AHA Foot Peel Reactions: Redness and Itching Explained - Dermatology

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Skin exfoliation issues?


Hello, doctor.
I used a foot mask containing alpha hydroxy acids two days ago, and my feet are now red and itchy, possibly due to prolonged use.
Is this a sign of an allergy to alpha hydroxy acids? If so, how long does it typically take for it to heal on its own?

A-Jia, 20~29 year old female. Ask Date: 2020/06/22

Dr. Wu Yuxin reply Dermatology


It is likely irritant contact dermatitis, and the healing time depends on the severity.

Reply Date: 2020/06/22

More Info


When using a foot peel containing alpha hydroxy acids (AHAs), it is not uncommon to experience reactions such as redness and itching, especially if the product was left on for an extended period. AHAs are designed to exfoliate the skin by breaking down the bonds between dead skin cells, promoting cell turnover. However, they can also cause irritation, particularly in individuals with sensitive skin or if the product is used improperly.

The redness and itching you are experiencing could be a sign of irritation rather than a true allergic reaction. Allergic reactions typically involve more severe symptoms, such as swelling, blistering, or widespread rash, and may require medical attention. In contrast, mild irritation from AHAs is often self-limiting and can resolve on its own.
To manage the irritation, here are some steps you can take:
1. Stop Using the Product: Discontinue use of the foot peel immediately to prevent further irritation.

2. Moisturize: Apply a gentle, fragrance-free moisturizer to the affected area. Look for products containing soothing ingredients like aloe vera or ceramides, which can help restore the skin barrier.

3. Cool Compress: If the area feels particularly itchy or inflamed, applying a cool compress can provide relief.

4. Avoid Scratching: Try to avoid scratching the affected area, as this can lead to further irritation or even infection.

5. Monitor Symptoms: Keep an eye on the redness and itching. If it begins to improve, you can expect the irritation to subside within a few days to a week, depending on the severity.

6. Consult a Dermatologist: If the symptoms persist for more than a week, worsen, or if you develop additional symptoms such as blisters or severe swelling, it is advisable to consult a dermatologist. They can provide a proper diagnosis and recommend appropriate treatments, such as topical corticosteroids to reduce inflammation.

In terms of healing time, mild irritation from AHAs typically resolves within a few days to a week, but this can vary based on individual skin sensitivity and the extent of the irritation. If you have a history of sensitive skin or have experienced reactions to similar products in the past, it may be wise to perform a patch test before using new skincare products in the future.

In summary, while the redness and itching you are experiencing after using an AHA foot peel may be concerning, it is likely a result of irritation rather than an allergic reaction. By taking the appropriate steps to care for your skin and monitoring your symptoms, you should see improvement in a short period. If in doubt, or if symptoms persist, seeking professional medical advice is always the best course of action.

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