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What Causes Large Open Sores On Legs And Genitals?

Posted on Tue, 17 Mar 2015

Question: I have large open sores both on my legs and on my genitals

Answered by Dr. Dr. Kakkar (1 hour later)

Brief Answer:
Kindly upload an image and provide more details

Detailed Answer:
Hello. Thank you for writing to us

I request you to kindly upload an image of the skin lesions/sores so that I am able to guide you better.

In order to upload an Image you need to either go to "Reports Section"

Or

You may also mail me at YYYY@YYYY with the subject line of mail as Attn:Dr.Kakkar.

Also I would like to know more details regarding the query.

-Do you have any associated symptoms?like pain?
-How long since you have the sores?

Regards

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

Follow up: Dr. Dr. Kakkar (8 hours later)

This bis what they look like

Answered by Dr. Dr. Kakkar (1 hour later)

Brief Answer:
I suggest a possibility of Genital Herpes

Detailed Answer:
Hi.

I have reviewed the Image. I can see discrete erosions on and around the genitalia.

I would like to keep a possibility of Genital Herpes and a second but less likely possibility of Impetigo/ bacterial infection.

Genital herpes initially presents as grouped, discrete erosions or fluid filled vesicles which may subsequently coalesce to form large erosions with polycyclic margins.

Genital herpes is caused by a HSV and the infection is usually acquired by close contact with an infected sexual partner

I would like to know more from you..

-When did they first appear?Were they fluid filled initially and then ruptured and coalesce to form large erosions?

-Do you have symptoms like pain, burning sensation?

-Do you have swollen glands in the inguinal region?

-Are you sexually active?If yes, do you have single or multiple sexual partners? When was your last sexual contact?

Regards

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

Follow up: Dr. Dr. Kakkar (31 minutes later)

Hi yes they appeared in the last 4 days. They were fluid filled / kind of pus heads on them. When they popped they are like crators. There is alot of pain but i thought this was due to walking and chaffing the sores. I dont know about swollen glands. But yes i have recently been sexually active with a ex partner. Last contact was approx 2weeks ago.

Answered by Dr. Dr. Kakkar (11 minutes later)

Brief Answer:
Herpes is transmitted by sexual contact with an infected sexual partner

Detailed Answer:
Hi.

Ok. The clinical picture is suggestive of Herpes Genitalis.

As I said, Genital Herpes is an STD. The only way you could have got it from is sexual contact with someone who already has the infection.

Herpes is transmitted by skin to skin contact.
Chances of transmission are more during a clinical episode of Genital Herpes i.e if there are open sores like the ones have right now but even during clinically asymptomatic phases, this virus can transmit to sexual partners.

-Does you sexual partner has a history of Genital sores? You can inquire about it from him.

Treatment of confirmed herpes would be with Oral antivirals like Acyclovir Or Valacyclovir.

Regards

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