Treatment Of Hand And Foot Dermatitis
Treatment of the cause when possible
If a cause is known, it is treated.
as well as skin irritants, particularly frequent or prolonged contact with water and detergents.
Corticosteroids applied to the skin are sometimes given to relieve inflammation. Antihistamines can help relieve itching.
When To Seek Medical Help
See your doctor if your itchy feet dont improve with home care or if your symptoms get worse with time.
Your doctor will take a thorough medical history and conduct a physical exam to diagnose itchy feet causes. The questions they might ask you include:
- Have you recently started taking any new medications?
- Have you been exposed to any potential irritants?
- Do you have any chronic medical conditions, such as diabetes mellitus or eczema?
- Have any family members, friends, or teammates recently experienced any skin-related concerns?
If necessary, your doctor can perform tests including:
Some tests can check areas in or on top of your skin for the presence of germs, such as a fungus.
Your doctor will treat itchy feet according to the cause. For allergic reactions, avoiding the product or products causing the allergic reaction can help to reduce itchiness.
Treatments that may relieve itchy feet include the following:
Other Foot Rash Causes
There are a number of other possible causes of rashes on feet, but theytend to be less common or affect more of the body, rather than beingconfined to the foot or lower legs.
Psoriasis is a chronic skin disease causing red, scaly, itchy patches. Skin rashes from psoriasis are caused by rapid overproduction of skin cells due to a problem with the immune system. Psoriasis skin lesions range from small, localised patches to major eruptions affecting the whole body.
Skin rashes from psoriasis tends to occur on the soles of the feet. It affects 2-4% of the population. Symptoms usually go through recurrent cycles of flaring up for a few weeks or months then settling down.
Scabies is a contagious skin condition caused by a parasite burrowing under the skin. Scabies affects 1.5% of the population and causes intense itching which is worse at night.
Superficial burrows from the mite are visible through the skin, with the foot rash appearing in lines accompanied by small, red spots commonly in the webs of fingers and toes.
3. Insect Bite
A bite to the foot or ankle can produce a skin rash. It tends to be asmall, localised spot or group of spots which are itchy and the foot rash settles within a few days.
4. Medical Conditions
Some other medical conditions can cause a foot, ankle or leg rash include Lyme Disease, meningitis, lichen planus, chicken pox, shingles, and rheumatoid arthritis.
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What Are Itchy Feet
Feet are exposed to many potential irritants like allergens, bugs, and fungus that can cause itchiness. Your feet also spend long hours in the potentially moist, hot environment of your shoes and socks, which can be a breeding ground for bacteria and fungi.
The most common causes of itchy feet are contact dermatitis, fungal infections like athletes foot, or bug bites from scabies, mosquitos, or bed bugs. These conditions may also cause a rash, blisters, or scaly skin.
In some cases, conditions such as diabetes and kidney or liver disease can cause Inflammation or affect the nerves, making your feet feel itchy.
Many causes of itchy feet can be treated with topical or oral anti-itch or antifungal medications, or topical steroids.
A common misconception is that itchy feet are always caused by a foot fungus. Many times I see patients who come in for foot fungus, but when I look at the feet it’s eczema, dermatitis, or psoriasis. It may even be an internal cause of itching like liver or kidney diseases. Dr. Lauren Levy
Chilblains Why My Toes Get Red Itchy And Sore In The Winter
Chilblains, why my toes get red, itchy and sore in the winter.
What do chilblains look and feel like?
Chilblains are small red itchy patches that can appear on toes and fingers after youve been in the cold, particularly in winter. They have a distinctive dusky pink appearance and can be very tender and itchy. Sometimes they can look a bit like a bruise and sometimes toes can become quite swollen.
What are chilblains?
The body is very clever and when you get cold the tiny blood vessels in your extremities clamp down to make sure that your blood stays around your vital organs like the heart, brain and lungs. This makes sure they function properly and to help and keep your core body temperature consistent. It is a very clever survival mechanism to help maintain your core temperature of around 37C and to prevent hypothermia setting in.
How do you get rid of chilblains?
Once you have got a chilblain, time is the main factor in getting rid of them and they will usually heal up in 6-8 weeks. There are some helpful treatments out there that can ease the pain and itching in your toes in the mean time. 2 I recommend regularly are:
The camphor and menthol in this can help relieve the pain and itching of chilblains if the skin is unbroken.
The best way to prevent the pain, redness and itching.
Using creams that have warming ingredients such as eucalyptus, menthol and ginger can also help to improve circulation and help to prevent painful chilblains
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When To Call Your Doctor
You may need prescription-strength medicine to kill the athleteâs foot fungus if:
- You have diabetes and the rash looks infected
- The scaly rash has turned into sores or ulcers that leak fluid
- Itâs spread to your hands or groin
- You think your toenails are infected
- The rash just wonât disappear
The Circulation Responds To Temperature
Although the exact cause of chilblains remains unknown, it is thought to be associated with the bodys reaction to cold weather. The bodys circulatory system comprises arteries, veins and capillaries that carry blood to every cell. The circulatory system is sensitive to temperature.In hot conditions, the body expands blood vessels close to the skin so that excess heat can be lost to the air, thereby cooling the body. In cold weather, these blood vessels constrict to conserve body heat. This constriction can starve extremities, such as the toes, of blood and warmth, if your peripheral circulation is sluggish.
