diagnosis.

Hope this will help you.
Thanks

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shahid Hassan (31 minutes later)

i am quite sure this is not genital warts as warts do not open like a cut. as you can see from the photos attached, the grey marks after intercourse tend to be a bit sore and open like a cut or blister and then heal in few days. Np pain when urinating.
They are not lumps or bumps either

Answered by Dr. Shahid Hassan (31 minutes later)

Brief Answer:
upload image

Detailed Answer:
Hi, welcome again,

still not able to see clinical photograph.
There is a feature to upload the image by yourself on the right side of this query page. You may utilize that. Alternatively, you can mail it to YYYY@YYYY with subject line as "ATTN: Dr. Shahid Hassan". I will review the photograph and get back to you.
Thanks

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shahid Hassan (4 minutes later)

please see attached

Answered by Dr. Shahid Hassan (6 minutes later)

Brief Answer:
see below

Detailed Answer:
Hi, welcome again,

In one of the photograph the violaceous color is in favor of FDE(Fixed drug eruption).

In the other photograph the reddish spot and skin peeling is in favor of allergic reaction.

It may be due to post application period of warticon.

Thanks

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shahid Hassan (5 minutes later)

so this could have been genital warts returned? shall i continue to use the warticon? what do you suggest for treatment?
i have also attached many more pics

Answered by Dr. Shahid Hassan (1 minute later)

Brief Answer:
stop applying warticon

Detailed Answer:
Hi, welcome again,

No clinical picture is not in favor of wart.
Don't apply warticon any more.

Apply emollient 2-3 times daily and wait for lesion to develop.

thanks

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shahid Hassan (10 minutes later)

can i get this from my pharmacy? why am i to apply this and waiting for a lesion to appear?
will these grey marks go away with this emollient?

Answered by Dr. Shahid Hassan (10 minutes later)

Brief Answer:
see below

Detailed Answer:
Hi, welcome again,
Emollient is a OTC product and you can get it from any pharmacy.
The gray marks will subside with time.
As at present there is no sign of wart and emollient is sufficient for present condition.
Thanks

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shahid Hassan (3 minutes later)

what exactly is this i have? if you can explain in little bit more detail, I would be greatful.
Is it also ok to have unprotected sex or can i pass this on?

Answered by Dr. Shahid Hassan (13 minutes later)

Brief Answer:
see below

Detailed Answer:
Hi, welcome again,

This looks like Fixed drug reaction. It is a type of allergic reaction to a medicine, they recur at the same site with each exposure to a particular medication.
This is not sexually transmitted. The only thing is you will get erosion after sexual activity at initial stage.
Thanks

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shahid Hassan (6 minutes later)

Thank you very much. You have put my mind at rest. I will let you know in next couple of weeks how emollient treatment working. Thanks again

Answered by Dr. Shahid Hassan (1 minute later)

Brief Answer:
Thanks

Detailed Answer:
Hi, welcome again,

Its my pleasure to answer your questions.
If you have any other query please go ahead otherwise close the question and rate it.
Thanks

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar