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Forum Name: STDs (Sexually Transmitted Diseases)

Question: Rash on neck, slight burn when peeing

SkinProblems - Tue Dec 19, 2006 12:53 pm

Hi, For about 4-5 weeks now I have had this rash on my neck. It started out in a very small area, no change to skin colour, to spread across the front and sides of the neck, and most of the time is red in colour. There is no Itching most of the time. And also, in the past week or so, I have started to sometimes feel a very slight burning sensation when peeing. I would like to know what this is, because if it is serious I'll go to the doctors, but if not I won't bother. Thanks

Dr. Tamer Fouad - Tue Dec 19, 2006 2:24 pm

Hello, Dysuria refers to any difficulty in urination. This would include any pain, discomfort, or burning sensation during urination. It is most often a result of an infection of the urinary tract. Sometimes these symptoms can coincide with an STD or yeast infection. In men, the urinary system overlaps with the reproductive system, so dysuria can also be a result of genital infection. Causes include urethritis caused by gonorrhea or chlamydia and is usually accompanied by discharge. Prostatitis, interstitial cystitis, radiation cystitis as well as urinary retention can all cause dysuria. Its very possible that the rash is not related to the burning micturition. Do you have a Fever? Disseminated gonococcal infection occurs following 1% of genital infections. Patients may present with symptoms of rash, Fever, arthralgias, migratory polyarthritis, septic Arthritis, endocarditis, or meningitis. This condition is more common in women. Best regards,

SkinProblems - Tue Dec 19, 2006 3:22 pm

Hi again, Im not so sure whether it is possible for this to be an STD, because my last sexual contact was over 8 months ago. Is it possible that something like this could lay dormant and emerge now? Also, information I forgot to previously state: I first noticed the rash whilst on holiday in Tenerife, where there was a lot of direct sun exposure. I was, at the time of the rash first emerging, taking minocycline capsule for ance on the face, although I had not previously needed to take these, I had in fact started because of the sudden appearance of many large boil-like spots on the face that would not go away on their own. don't know if any of that was helpful. Thanks

Dr. Tamer Fouad - Tue Dec 19, 2006 5:17 pm

Then I presume this is possibly a mild cystitis / UTI and the rash is unrelated. I recommend you have a doctor check the rash as well as request a urine analysis and start you on proper therapy. Best regards,

SkinProblems - Wed Dec 20, 2006 1:53 am

Help!!! This morning I woke up to find a discharge from the end of th penis. I am extreemly worried now, I'm starting to think the worst! Any help would be tremendously appreciated. Thanks. Oh and by the way, I have an appointment with the doctor today, I would just greatly appreciate any information that you have to offer also. Thanks

Dr. Tamer Fouad - Wed Dec 20, 2006 2:21 am

Those are symptoms of urethritis which is a UTI as mentioned above. There are two main types: 1. Gonococcal urethritis and 2. non-gonococcal or non-specific urethritis (NSU). Gonococcal urethritis (gonorrhoea) is caused by the bacterium Neisseria gonorrhoeae and is transmitted by sexual intercourse, including oral sex. Without treatment, the infection can continue for many months. Non-gonococcal urethritis can be cause by a number of organisms including, Chlamydia trachomatis (25-60 per cent), Mycoplasma genitalium (up to 25 per cent), Ureaplasma urealyticum (15-25 per cent), Trichomonas vaginalis (17 per cent) and Herpes simplex (rarely). In very few cases of non-gonococcal urethritis are reported not to be caused by sexual transmission. The symptoms in these cases are blamed on irritants, soaps or detergents, but no firm evidence exists to support this theory. More commonly, this is a sexually transmitted disease. In such a case you should be examined in a sexually transmitted disease clinic (STD clinic). Otherwise you should seek help of a genito-urinary specialist or an andrologist, if one is available in your area. Keep us updated. Best regards,

SkinProblems - Wed Dec 20, 2006 11:31 am

Hi, I went to doctors today and he gave me a number to ring for a sexual health clinic, which I intend to do so as soon as it opens. He seemed quite concerned and told me to go straight away. Oh and in response to your earlier question, there is no Fever or other side effects as far as I am aware. Thanks

Dr. Tamer Fouad - Wed Dec 20, 2006 11:36 am

Good! Please keep us updated.

SkinProblems - Sat Dec 23, 2006 8:07 am

Hi, Went to the clinic yesterday and everything came back o. k. They took some blood smaples to test for syphillis and HIV, but they said its extreemly unlikely to be either. Just another question, if you don't mind answering, I know it doesnt have anything to do with this forum, but I think you would know. Could a rash that does not go away be caused by photosensitivity caused by minocycline, with over exposure to the sun? Thank you

Dr. Chan Lowe - Sat Dec 23, 2006 8:57 pm

Glad to hear you are getting your symptoms evaluated. Regarding the rash question, minocycline is wel known to cause skin hyperpigmentation (darkening). This can occur in all areas, including sun exposed areas. In general tetracyclines (the class of Antibiotic that minocycline is in) cause sun sensitivity. Sun screen should always be worn while on these medicines. Hope this helps.

SkinProblems - Sun Dec 24, 2006 7:50 am

Thanks for your respone, So minocycline could have caused this rash. What would you reccomend to treat it, as it is only getting worse, even though I stopped taking it for about a month, as I suspected it to be the cause? Any help would be greatly appreciated, Thanks.

Dr. Chan Lowe - Sun Dec 24, 2006 9:08 pm

Unfortunately, there is not a great treatment for minocycline induced skin darkening. If possible, it is always best to stop the medicine as you have done. The darkening may continue for a little while. Eventually the darkening may fade, but occasionally it does not. You may consider talking with a dermatologist, especially if there is a possibility of a different cause.

SkinProblems - Mon Dec 25, 2006 4:24 am

O. K, thanks for all your help. I'm actually expecting to see a dermatologist soon about this, but being Christmas, things are obviously gonna go slow. I'll keep you updated. Thanks

SkinProblems - Wed Dec 27, 2006 6:27 pm

Hi again, Still waiting for the results, but I had a thought just now, which I would really appreciate your input with. Could a rash that appears whilst on holiday, while being frequently in the sun, very sweaty, and taking bacteria killing minocycline cause Pityrosporum Folliculitis. I know that this is caused by some sort of fungal infection(?), and with the minocycline killing the bacteria this would leave the field open other things? Just a thought, I'm going to try to see the doctor tommorow and discuss this with him. I googled Pityrosporum Folliculitis and came across some pictures and symptoms that seem to match, except I rarely have Itching. Thanks

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