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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Black Specks On The Penis And In Armpits Of A Child?

Just returned from camping and swimming at a lake. Found black specks on my 8 year old and 4 year old. Mostly on their penis and 1 each in each armpit. They say they don t hurt or itch. My wife pulled them out with tweezers but they were very hard to get out. They seem to be blackish red in color and very microscopic. One was crawling on the tissue after it was removed. Any idea what they might be?
Tue, 30 Sep 2014
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Pediatrician, Neonatology,  's  Response
1.if it was crawling and if present on both the kids over penis and arm pit,mostly its scabies and it is contagious between family members
2. caused by sarcoptes scabiei (a parasite)
3. treatment is wash your kids ,including you and whole family with a scabicide soap(head to toe) ,followed by application of malathion ointment(derbac m ointment) twice daily all over the body for 7 days
4.wash all the linen at home(clothings,bedsheetsand towels) in hot water at the end of treatment
5.treat residual dry skin with emollients.
6.if any secondary infection of lesions ,then local antibiotic creams like (mupirocin ointment) can be applied
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What Causes Black Specks On The Penis And In Armpits Of A Child?

1.if it was crawling and if present on both the kids over penis and arm pit,mostly its scabies and it is contagious between family members 2. caused by sarcoptes scabiei (a parasite) 3. treatment is wash your kids ,including you and whole family with a scabicide soap(head to toe) ,followed by application of malathion ointment(derbac m ointment) twice daily all over the body for 7 days 4.wash all the linen at home(clothings,bedsheetsand towels) in hot water at the end of treatment 5.treat residual dry skin with emollients. 6.if any secondary infection of lesions ,then local antibiotic creams like (mupirocin ointment) can be applied