Pustules with white spots from the anus may be folliculitis, scabies, perianal eczema and so on. 1. Folliculitis: white spots around the anus may be caused by inflammation of the hair follicles. Folliculitis is mainly a red papule centered on the hair follicle, and there may be a white pustule at the top, and the shell components form pus, and pus and blood will flow out after rupture. 2. Scabies: mainly caused by scabies mites parasitizing the skin, mainly manifested as pinhead-sized papules. There may be small blisters at the top, and there may also be grayish-white or light-black lines. 3. Perianal eczema: mainly the skin around the anus has pinpoint papules, sometimes can be fused into a piece, the border is often not clear, the papules may have a little white scales, so the anus pustules with white spots may also be perianal eczema. It is recommended to consult a doctor in time to clarify the cause of the disease under the detailed examination of the doctor and carry out the corresponding treatment to avoid aggravation of the condition.