Itchy Blisters and Peeling Skin on the Feet

Peeling skin on the soles of the feet?

Hello Dr.
Cheng, about a month ago, I developed small blisters on the sole of my left foot that are extremely itchy.
After I pop the blisters, the skin starts to peel off two days later.
Now, even the spaces between my toes are developing small blisters.
Could you please tell me what these symptoms might indicate?

sha1, 30~39 year old female. Ask Date: 2001/05/30

Dr. Zheng Lizhen reply Dermatology

Sweat eczema and athlete's foot, which can present with small blisters, are sometimes difficult to distinguish based solely on appearance.
Therefore, your description alone is not sufficient to determine whether you have eczema or athlete's foot.
Please visit a nearby hospital's dermatology department for evaluation.

Reply Date: 2001/05/30

More Info

Hello! It sounds like you're experiencing a frustrating and uncomfortable condition on your feet. Based on your description of itchy blisters that develop into peeling skin, it could be indicative of several potential skin issues, most commonly related to dermatitis or a fungal infection.

One of the most likely causes of your symptoms is dyshidrotic eczema (also known as pompholyx). This condition is characterized by small, itchy blisters that typically appear on the palms of the hands and the soles of the feet. The blisters can be quite uncomfortable and may lead to peeling skin once they burst. Stress, heat, humidity, and exposure to certain metals or allergens can exacerbate this condition.

Another possibility is a fungal infection, such as athlete's foot (tinea pedis). This condition often presents with itching, burning, and peeling skin, particularly between the toes and on the soles of the feet. Fungal infections thrive in warm, moist environments, which makes the feet a common site for such issues, especially if you wear closed shoes for extended periods.

Contact dermatitis is another potential cause, which occurs when the skin reacts to a substance it has come into contact with, leading to redness, itching, and blistering. This could be due to soaps, detergents, or even certain materials in your footwear.

To manage your symptoms, here are some recommendations:
1. Avoid Scratching: As tempting as it may be, try to avoid scratching the blisters, as this can lead to secondary infections and further irritation.

2. Keep the Area Dry: Moisture can worsen both eczema and fungal infections. Make sure to dry your feet thoroughly after washing, especially between the toes.

3. Use Antifungal Creams: If you suspect a fungal infection, over-the-counter antifungal creams can be effective. Look for products containing clotrimazole or terbinafine.

4. Apply Moisturizers: If your skin is peeling, applying a gentle, fragrance-free moisturizer can help soothe the skin and prevent further dryness.

5. Consider Corticosteroid Creams: For eczema, topical corticosteroids can reduce inflammation and itching. These are available over the counter or by prescription.

6. Wear Breathable Footwear: Choose shoes that allow your feet to breathe and avoid wearing the same pair of shoes every day to reduce moisture buildup.

7. Consult a Dermatologist: If your symptoms persist or worsen, it’s essential to see a dermatologist. They can provide a definitive diagnosis and may prescribe stronger medications or treatments tailored to your specific condition.

In summary, while your symptoms could be due to several different skin conditions, dyshidrotic eczema and fungal infections are among the most common culprits. Proper foot hygiene, moisture control, and appropriate topical treatments can help alleviate your symptoms. If the problem continues, a visit to a healthcare professional is crucial for effective management. Take care, and I hope you find relief soon!

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