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Catalyst4

Please help: Lichen Planus or psoriasis with outbreak?

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Catalyst4

Hi all - I’ve been getting weird recurrent redness on my glans since January. I foolishly had unprotected sex and this nightmare started a week or so later. It starts off as a small circle of redness that turns oval and then spreads. There is no bump or no fluid and it doesn’t itch and is not painful. It also gets flaky like psoriasis after a week or so then the skin becomes shiny and thick.  I got a biopsy that said it was possible Lichen Planus. But was a herpes infection responsible for triggering it?

I had a swab when the inflammation was at it’s worse and it came back nEgative for herpes but I think it was done way too late. My dermatologist says it’s not herpes- but this all started after an unprotected sex encounter so I think it’s related to some infection somehow. It did go away completely with doxycycline and cortisone cream only to come back a couple of weeks later after finishing  the medication . 

I’m set to get my blood test in a few weeks but that will only tell me if I’ve been exposed to HSV, not that the redness is actually HSV

If it is HSV and it’s causing the Lichen Planus or psoriasis how do I treat it? Steroids will make me more susceptible to further outbreaks :(

Does anyone get this shiny skin as well with their outbreak that does not go away on its own?

i have pics I’m trying to upload but the size limitation is a problem ...

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WilsoInAus

Hey @Catalyst4 and welcome to the website.

There is no relationship between lichen planes or psoriasis to herpes. Follow the treatment recommended by your doctor. If steroids it is then have no worries regarding herpes.

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Catalyst4

Thanks for the reply. There was one study that showed Lichen Planus developing after a HSV2 outbreak but I personally never have gotten ulcerated blisters. It’s just weird that all this started the week after a sexual encounter and has not stopped since then. Here is the link to the study:

246495

 

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Yodda

Hello, there is link between herpes, with psoriasis and lichen. It is genetic and immunological response. 

You can find some articles relating this. 

Best.

 

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      Morality aside, it could be that your "disclosure" talk is not as reassuring as it could be. With awareness of diagnosis, suppressive meds, and condoms every time, the risk of male-to-female transmission is very low. How low? If you and a female partner were having sex twice a week, it would be a 1-in-600 year event. Assuming precautions are taken, your female partner would be likely to die of old age without ever getting HSV, even of you had sex with her multiple times every day without a single day off for the rest of your life.
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      I think it is very important for you to find out whether you carry HSV-1 or not. If you do, then any concerns you may have about HSV-1 are negligible. Many people carry an oral HSV-1, like your partner. This will be the only region of her body infected, that is the mouth in a practical sense. No contact with the mouth means no chance of infection for you. Hence there are zero issues with vaginal sex and you giving her oral. Kissing and you receiving oral sex are the feasible transmission possibilities. Perhaps the second is of minor concern, but your choice. If you decide you're never going to kiss a girl because she has HSV-1 orally then that will be your loss. Most girls have HSV-1 and all the cute ones!
    • WilsoInAus
      I disagree, we have made a significant contribution to keeping it on track and ensuring the OP has the correct information to cogitate upon. Let's keep the good work up!
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