#asktheexpert hello doc there are acne red pimple on my child’s leg I also took him to doc they were usually saying this is due to mosquito bite and gave some medics now again post couple of weeks when medics are over they re appear what to do

Question

Accepted Answer

It sounds like your child is experiencing recurring red pimples or acne-like bumps on the legs, which may have been initially identified as mosquito bites. However, since the problem is recurring after the medication, there may be other factors at play. Here are some possible reasons and suggestions for managing the issue:

1. Possible Causes

Insect Bites: Mosquito or other insect bites can cause red, pimple-like bumps that may reappear if your child is continually exposed to mosquitoes or other biting insects.

Allergic Reactions: Some children may have an allergic reaction to insect bites, detergents, or other environmental factors, leading to recurring red bumps.

Heat Rash: If your child’s skin is exposed to warm or humid conditions, they could develop a heat rash that looks like small red pimples.

Folliculitis: This occurs when hair follicles become inflamed due to bacteria, friction, or irritation. It can resemble acne or pimples and may reoccur if the underlying cause isn't addressed.

Eczema or Dermatitis: Sometimes, skin conditions like eczema can appear as red bumps, especially if the skin is irritated or dry.

2. Preventive Measures

Insect Protection: If mosquito bites are suspected, ensure your child is protected from further bites by using mosquito repellents, netting, or keeping the environment free of mosquitoes.

Moisturize: Use a gentle, fragrance-free moisturizer daily to prevent dryness and irritation, which could lead to recurring skin issues.

Gentle Clothing: Dress your child in soft, breathable fabrics like cotton to avoid friction and irritation on the skin.

Avoid Scratching: If your child is scratching the bumps, it can lead to infection or worsening of the skin. Keep their nails trimmed and use calming creams like calamine lotion to reduce itching.

3. Topical Treatments

Hydrocortisone Cream: Over-the-counter hydrocortisone creams can help reduce inflammation and irritation. However, it’s important to use them as directed and consult your pediatrician before prolonged use.

Antihistamines: If the bumps are itchy, your doctor may recommend an oral antihistamine to reduce the allergic reaction.

Antibiotic Ointment: If the pimples are due to a bacterial infection (like folliculitis), using a topical antibiotic cream can help prevent reoccurrence.

4. Prevent Recurrence

Monitor Triggers: Try to observe if certain triggers, like exposure to mosquitoes, heat, or specific foods, coincide with the reappearance of the bumps.

Regular Hygiene: Bathe your child with a mild, unscented soap and ensure their skin is well-cleaned, especially if they have been sweating.

5. When to See the Doctor Again

If the pimples continue to reappear despite treatment, or if they seem to worsen, become infected, or spread to other parts of the body, consult your pediatrician or a dermatologist.

Possible allergies or skin conditions might require more in-depth testing or treatment, especially if over-the-counter remedies are not effective.

Your doctor may suggest more comprehensive treatments or evaluate whether the recurring bumps are linked to an underlying skin condition or allergy.