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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Rashes In Genital Area?

My husband has a rash in the genital area but not on his penis it looks like herpes he is 64 years old and has sugar at first we thought it was a rash from sweeting but then it started blistering he has had an affair 20 years ago could this just now be coming out.
Fri, 19 Jan 2018
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Dermatologist 's  Response
Hello
Welcome to healthcare magic.
First of all I do not think its herpes infection.
Herpes starts with small fluid filled blisters which combine to form a single blister which than rupture to form a ulcer. Genital herpes mostly present over glans penis. You can go for Tzank smear testing to confirm herpes.
As you mentioned that your husband have diabetes, the rash is most likly to be a fungal infection like tinea cruris ( ring worm infection) for which I would suggestion KOH mount testing.
Most common site for ringworm infection is groins. It first starts as small red ring with associated white scaling which gradually progress in size. Pustules, blisters can also present over the patch.
Keep blood suger level well controlled and get KOH testing or send me photo of the rash
Thankyou.
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What Causes Rashes In Genital Area?

Hello Welcome to healthcare magic. First of all I do not think its herpes infection. Herpes starts with small fluid filled blisters which combine to form a single blister which than rupture to form a ulcer. Genital herpes mostly present over glans penis. You can go for Tzank smear testing to confirm herpes. As you mentioned that your husband have diabetes, the rash is most likly to be a fungal infection like tinea cruris ( ring worm infection) for which I would suggestion KOH mount testing. Most common site for ringworm infection is groins. It first starts as small red ring with associated white scaling which gradually progress in size. Pustules, blisters can also present over the patch. Keep blood suger level well controlled and get KOH testing or send me photo of the rash Thankyou.