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Suggest Treatment For Rashes On Foot
Question: Hi,
My partner has had a non-itchy rash appear on her left foot. It started about a month ago on the middle of the sole and seemed to swell her big toe a little bit. We went to the doctors and he was unsure what it was, put it down to being dermatitis and gave her some steroid cream to put on it. While the rash on her sole seemed to fade it is spreading around her foot and the side of her big toe (even though she's been putting cream there). We went to the doctors again and a different doctor was on - she put it down to being athlete's foot and prescribed her some cream which she has only just started. The thing that concerns me though is it doesn't seem to look like athlete's foot (I could be wrong) but more so there is no itchiness and pain whatsoever. I just wanted to get another medical opinion as I don't want to risk it being something worse.
The photos are unfortunately poor quality however they do show some of it. The rash itself looks a bit shiny and has a bit of scaliness and clusters of red spots seem to be the dominant feature.Â
She hasn't been doing anything different or eating anything different so we don't think it's an allergic reaction. It's been there for over a month now and just want to make sure it's not signs/symptoms of something else.
Thank you so much for your time!
My partner has had a non-itchy rash appear on her left foot. It started about a month ago on the middle of the sole and seemed to swell her big toe a little bit. We went to the doctors and he was unsure what it was, put it down to being dermatitis and gave her some steroid cream to put on it. While the rash on her sole seemed to fade it is spreading around her foot and the side of her big toe (even though she's been putting cream there). We went to the doctors again and a different doctor was on - she put it down to being athlete's foot and prescribed her some cream which she has only just started. The thing that concerns me though is it doesn't seem to look like athlete's foot (I could be wrong) but more so there is no itchiness and pain whatsoever. I just wanted to get another medical opinion as I don't want to risk it being something worse.
The photos are unfortunately poor quality however they do show some of it. The rash itself looks a bit shiny and has a bit of scaliness and clusters of red spots seem to be the dominant feature.Â
She hasn't been doing anything different or eating anything different so we don't think it's an allergic reaction. It's been there for over a month now and just want to make sure it's not signs/symptoms of something else.
Thank you so much for your time!
Brief Answer:
Tinea pedis/ fungal infection
Detailed Answer:
Hello. Thank you for writing to us
I am Dr.Kakkar (MD, Dermatology). I have read your query and I have also reviewed the Images.
This does seem like a fungal infection/ tinea pedis.
I can see some red patches and a bit of scaling. That fact that it is only on one foot also goes in favor of tinea. Absence of itching does not exclude it as fungal infection as itching is a subjective feature.
If I was the treating doctor I would suggest a topical antifungal cream e.g Daktacort cream(miconazole nitrate), twice daily, for 2-4 weeks.
Regards
Tinea pedis/ fungal infection
Detailed Answer:
Hello. Thank you for writing to us
I am Dr.Kakkar (MD, Dermatology). I have read your query and I have also reviewed the Images.
This does seem like a fungal infection/ tinea pedis.
I can see some red patches and a bit of scaling. That fact that it is only on one foot also goes in favor of tinea. Absence of itching does not exclude it as fungal infection as itching is a subjective feature.
If I was the treating doctor I would suggest a topical antifungal cream e.g Daktacort cream(miconazole nitrate), twice daily, for 2-4 weeks.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you Dr Kakkar, your input and time is very much appreciated! If you don't mind answering, just wondering how tinea occurs as her habits have not changed so it would be helpful to know. Also as well as that, she has previously recently had Glandular Fever, my concern is that this rash could be signs of something more serious/undetected or do you feel it definitely is only a fungal infection?
As there are 2 questions in this I'm happy to have it count as the 2 follow ups.
Thank you again!
As there are 2 questions in this I'm happy to have it count as the 2 follow ups.
Thank you again!
Brief Answer:
I suggest a topical antifungal for her for advised earlier.
Detailed Answer:
Hi. Thank you for writing back I am glad to answer your follow up query.
Sweat and moisture favoring the growth of fungus, therfore, tinea is more common in those who wear occlusive footwear, throughout the day Or frequently e.g shoes Or soak their feet in water for long hours e.g household workers Or cleaners involved with wet work Or those who have sweaty feet. Tinea pedis is also more common in summers and is also more common in diabetics.
The picture suggests that it is very likely a fungal infection. A topical antifungal cream is definitely worth starting her on.
Regards
I suggest a topical antifungal for her for advised earlier.
Detailed Answer:
Hi. Thank you for writing back I am glad to answer your follow up query.
Sweat and moisture favoring the growth of fungus, therfore, tinea is more common in those who wear occlusive footwear, throughout the day Or frequently e.g shoes Or soak their feet in water for long hours e.g household workers Or cleaners involved with wet work Or those who have sweaty feet. Tinea pedis is also more common in summers and is also more common in diabetics.
The picture suggests that it is very likely a fungal infection. A topical antifungal cream is definitely worth starting her on.
Regards
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. Chakravarthy Mazumdar
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