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Causes Of A Red Itchy Rash On The Feet
Dealing with a red, itchy foot rash is an unpleasant experience, but one that’s commonplace. The cause may be anything from a chronic skin condition to an acute infection. Several main factors usually cause red, itchy rashes on people’s feet, and determining which one is the culprit will help pinpoint the way to deal with it.
What Will Happen If Athletes Foot Is Left Untreated
Athletes foot doesnt typically go away on its own. If its left untreated, it can spread to other areas of your body, including your:
- Nails: Fungal nail infections can be more difficult to treat. They are often more resistant to many treatments.
- Hands: A similar fungal infection can spread to your hands. This happens when you scratch your infected feet or use the same towel to dry off your infected feet and hands.
- Groin: The same fungus that causes athletes foot can also spread to your groin. Its a condition called jock itch. The fungus typically spreads from your feet to your groin after using a towel to dry off after bathing or swimming.
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Broken Or Fractured Toes
A traumatic fracture, also called an acute fracture, results from an impact or direct blow. This injury can occur when a person drops something heavy on the area or severely stubs their toe.
Signs of a traumatic fracture include:
- a sound at the time of the injury
- pain at the point of impact that may last for a few hours
- a crooked or abnormal appearance to the toe
- redness followed by bruising and swelling the next day
Stress fractures, or hairline fractures, do not usually cause bruising or redness. They are tiny breaks in the bone, and repetitive stress is usually the cause. They often affect athletes and people who have osteoporosis or foot abnormalities.
When red toes require treatment, the best choice depends on the cause of the discoloration:
What Is The Best Cure For Athletes Foot
Its important to finish your full course of medicine. If you stop too soon, your athletes foot may come back and be harder to treat.
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When To See A Doctor
Parents and caregivers should take babies and young children who develop red spots, a rash, or any other skin changes to see a doctor.
People of any age should see a doctor if they have a rash that does not go away within a few days or develop new moles or marks on their skin.
Most causes of red spots on the feet are not serious. Getting a diagnosis and treatment plan from a healthcare professional helps ensure that a person can treat any problems early and avoid complications, such as infections.
Extremely Dry Itchy Skin
Dry, itchy skin
If you have diabetes, youre more likely to have dry skin. High blood sugar can cause this. If you have a skin infection or poor circulation, these could also contribute to dry, itchy skin.
- Tell your doctor about your extremely dry skin. Gaining better control of diabetes can reduce dryness.
- If you continue to have dry skin after you gain better control of your diabetes, a dermatologist can help.
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Skin Infection Of The Foot
An infection of the skin of the foot is almost always either fungal or bacterial. A fungal infection of the foot is called tinea pedis, or athlete’s foot. It is caused by different types of dermatophyte fungus and is commonly found in damp places such as showers or locker room floors. A bacterial infection anywhere on the skin is called cellulitis if it extends under the skin. It can develop after a break in the skin allows bacteria to enter and begin growing. These bacteria are most often either Streptococcus or Staphylococcus, which are found throughout the environment.
Most susceptible are diabetic patients, since high blood sugar interferes with healing and wounds can easily become chronic and/or deeply infected. Diagnosis is made through physical examination by a medical provider.
Treatment for either a fungal or bacterial infection involves keeping the skin dry and clean at all times. A fungal infection is treated with topical and/or oral antifungal medications, while a bacterial infection will be treated with topical and/or antibiotic medications.
Top Symptoms: fever, foot pain, foot redness, warm red foot swelling, swollen ankle
Symptoms that always occur with skin infection of the foot: foot redness, foot pain, area of skin redness
Urgency: Primary care doctor
Who Does Dyshidrotic Eczema Affect
Dyshidrotic eczema can affect anyone. However, it most commonly affects people:
- Between the ages of 20 and 40.
- Assigned female at birth.
- With a personal or family history of eczema.
- With a personal or family history of contact dermatitis.
- Who develop allergic reactions when they touch an antigen, which is a foreign substance that causes an allergic reaction.
- Who receive immunoglobulin infusions. Intravenous immunoglobulin is an injection of antibodies for people with an immune deficiency.
About 50% of dyshidrotic eczema cases occur in people who have allergic reactions when they touch an antigen. Researchers think that people assigned female at birth may be more likely to develop dyshidrotic eczema because they more frequently interact with certain antigens, like nickel and cobalt in jewelry.
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Allergic Contact Eczema On The Feet
Your eczema may be caused by an allergic reaction to a product to which your feet were exposed. Your shoes or socks may be the trigger .
