Bumps: This is probably a common skin rash caused by the rubbing of pants on the skin and sweating. You say he's had it for a long time so unless he's been taking a certain medication for about the same period of time its not a drug eruption (allergy). Pants made of a different material, something softer and more permeable, may help. Ask a dermatologist to take a biopsy of the bump to be certain.
Answered 8/19/2016
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