Recurrent Pus-filled Sores: Causes and Solutions - Dermatology

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The wound keeps recurring and becoming infected?


Hello Doctor, I have sensitive skin that tends to get dry and allergic, which leads to scratching.
A few days ago, I noticed pustules in the areas where I scratched.
This has never happened before, as my skin usually heals on its own.
However, I’ve found that whenever I scratch and create a wound, pustules easily form.
Although there is some self-healing, it is rare, and this time it is not just in one area; sometimes it occurs on my hands and feet as well.
The pustules are not healing easily and keep recurring.
What could be the issue? Thank you, Doctor!

CHEN, 20~29 year old female. Ask Date: 2022/02/20

Dr. Wu Yuxin reply Dermatology


No lesions were observed, making it difficult to determine the issue.
If it is causing significant distress, please seek medical attention promptly.

Reply Date: 2022/02/20

More Info


Recurrent pus-filled sores can be a concerning issue, especially when they appear frequently and do not heal easily. Understanding the underlying causes and potential solutions is crucial for effective management.

Causes of Recurrent Pus-filled Sores
1. Skin Conditions: Conditions such as eczema, psoriasis, or dermatitis can lead to dry, itchy skin that may become inflamed and infected. When the skin barrier is compromised, bacteria can enter, leading to pus-filled sores.

2. Bacterial Infections: Bacterial infections, particularly those caused by Staphylococcus aureus, can result in abscesses or boils. These infections often occur in areas where the skin is broken or irritated, making it easier for bacteria to invade.

3. Fungal Infections: Fungal infections, such as those caused by Candida or dermatophytes, can also lead to pustular lesions, especially in warm, moist areas of the body.

4. Allergic Reactions: Allergies to certain substances, including soaps, detergents, or fabrics, can cause skin irritation and lead to secondary infections if the skin is scratched.

5. Immune System Issues: A weakened immune system, whether due to a chronic illness, medication, or other factors, can make the body more susceptible to infections and slow down the healing process.

6. Poor Hygiene: Inadequate hygiene can contribute to the development of skin infections. Regular washing and care of the skin can help prevent the buildup of bacteria.

7. Underlying Health Conditions: Conditions such as diabetes can impair wound healing and increase the risk of infections, leading to recurrent sores.


Solutions and Management
1. Consult a Dermatologist: It is essential to seek professional medical advice for a proper diagnosis. A dermatologist can evaluate your skin condition and recommend appropriate treatments.

2. Topical Treatments: Depending on the cause, topical antibiotics or antifungal creams may be prescribed to treat infections. Corticosteroid creams can help reduce inflammation in cases of eczema or dermatitis.

3. Oral Medications: In more severe cases, oral antibiotics or antifungal medications may be necessary to clear the infection.

4. Moisturizing: Keeping the skin well-moisturized can help prevent dryness and reduce the risk of skin barrier breakdown. Look for fragrance-free, hypoallergenic moisturizers.

5. Avoid Scratching: It is crucial to avoid scratching the affected areas, as this can introduce bacteria and worsen the condition. Keeping nails trimmed and using anti-itch creams can help manage the urge to scratch.

6. Hygiene Practices: Maintain good hygiene by regularly washing the skin with gentle cleansers and avoiding harsh soaps that can irritate the skin.

7. Identify Triggers: If allergies are suspected, consider keeping a diary to track potential triggers and discuss them with your doctor. Allergy testing may also be beneficial.

8. Healthy Lifestyle: A balanced diet, regular exercise, and adequate sleep can support overall immune function, helping your body fight off infections more effectively.

9. Follow-Up Care: Regular follow-up with your healthcare provider is essential to monitor the condition and adjust treatment as necessary.

In conclusion, recurrent pus-filled sores can arise from various causes, including skin conditions, infections, and immune system issues. A thorough evaluation by a healthcare professional is vital to determine the underlying cause and appropriate treatment. By implementing good skincare practices, maintaining hygiene, and following medical advice, you can effectively manage and reduce the occurrence of these sores.

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