Diagnose my itch rash (on my foot)

[nodogz]

Sorry, horrible pictures but the itching is driving me insane so I need help!

Dr has diagnosed these spots as warts/verrucas (in person) and told me to come back in four months after treatment. I've started salicylic acid treatment but not convinced it is helping. Previously it was treated as a staph infection. I've thrown a whole pharmacy of athletes foot, hydrocortisone creams but nothing has helped and I've had it on and off since 2018.

It starts as itchy bumps under the skin and sometimes these burst when itched. It's just on one foot, but sometimes on side or top of foot. It's intensely itchy and the skin has thickened and sometimes splits despite moisturising 1 or two times a day,

Sorry it's gross and thank you for any help and ideas. I need this itching to stop!

Pompholyx eczema, itches like fuck and is impossible to get rid of completely.

I asked the dr specifically about pompholyx eczema as it seemed to fit the criteria. They said it definitely isn't pompholyx as I'd tried hydrocortisone which would have cleared it up

Does it look like pompholyx? Should I try a second opinion?

They look just like the eczema I get on one foot. The itching is intense.

@TheLongRider @Iwant2move Thanks for your replies - I think it's an eczema too.

Do you know of any treatments I can try? Hopefully over the counter stuff as the drs have turfed me out for four months whilst they rule out warts/verruccas

Definitely eczema. I get it on one foot. I was given a cream by GP a couple of years ago but can't remember what it was sorry. I find I get it worse in winter once I start wearing socks and warmer shoes and my feet get hot. I find wearing proper 100% cotton or bamboo socks and shoes with non synthetic lining helps, but it never completely goes away, however I haven't had it really bad for a couple of years hence why I can't remember the name of the cream! Hope it improves for you soon.

I'd say pompholyx too.

I've had it for years on one foot. I don't find any creams very helpful but if it flares up and the itching is driving me crazy I soak my foot in a solution of 1 part cider apple vinegar : 1 part epsom salts : 6 parts warm water twice a day.

Mine definitely has a fungal link and Terbinafine tablets cleared it up for a few years before it reappeared. Seems to be very difficult to ever get rid of.

My GP gave me a printout of this which was very useful:
patient.info/skin-conditions/atopic-eczema/pompholyx

Cheers @helleborus I'll give those soaks a try.

Thanks everyone for your help, I deffo feel like the dr has called this one wrong. I'll try and treat as an eczema

Looks just like my pompholyx eczema. Hydrocortisone makes mine worse but the GP tries to mansplain to me that hydrocortisone makes it better. Well, maybe it should, but it doesn't work on mine! I did have some success with coconut oil.

Omg! I've had this. Had no clue what it was. Hard to tell from your pic but are there like little bumps below the surface - really bad description.

Itches so much and then randomly disappears until the next time. And the more you scratch the itchier it gets :(

Dh gets this when he is stressed.

Yes @Tee20x - it starts with lumpy bumps under the skin ... and then the itchiness.

This last round has done me in, it's been non stop throughout 2021. I've had enough!

I had pompholyx (dyshidrotic) eczema, it started on one foot and after a couple of weeks 'spread' to both hands too. It was unbelievably itchy. My GP was hopeless and had no idea what it was, but fortunately referred me to a dermatologist who immediately recognised it.

You say you tried hydrocortisone, possibly you did not have a strong enough version? I was prescribed Dermovate and that knocked it on the head very effectively within ten days, although you are likely to get recurrences which need re-treating. You will not get anywhere near a strong enough steroid cream without a prescription.

It's been going on a long time so you need a definite diagnosis to enable the correct treatment, you need to see a dermatologist or a podiatrist. The quicker easier route would be to book a private appointment with a local podiatrist.

Hydrocortisone does nothing for my pompholyx.

Flares up when my feet have been particularly sweaty so non-cotton socks and sweaty trainers/boots and much worse in winter when my feet aren't out as much.

Yes me too, hot sweaty feet seems to make it worse. For me it's definitely connected to stress. Mine actually started when I was in hospital after a traumatic incident and comes back during periods of stress or emotional upset. The only thing I've found that helps is rubbing coconut oil onto the skin.

Hi I have had this for the last year, it’s spread to my hands now. I have an appointment on Tuesday with the doctor to try and get it cleared up, I’ve never felt an itch like it. I scratch until it’s raw sometimes!

Oh I could scratch off my skin sometimes. I have been know to just pumice the spots for some relief to the itch.

I just want it to clear up so I can get a pedicure - my feet are hooves! So rough, and needs a professional to sort them out.

Possibly it is stress driven but good to know that good shoes and hygiene can help. Thanks so much