What could cause red spots in the legs of a 21-year-old eczema patient?

Question

Hello doctor,

I am a 21-year-old male. A week ago, I started getting red spots on both my legs. I have had this before, but it was a few years ago. It appears on the skin over the peroneus longus and the shin area, which begins as a red spot with mild pain, and hours or maybe days later, it develops into a pimple. It is poppable with a sharp object showing pus discharge, leaving a swollen circle for weeks to months. It hurts when my clothing rubs against it or during any movements in particular areas. I have significantly fewer body movements involving a little walking and shaking legs in a day. I have had eczema since birth, only affecting my elbow and knee pits. It had improved from how it used to be when I was younger. I am concerned about the red spots if they could be due to infection?

Please help.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and understand it.

These are skin infections that can be prevented and treated by following the instructions I have mentioned below,

1) If your legs are frequently exposed to irritants like dust, plants, or grass, you should wash your legs twice a day with mild soap and follow it up with a moisturizer. Also, I suggest applying Mupirocin ointment (antibiotic) to the rashes.

2) If the rashes are itchy, I suggest you take antihistamines (treat allergic reactions), tablet Levocetirizine 5 mg, or tablet Desloratadine 5 mg once a day.

3)You can have a course of oral antibiotics if the rashes do not subside with these measures.

3)Also, I suggest you get the following blood tests, CBC (complete blood count), RBS (random blood sugar), and HBA1C (glycated hemoglobin), to be sure you do not have anemia (low levels of red blood cells in the blood) or diabetes (increased blood sugar).

4) Improve your physical activities through exercises and walking.

5)Also, take plenty of vegetables and fruits (in minimal quantities if diabetic) since they are good for your skin.

I hope this helps.