Conversation: The conversation between human and AI assistant.
[|Human|] Doctor Prasad. I am a 41 year old male and I have been having a bit of a problem. For about a month now I have been having a problem with a itcy irritating rash in my perineum area. It started out itching under my scrotum and it also included small bumps like inflamed hair follicles. I have used lotrimin and the area under my scrotum has cleared up. The issue is that now this rash is around my anal area and its driving my crazy. The bumps do not appear to be water filled and are like the irritated hair follicles that I had before. Sometimes this rash doesnt itch at all and sometimes it itches to the point of madness. Any suggestions?
[|AI|]  Hello and welcome to Chat Doctor, A itchy rash in the perineal region and anal region suggests a fungal infection. Presence of bumps appearing as inflamed hair follicles could be folliculities. However, before using any ointment a clinical examination of the lesions is needed. These lesions can however, due to other reasons. The above-mentioned possibilities are the most probable ones on the basis of clinical details provided by you. Once, the infectious causes are ruled out, a biopsy of the lesion may be required. A number of skin diseases involve the perineal and anal skin also e.g. psoriasis, lichen plans, etc. Many sexually transmitted diseases are also associated with rash. A high risk sexual behavior is associated with these infections. Consult your dermatologist and dendrologist for clinical examination, relevant investigations and management. Thanks and take care Chat Doctor.