What causes itchy spots with pus?

Hello,

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I have gone through the photos (attachment removed to protect patient identity). You child has atopic eczema (atopic dermatitis). He scratched it a lot and so the lesion got infected. Basically, two things have to be in mind.

1. First, we need to treat atopic eczema.
2. Secondly, treat infection due to uncontrolled scratching in eczema.

Atopic eczema is a very common problem, as age increases it goes of itself. Keep the skin moisturized. Use some good moisturizer and apply it four to five times in a day. More the skin is hydrated lesser the itching. Avoid exposure to dust, chemical, powder, irritant clothes, spicy food, and seafood. Cut the nails and keep the body clean. Avoid overuse of soap and shampoo as these are too chemical only. Use steroid creams like Diprovate (Betamethasone dipropionate), Clonate (Clobetasol propionate) over itchy eczema. It should not be applied on infected, crusted, and bled parts. Antihistamines are a must. Give syrup Atarax (Hydroxyzine) half a teaspoon thrice a day. For crusted and infected areas use T-bact cream (Mupirocin ointment) twice a day. Let it heal. Continue it for months till the allergy subsides.