Dry skin with pimples and severe itching that is worse at night can be due to conditions like eczema, a fungal infection, or sometimes scabies (a mite infestation), especially if the itching is intense at night and affects multiple areas. Initial care includes keeping the skin well-moisturised with a thick, fragrance-free cream, using mild soaps, and avoiding scratching as much as possible. If you notice burrow-like lines, itching in finger spaces, or similar symptoms in family members, scabies may be the cause and requires specific treatment with medicated lotion for all close contacts. If there are ring-like patches or spread in sweaty areas, a fungal infection is more likely and needs antifungal cream. Because these conditions need different treatments, it is important to consult a doctor for a correct diagnosis rather than using mixed or steroid creams on your own.