How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Nair Your Own Question

Dr. Nair
Dr. Nair, Dermatologist
Category: Dermatology
Satisfied Customers: 8358
Experience:  MBBS, MD (Dermatology, Venereology & Leprology)
40004158
Type Your Dermatology Question Here...
Dr. Nair is online now
A new question is answered every 9 seconds

lupus blister, or herpes blistersI i have systemic lupus and genital herpes (gift from

Resolved Question:

lupus blister, or herpes blistersI i have systemic lupus and genital herpes (gift from late husband)
At times of stres I break out with Lupus blisters but have not had a herpes episode in years until recently.

How do I tell the difference when they occur outside the vaginal area?
Submitted: 2 years ago.
Category: Dermatology
Expert:  Dr. Nair replied 2 years ago.
Hi,

How big are the blisters and how long do they usually last?

Where else on the body do you get Lupus Blisters?
Customer: replied 2 years ago.
when I was first diagnosed with systemic lupus 1997, large blisters first appeared on my feet,, arms, chest,and torso. They are itchy, painful, and all so lovely. My bioposy was sent to three different labs before a diagnosis could be made.

Herpes would come years later, and with RA and Lupus, it almost killed me. They can look similar,however, the Lupus blisters can be all over the map in size, Herpes are fairly consistent.What i have now are about a quarter inch, itch and sore. They are in various parts of my body...two behind each knee, one on my arm. Two in my pubic hair area, three large sores in my inner thigh and one just outside my vigina. None,howver, that I can feel inside my vigina...Some hae been there for weeks. So what do you think Doc??



Expert:  Dr. Nair replied 2 years ago.
Thank you for the information. Given your current clinical picture I am fairly certain that there are Lupus Blisters. Herpetic blisters are smaller and clustered in one area (most often the genital region). I would have considered Bullous Pemphigoid as well (an autoimmune blistering disorder) but for the fact that your blisters have been conclusively proved to be because of Lupus.

When the blisters occur outside the vaginal area, apart from the herpetic blisters being smaller and clustered the fact that they will dry up within 7-10 days will differentiate them from lupus blisters. There may also be slight burning while urinating with herpetic blisters and enlarged glands in the groins. A simple rule of thumb would be that if the blisters are located outside or inside the labia (vaginal lips), are small and clustered and present only on one side (left or right) then they are herpetic. If there is only one or two isolate large blisters (which may or may not be tense) then there are most likely Lupus Blisters.

Hope this helps, please feel free to ask if you have any queries.

Please remember to only rate my answer when you are satisfied. If you feel the need to click either "Helped a little" or "I expected more", please stop and reply to me via the CONTINUE CONVERSATION button with the issue you have. I will be happy to continue further and do everything I can to provide you with the service you seek.
Dr. Nair, Dermatologist
Category: Dermatology
Satisfied Customers: 8358
Experience: MBBS, MD (Dermatology, Venereology & Leprology)
Dr. Nair and other Dermatology Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
 
 
 

Meet The Experts:

 
 
 
  • dermdoc19

    Dermatologist

    Satisfied Customers:

    3474
    30 years practice in general and cosmetic dermatology
< Last | Next >
  • http://ww2.justanswer.com/uploads/dermdoc19/2010-09-30_160749_Photo_122807_015.JPG dermdoc19's Avatar

    dermdoc19

    Dermatologist

    Satisfied Customers:

    3474
    30 years practice in general and cosmetic dermatology
  • http://ww2.justanswer.com/uploads/AX/axedoc2010/2012-4-9_193033_DSC96671.64x64.JPG Dr. Nair's Avatar

    Dr. Nair

    Dermatologist

    Satisfied Customers:

    7176
    MBBS, MD (Dermatology, Venereology & Leprology)
  • http://ww2.justanswer.com/uploads/DR/Dr.shahzad/2013-5-28_122559_IMG2564.64x64.JPG Dr. Shahz's Avatar

    Dr. Shahz

    Dermatologist

    Satisfied Customers:

    243
    MBBS, MCPS, MD
  • http://ww2.justanswer.com/uploads/tcsatish/2009-4-14_221547_satish_pp.jpg Dr. Skinner's Avatar

    Dr. Skinner

    Dermatologist

    Satisfied Customers:

    1548
    MD , DNB ( D &V), FAAD
  • http://ww2.justanswer.com/uploads/drhanish/2008-8-5_71640_drhanish.jpg Dr. Hanish Babu, MD's Avatar

    Dr. Hanish Babu, MD

    Dermatologist

    Satisfied Customers:

    261
    MBBS; MD 26 years Experience.
  • http://ww2.justanswer.com/uploads/DR/DrVenkat/2013-11-1_14129_profile.64x64.jpg Dr. S. Attili's Avatar

    Dr. S. Attili

    Dermatologist & Dermatopathologist

    Satisfied Customers:

    4121
    MRCP (Dermatology), Int. Board Certification in Dermatopathology
  • http://ww2.justanswer.com/uploads/SK/skindoctor2000/HCM2.64x64.jpg Dr. Pravin's Avatar

    Dr. Pravin

    Dermatologist

    Satisfied Customers:

    692
    Senior Consultant MBBS DNB (DVD)