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Child having tiny spots on back, abscess on bottom, no heat rash. Cause?

My 2 year old son has little tiny red spots on his back and his pediatrician said they were from him straining from screaming. Recently had an abcess about a week ago on his bottom that he screamed when it opened finally. So she said it was from him straining because they appeared on his neck . Now they are on his back and they are not going away. I know its not heat rash because he walks around most the time without a shirt on. So what could it be?
Tue, 19 Jun 2012
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Pediatrician 's  Response
Dear heberts,
I am really concerned that your son is suffering from skin lesions. Definitely children don't get skin lesions due to screaming. From the way you describe it looks like impetiginous lesions , which begins as red papules later becoming abscess due to strep and staph bacterial infections. They can be treated easily with topical antibiotics or oral antibiotics depending on severity.
However a direct observation by dermatologist is necessary before starting treatment. Good hygiene in the form of cutting nails properly, washing hands regularly is very important.
Don't worry he will be alright. Take care.

Dr C Balaji

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