I can sympathise I have Pupps too. It really flares up in the heat or when I get especially tired. Mine started just near my ankles and wrists and soon spread up my legs to my knees and up arms to elbows and my neck and face broke out. I am taking Milk Thistle to help my liver and using aloe vera cream to sooth the skin. My face and neck just sting when I try to put anything other than Aloe Vera on them. I might give the Oatmeal stuff a go, any recommendations?