Hello doctor, For the last weeks, I have a kind of a rash and itchy feeling on my anus. I am a 22-year-old male, without any sexual contact in that area. I have done every STD test and all came negative. I noticed some white spots right above the anus. I cannot really see the shape and because of the Coronavirus I could not get it checked on a clinic yet. Is it possible to have an outbreak of HPV in a place where you have never had any sexual contact? I have a lot of hair in the area and I think it could be folliculitis like I had on the other regions in the past, but I want to be sure.
Hi. I have seen the picture. (attachment removed to protect patient identity).  There is definitely an inflamed swelling in that area. Central area is white. As you are having a lot of hairs, that area can easily get infected. Are you having any fissure problem? Please check your blood sugar. It is not HPV (human papillomavirus). Warts will be presenting as asymptomatic growth, so it is not herpes also. It is furunculosis (bacterial infection of the hair follicle). Please start on antibiotics Doxycycline 100 mg twice a day for one week. Apply Mupirocin ointment in that area. Drink lots of water. See that you are not having constipation. Wash the area with water and soap after defecation. After the Corona crisis meet your doctor. I hope this helps.