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What Causes Blisters On Tip Of Toes With Burning Pain?

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Posted on Tue, 22 Dec 2015
Question: hi, i have IgA Nephropathy, my GFR is 21. A couple of days ago i noticed burning pain in all the tips of my toes on one foot and on the tip of the big toe on the other foot, these all progressed to blisters, most just on the ends of the toes. I have been soaking my feet in warm salt water and have drained the blisters several times. The toes are extremely sensitive to anything touching them and quite painful. I can barely stand to drain the blisters as it causes a lot of pain. What should i do?
doctor
Answered by Dr. Dr. Erion Spaho (35 minutes later)
Brief Answer:
Herpesvirus infection.

Detailed Answer:
Hello and thanks for using HCM.

I have read your question and understand your concerns.

Burning pain in tips of toes indicate peripheral nerves involvement.

Since there showed blisters, most probably there is a herpesvirus infection in progression.

The second possible condition that may cause your symptoms is peripheral neuropathy due to worsening of kidneys function, but usually does not cause blisters.

I suggest you to consult your primary care Doctor and have the blisters examinated.

If herpes virus infection confirmed, topical and systemic use of antiviral drugs such Aciclovir is indicated.

Topical use of Capsaicin cream also helps improve symptoms.

Hop you found the answer helpful.

Let me know if I can assist you further.

Greetings.
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Dr. Erion Spaho (36 minutes later)
Is the possibility of peripheral neuropathy more likely due to my kidney failure?
doctor
Answered by Dr. Dr. Erion Spaho (21 minutes later)
Brief Answer:
Follow up.

Detailed Answer:
Welcome back.

It is a possibility, but as a first condition, Herpes virus infection fits better with those symptoms.

Peripheral neuropathy due to kidney dysfunction usually is prominent when kidney failure becomes more apparent . However in this case its always advisable to get checked by your nephrologist for detailed physical examination .

Getting kidney function evaluation tests in routine interval is needed to evaluate/exclude this possibility.

Hopefully I answered correctly to your query.

Best regards.
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
Answered by
Dr.
Dr. Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 4502 Questions

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What Causes Blisters On Tip Of Toes With Burning Pain?

Brief Answer: Herpesvirus infection. Detailed Answer: Hello and thanks for using HCM. I have read your question and understand your concerns. Burning pain in tips of toes indicate peripheral nerves involvement. Since there showed blisters, most probably there is a herpesvirus infection in progression. The second possible condition that may cause your symptoms is peripheral neuropathy due to worsening of kidneys function, but usually does not cause blisters. I suggest you to consult your primary care Doctor and have the blisters examinated. If herpes virus infection confirmed, topical and systemic use of antiviral drugs such Aciclovir is indicated. Topical use of Capsaicin cream also helps improve symptoms. Hop you found the answer helpful. Let me know if I can assist you further. Greetings.