Brief Answer: Upload a picture with good clarity Detailed Answer: Hello and welcome to healthcaremagic. Thanks for posting your concern at Healthcaremagic. I am Dr. Kakkar. I had a look at the picture that you have attached, but unfortunately I could nt make out much of it because the lesion is out of focus. I would be greatly helped if you could upload a picture with good clarity (preferably 2-3) in order to be able to help you better. It could be either Molluscum contagiosum or it could also be bacterial infection of the hair follicle(folliculitis) OR even pseudofolliculitis. Though from the description you gave it seems more like Folliculitis/bacterial infection of the hair follicle. While folliculitis and pseudofolliculitis can be easily managed with oral and topical antibacterials, molluscum requires a different approach. Molluscum contagiosum is a skin infection that causes small pearly or flesh-colored bumps (Small dome-shaped bumps with a central depression). They are asymptomatic The infection is caused by a virus. They may occur on the penis, scrotum, inner thighs or pubis. The virus commonly spreads through skin-to-skin contact. Touching an object that has the virus on it, such as a towel, also can spread the infection. Doctors usually recommend treatment for bumps in the genital area to prevent them from spreading. Treatment options are: -Needle Extraction -Removal by CO2 Laser, Radiofrquency ORElectrocautery. -Chemical cautery with Trichloroacetic acid, potassium hydroxide OR canthridin -Cryosurgery/Freezing with liquid Nitrogen. -Topical immunomodulators like Imiquimod (usually for multiple lesions). I would advice that you see a dermatologist who would tell you more about it and about the various treatment options and the best one for you. I usually remove them with CO2 Laser or Radiofrequency cautery if the lesions are few in number. If there are numerous lesions, i prescribe my patients topical imiquimod. regards

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Brief Answer: Possibility of Razor bump Detailed Answer: Hi. Thanks for the pictures, they were somewhat helpful but did nt actually made much of a difference. I could notice good clarity at the right lower corner of the picture rather than the center where the lesion is located. May be you can try one more time, if possible, to post a clear picture(try switch off the flash and click from a little further rather than too close to the lesion) Anyways I would keep a first possibility of folliculitis/ Razor bump. Squeezing or manipulating may have made it red, inflammed and it might have bled internally thus causing it to swell. I would advice that you get a prescription for an oral antibiotic from your local care practitioner(penicillin group of drugs e.g Amoxycillin for a week would do). A topical antibacterial e,g 2% mupirocin twice daily can be used at the site twice daily. A razor bump would heal within a week of oral antibiotics whereas a molluscum wont change at all. So after a week of oral and topical antibiotics that could be a diagnosis of exclusion. regards

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Brief Answer: Oral+topical antibiotic Detailed Answer: Hi It does'nt look like a wart at all. Moreover, a wart developing 10 years later is unusual. I would say that it is just a bacterial infection which should get better with an oral+topical antibiotic. The only close differential is molluscum. Thats it, nothing else. take care regards

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