Suggest Treatment For Rash On Sole Of Foot

Posted on Tue, 17 Nov 2015

Question: i am suffering from foot sole rash from last 4 days. I am attaching the images to this

Answered by Dr. VINAY KUMAR (28 minutes later)

Brief Answer:
More information will help pinpoint the cause

Detailed Answer:
Hi

Welcome to the site!
I am Dr V XXXXXXX
I have seen your pictures as well as details.

You are requested to provide the following information.

1 Is the rash confined to only one sole

2 Are the areas between the toes completely normal and there are no symptoms

3 Is this rash dotty or diffuse

4 Does it hurt or itch?

5 Are you a diabetic?

6 Has it occurred for the first time? If no, then is there a correlation with climate

7 Have you changed footwear recently

8 Is there any other area of body having similar rash?

9 Did it appear suddenly or over a few days

10 Do you wear closed type of footwear for long hours or are an athlete or sportsperson?

11 can you send in more pictures from different distances from the rash.

I will be responding to your message on priority.

Please provide this information as soon as is possible.

In the meantime, clean up the area thoroughly and wear just cotton socks and do not apply any medication. If itching is there, one might use Levo-Cetirizine 5 mg per day.

Best wishes

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. VINAY KUMAR (37 minutes later)

Hi XXXXXXX XXXXXXX

Thank you for the quick response. Below are my answers

1 Is the rash confined to only one sole- It is more on one sole and there is one dot on another sole

2 Are the areas between the toes completely normal and there are no symptoms-between 2 fingers of the same sole few rashes are there

3 Is this rash dotty or diffuse- they are dotty and diffused at one place of my sole and there is one dot at another place

4 Does it hurt or itch?- it is hurting when it touches my footwear or floor..it is sometimes itchy but it is very light

5 Are you a diabetic?- No

6 Has it occurred for the first time? If no, then is there a correlation with climate- Yes it is the first time and FYI i moved to US from XXXXXXX 4 months ago

7 Have you changed footwear recently- I have been using the current foot wear for last 4 months

8 Is there any other area of body having similar rash?- No

9 Did it appear suddenly or over a few days- for the last 4 days

10 Do you wear closed type of footwear for long hours or are an athlete or sportsperson? i am not sportsperson. i wear normal slippers and sometimes shoes

11 can you send in more pictures from different distances from the rash.- Sure.. i am attaching in reports area

Answered by Dr. VINAY KUMAR (18 minutes later)

Brief Answer:
Thanks, it helped

Detailed Answer:
Hi

Welcome back.

I have reviewed your answers and seen the freshly submitted pics.
From the description and details, I think that most probably the rash is due to warts whereas there is a likelihood that the rash between the toes is due to a fungal infection. Both are manageable and simultaneous treatment is possible.

Any patient with this profile, would recover soon with the following measures:

1 For dotty rash on the soles, Saltrix 12 or saltrix 6 , if the former is not available, to be applied twice daily after washing the feet.

If due to any reason, both are not readily available in an area, then I suggest to my patients to contact a dispensing chemist who will provide you a combination of 12 or 6 gms of salicylic acid respectively, in 100 gms of soft wax pr paraffin.

2 For the rash between toes, most patients respond in an excellent manner to Terbinafine 250 mg twice a day for two weeks, with ventilation of the area, drying up of moisture due to bath, swimming, or just sweat along with local application of Miconazole solution.

In addition, good hygiene and keeping the feet dry is also to be given due importance.

I hope you get relief soon.

Our best wishes!

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. VINAY KUMAR (1 hour later)

Hi XXXXXXX

Thanks for the prescription.
Can you please suggest me whether they are available over counter and if not can you please suggest me other medicines or contact of any chemist. (if possible please send me the images of drug sheets )

for the second drug can you please verify the attached image and tell me.

Answered by Dr. VINAY KUMAR (17 minutes later)

Brief Answer:
Avaiability depends upon local regulations

Detailed Answer:
Hi

Welcome!

I am unaware of your location and hence have no idea about availability. However, there is always a way out. let us proceed on those lines.

For local application, Basically you need two ingredients to be mixed with stirring; Salicylic acid powder 12 gm and Bee's wax or White soft paraffin 100 gm

An alternative to wax would be plain Vaseline without perfume.

The ratio in which to mix the two should be ideally 1:8 but slight variation wont matter too much. The quantity to be prepared can also be scaled down to say 25 gm of wax with approx 3.5 gm of salicylic acid powder.

Secondly, the second drug salt is terbinafine which is a broad spectrum antifungal.The name Terbinafine is generic name. A search on the net will get you closer to the nearby places for its availability depending upon your place of residence.

I hope this information is useful.

Best wishes, always!

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. VINAY KUMAR (11 minutes later)

HI XXXXXXX

Thank you. i'll do this.

Just for information, you asked whether i am a diabetic patient as a questions.

Whatever the problem i got is linked or a symptom of diabetics.?

Answered by Dr. VINAY KUMAR (5 minutes later)

Brief Answer:
That helps me decide the best course of action

Detailed Answer:
Hi

Welcome!

I am glad that you asked this

Diabetics are more prone to certain diseases including infections between the toes, fungal infections of the feet and soles, and skin damage on weight bearing areas.

I wanted to rule out certain possibilities in your case to give you the most specific and helpful suggestions.

Have a great time!

Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. VINAY KUMAR (16 minutes later)

Hi XXXXXXX

I understood.

just wanted to check whether the infection / rashes are because of diabetics or these rashes are early symptoms of diabetics.

can you please clarify the above point

Answered by Dr. VINAY KUMAR (16 minutes later)

Brief Answer:
Hi

Detailed Answer:
Welcome back

In your case these most likely are unrelated to diabetic condition.

In other words, I am not suspecting it.

It is a good practice to get one's health checkup done at regular intervals and that should include blood sugar levels too.

All the best!

Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. VINAY KUMAR (20 hours later)

hi doctor,
I checked in cvs and they don't have salicylic acid...can u suggest me some alternative for this

Answered by Dr. VINAY KUMAR (1 hour later)

Brief Answer:
Found

Detailed Answer:
Hi

Welcome back!

I have searched internet to locate the product with nearly similar concentration.

It is marketed as Compound W and was available at Walgreens, Walmart, and XXXXXXX You are requested o make individual verification for availability before proceeding.

Wish you the very best of health from us!

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Yogesh D