If the triggering agent is unclear, you will need to identify it with the help of a doctor so that you can avoid it in the future. Your doctor will ask a series of detailed questions in addition to carrying out allergy tests to identify the allergy.
Have you always followed the same routine? It is possible to develop a sudden allergy to a product you have used previously without any problemsuntil now.
What Are The Common Symptoms Of Dyshidrotic Eczema
Dyshidrotic eczema symptoms may last for several weeks and include:
- Large, deep blisters on palms of hands and soles of feet as well as between the toes and fingers
- Redness and itching skin around the blisters
- Thick, dry, scaly skin that may crack and flake as blisters begin to dry out
- Inflammation and tenderness of the skin on and around the blisters
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How Is Dyshidrotic Eczema Treated
As is the case with other forms of eczema, there is no cure for dyshidrotic eczema, but your dermatologist can help you develop a treatment and maintenance plan to address the most common symptoms. Some treatment options may include:
- Topical steroids Prescription or over the counter products may be applied to help with itch and inflammation.
- Moisturizing Eczema is a condition that causes damage to the protective skin barrier, applying moisturizer regularly will help to repair this damaged skin.
- Soaking feet Using cool water and colloidal oatmeal can help to relieve itch.
- Hyperhidrosis treatment Dyshidrotic eczema may be exacerbated by excessive sweating conditions, so treating these with topical antiperspirants or Botox injections can help.
- Calcineurin inhibitors A topical ointment that suppresses the immune response to relieve inflammation and itching.
Necrotizing Fasciitis Of The Leg
Necrotizing fasciitis is a potentially life threatening skin condition stemming from the infection of a wound or injury. If left untreated, it can spread to body parts surrounding the infection changing the color of the skin and degrading the tissue underneath. This can result in muscle, tissue or limb loss and a severe body-wide response to the infection.
You should visit your local emergency room where blood tests can be run and a consultation can be made by a skin specialist. If caught early, antibiotics, cleaning, and a stay in the hospital can help control the infection. If serious, additionally procedures may be required. It is important to get treatment due to the possibility of this becoming a serious, life-threatening condition.
Rarity: Ultra rare
Top Symptoms: nausea, diarrhea, vomiting, fever, chills
Symptoms that always occur with necrotizing fasciitis of the leg: leg skin changes
Urgency: Hospital emergency room
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How Would I Get Athletes Foot
The fungus is usually transferred from person to person in locker rooms and other areas where multiple people walk barefoot. Its always best to wear flip flops or water shoes to protect feet when walking in these areas.
In addition to transferring between individuals, the fungus is more likely to grown and spread if athletes are sweating excessively without cleaning feet, they keep feet damp or in sweaty socks for an extended time, or they wear shoes or socks that dont allow sweat and moisture to be pulled away from the body.
What Triggers Dyshidrosis
Healthcare workers and researchers dont know exactly what causes dyshidrosis. A combination of triggers can cause dyshidrosis flare-ups, including:
- Immune system activation: If you have dyshidrotic eczema, your immune system reacts to minor irritants or allergens. This overreaction can inflame your skin.
- Allergies: Exposure to certain substances, including cement, nickel, cobalt and chromium, may trigger dyshidrotic eczema. Other allergies, including hay fever or food allergies, may also cause flare-ups.
- Moisture: Frequently sweaty or wet hands or feet may trigger dyshidrotic eczema.
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Are Covid Toes Contagious
Much remains unknown about the coronavirus, including whether youre contagious when you have COVID toes. If you have any symptoms of COVID-19, contact your doctor. Explain whats happening and ask if you need testing.
Condition that COVID toes can look like: Chilblains
If you have swollen, discolored toes or fingers, you may have chilblains instead of COVID toes. Chilblains develops when youre exposed to cold temperatures. People develop chilblains when they stand on a cool, wet ground and get chilled.
Chilblains differs from frostbite, which occurs when the skin freezes.
How Is Itchy Skin Treated
The treatment of itchy skin depends on what is causing it. Your doctor may need to take a skin biopsy, blood, urine or stool samples, or order some radiology tests to diagnose the cause.
If you have itchy skin, here are some things that may help:
- Try not to scratch the area. The more you scratch, the more the skin will itch.
- Keep your nails short to prevent breaking the skin if you do scratch.
- A cool bath or shower may help provide short-term relief, but excessive showering or bathing may make it worse.
- After a bath or shower gently pat yourself dry with a clean towel. Do not rub or use the towel to scratch yourself.
- Do not use any soaps, shower gels or foam bath products as they can dry the skin and make the itching worse. Use a soap-free wash.
- Use moisturiser all over the skin at least 2 times a day, and more often if the skin feels dry. You can buy cooling moisturisers that contain menthol to soothe the itch.
- Try to wear loose cotton clothing which can help prevent you overheating and making the itch worse. Avoid fabrics which irritate your skin like wool or scratchy fabrics.
- Reducing stress and considering meditation, yoga, hypnosis or exercise can be helpful.
Your pharmacist may be able to recommend some products which can help with itchy skin.
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