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Sorry for the long string of text here… I felt I may not have described the lesion very well and wanted to clarify.
There were two things I saw: one was a very typical open comedone that was very opaque white. Not worried about that. And the other was a small bump of what looked like inflamed labial skin – skin color or slightly pinker than surrounding skin. With a crescent shaped, jagged laceration with about 5 distinct divots. Inflammation went down very quickly, and the cut looked like it got smaller and closed up. Over the course of 12 hrs, a yellowish/whitish discoloration occured that looked like it was coming from under/within the skin. Eventually forming the opaque white dome of what looked like puss or debris.
After wiping it away, and exposing the fresh wound, the cut looked rounder and had a deeper hole in the center, like it was the deepest part of the original laceration, and seemed to heal pretty much entirely within the next 24hrs. The same kind of whitish dome effect, but significantly smaller, occurred a couple more times throughout the healing process and I mostly left it alone.
I had used a new toy the night prior that had a jagged irregularity in the silicone I noticed later. I wonder if it could have caused trauma. It irritated my thumb skin a little when I rubbed the silicone there. I also am unsure if I just had another open comedone that I might have ripped out while wiping, since the two were so close together.
I also tested for all common STI’s in feb and march, including syphilis – all negative.
Thanks so much again. Sorry for long post. Just want to give clearest picture.