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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Treatment Can Be Taken For Itchy Red Dots Around The Butt For My 10 Year Old Son ?

My 10 year old son has red dots around his butt crack. He says they re real itchy. It started out as just 2 on the right side. Perfectly round, dark red spots under the skin . By end of week, one of the spots was 3 times the size..Had a dark brown center..and has a swollen ring around it. the dots spread..Now he has a total of 7 red dots around his butt crack. Not in his butt..outside of his butt crack closer to lower back area.
Fri, 4 May 2012
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Addiction Medicine Specialist 's  Response
It's hard to say without seeing it, but you are either dealing with a fungal/yeast infection (eg, tinea corporis, or candida), or a bacterial skin infection caused by staph bacteria.
Both tend to itch at first, but can also become painful. Yeast and Fungi do happen a lot on children and especially in the buttock region (just like diaper rash). The more concerning bacterial infection (staphylococcus) will usually spread very fast and if the skin breaks down, it will form a "honey crusting" type of appearance.
The swollen ring you described and spreading by small "satellite lesions" makes me think this is a fungal or yeast infection. You can try ketoconazole cream on the area to see if it controlls it. Otherwise, I would recommend getting it examined by a doctor for proper treatment.
Good luck.
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What Treatment Can Be Taken For Itchy Red Dots Around The Butt For My 10 Year Old Son ?

It s hard to say without seeing it, but you are either dealing with a fungal/yeast infection (eg, tinea corporis, or candida), or a bacterial skin infection caused by staph bacteria. Both tend to itch at first, but can also become painful. Yeast and Fungi do happen a lot on children and especially in the buttock region (just like diaper rash). The more concerning bacterial infection (staphylococcus) will usually spread very fast and if the skin breaks down, it will form a honey crusting type of appearance. The swollen ring you described and spreading by small satellite lesions makes me think this is a fungal or yeast infection. You can try ketoconazole cream on the area to see if it controlls it. Otherwise, I would recommend getting it examined by a doctor for proper treatment. Good luck.