I have inverse psoriasis and 2 small scaly psoriasis bumps that flare ar the same time. I also have a lump that gets very red, swollen and irritated on my majora. It breaks out at the same time as the psor. It comes back in ezactly the same spot. Visually derm dr. Says herpes. Used valtrex for7days, seems to be better. It has a light scale on it but has never itched. I have not used any topical on it this time. It has been there for over a month. Other areas are healing. For 3yrears l have had this raw sore off and on and thought it was another psoriasis issue. I have been celebate for 12 years. It is located in an area that l sit on and clothing rubs. What is the best test for herpes,,? Blood or culture?
Hi, Dear,Welcome with your query to Chat Doctor. Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, You seem to suffer from-flexor psoriasis, due to tight clothes increasing friction at the flexor areas. Treatment-Tab Dapsone-would reduce the recurrence. As treat with anti-herpes Chat Doctor. Reduce on flexor friction by Vaseline and oil smearing, which would reduce the growth of any organisms which increase the redness patches and bruises in the flexor areas.-Would suggest Second dermatologist on the line suggested reassessing the diagnosis. Check for DM-diabetes by blood sugar test with your doctors advise, to understand the cause of the inverse psoriasis. This reply would help you to plan further treatment soon with your treating doctors. Best of Luck and early recovery. Welcome any further query in this regard, which would be replied in next session. Good Day!!