3 wk ago: received oral sex. she had a cold sore in her mouth 3 days later. No other sexual contact
7d ago: irregular, erythematous, macular rash on mid-shaft. Rash is 3cmx2cm. not vesicular or pustular. Some pruritus. no fever, no prodromal symptoms.
6d ago: small patch of erythema on glans. Original rash spread, now papular, but not vesicular or pustular. Increased pruritus. Applied 1% hydrocortisone cream, took benadryl, helped itching. rash unchanged.
5d ago: concerned for herpes, present to urgent care for dr's opinion. Dr says doesn't look like herpes. He says doesn't look like balanitis or scabies. Tells me it is likely just skin irritation, but he's not sure, could be atyptical or mild presentation of herpes. Swabs rash for viral cx and draws blood for hsv-1,2 and RPR. Rx-acyclovir.
Blood: neg hsv-1, hsv-2, rpr. Cx pending.
Now: 5d of acyclovir rash still spreading, albeit slowly. Pruritus present, although benadryl and 1% hydrocortisone help. Still no pustules or vesicles appreciated.
Even though HSV blood tests neg, I have convinced myself that it is likely a false neg and B-cells haven't had time to ramp up ab production to significant levels. The fact that I have only had sexual contact with 2 people in my life, both of whom have had no h/o stds and the fact that the acyclovir hasn't cleared up the rash both point away from herpes, but I am not convinced.
6- http://img225.imageshack.us/img225/5038/glanszj7.jpg (Glans)
7- http://img88.imageshack.us/img88/4048/closeup1wb3.jpg (Closeup)
8- http://img81.imageshack.us/img81/2686/closeup2ll6.jpg (Closeup)
9 - http://img134.imageshack.us/img134/1863/glans2il6.jpg (Glans)