Question: My Son, 3.5 years old now was diagnosed and treated for impetigo last summer (2014) by his pediatrician using mupirocin (bactoban) prescription ointment for several months. It worked to some extent but the skin condition kept on expanding and so the scars (you can see the pics with old scars). It was very itchy for him as at night he will scratch unknowingly and in the morning i will see yellow pus and blood on his underwear as a result of that. I tried covering it up as much as possible with band aid but with limited success as the area was very large. From one side of his buttock it expanded to the other when we had visited Florida where in we had spent considerable time in the pool. Finally after 4-5 months we visited a Dermatologist after his Pediatrician asked us to do so. The Dermatologist said its not impetigo but eczema and prescribed Triamcinole Acetonide 0.1% to be applied twice for two weeks. It worked initially and we were happy that it has been diagnosed correctly but after four weeks it started reappearing again. We stopped the Triamcinole as it was a steroid based ointment. Friends suggested to use cold pressed coconut oil and other fragrance free lotion thoroughly. We also got some homeopathic lotion from WholeFoods market and natural aloe vera. Looks like nothing is helping. We are confused what to do. More importantly we don't know if its impetigo or a form of eczema. In the last two weeks it has not aggravated and is stable. Please advise.

Just to add to above- he goes to day care 5 days a week. Last summer he was also given an antibiotic once. The last picture attached is from last year when it was expanding rapidly.

no he was not treated for scabies. you are right this is from last year.

With due respect to the profession. Conflicting diagnosis on the same condition: 2014: Impetigo (with addl treatment of scabies) 2015: Ezcema (with addl treatment of scabies)