bump and pustules on toddler

[LilCarm]

Doctor,

I run a daycare in my home and have a little girl who is 1 1/2 years old. She has had bumps and some are pustles with a whitish or clear fluid for more than four months now. What could it be? Her peditrician said it was bug bites, I don't agree and wonder if she should be around the other kids. What would your advice to me be? Thanks!

[Vanessa Lacuesta]

Hi,

Just to add:

When was the child's last consult with a pediatrican? A follow up visit will help reassess the child's condition for further management.

Keep in touch.

[Vanessa Lacuesta]

Hi,

Where are the bumps located? Is it in the face and extremities? Do the vesicles form a yellow crust when it ruptures?

One differential for vesicles containing a clear fluid is impetigo which may be caused by a staphylococcal infection of the skin. Previous cuts or bites in the skin may be infected by the organism.Staphylococcus normally resides in the skin but may cause disease when there is a cut or injury to the skin, low immune response and poor hygiene.

Impetigo is contagious.You may discuss this with the child's parents and her physician and it is best to have the child stay at home until a definite diagnosis has been given and the condition has resolved.

I hope this helps.