Bumps on buttocks that are itchy and painless. What can it be?

Hi,

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I have noted your case details (attachments removed to protect patient identity) and would help you deal with the problem on the basis of my experience with similar cases in my clinic. Your problem is generally caused by a mite and is manageable. Please do not use any purely steroidal cream like the one that you are already using as this will mask the original lesion and make difficult both the diagnosis as well as treatment. It would be better to use a preparation that is mainly anti-itching with a weak steroid like Hydrocortisone. One such preparation that has helped my patients in a good measure is Crotorax-HC (Crotamiton). This can be applied as often as needed.

Gamma benzene hexachloride (Lindane) in lotion form works best to eliminate the infection. It needs to be used and massaged all over except the face and scalp after the bath and rubbed vigorously. It has to be followed by two more applications in the same manner at 12 hours gap. It needs to be repeated once a week in the same manner. Anti-allergic like Levocetirizine 10 mg per day at night have helped almost all patients in relief from symptoms ofitching. Please also ensure that other family members and contacts are not having an infection of this nature. Since the problem may get transferred from one to another. Separate bed linen and items of personal use like towels also need to be taken care of. I am sure you will be well soon.