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Have itching sensation between foot. How to get rid of this?

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Hello doctor I seem to have a infection between my fingers on the left foot. I have itching sensation and there seems to be a cut in space between the 3rd and 4th smaller fingers. Can you help me to get rid of this
Posted Wed, 31 Oct 2012 in Infections
Answered by Dr. Anil Grover 3 hours later
Thanks for writing in.
I am a medical specialist with an additional degree in Cardiology.
If you do not other signs of infection apart from what you have written. I am afraid you seem to have scabies. It is caused by mites. It usually does effect the hands and European variety does not effect area above neck; if you can see a mite with magnifying glass crawling in and out of skin XXXXXXX burrow that is diagnostic at home. The cut which you have written about can be a burrow.

Treatment is easy however, I am not sure if antiscabies drugs would be available over the counter in the Netherlands. In that case you will have to show to a doctor who will prescribe a drug. If your doctor concur following is the way to treat ( I am quoting text book description):
I quote:
Curing scabies is rather easy with the administration of prescription scabicide drugs. There are no approved over-the-counter preparations that have been proved to be effective in eliminating scabies. The following steps should be included in the treatment of scabies:
1.Apply a mite-killer like permethrin (Elimite). These creams are applied from the neck down, left on overnight, then washed off. This application is usually repeated in seven days. Permethrin is approved for use in people 2 months of age and older.
2.An alternative treatment is 1 ounce of a 1% lotion or 30 grams of cream of lindane, applied from the neck down and washed off after approximately eight hours. Since lindane can cause seizures when it is absorbed through the skin, it should not be used if skin is significantly irritated or wet, such as with extensive skin disease, rash, or after a bath. As an additional precaution, lindane should not be used in pregnant or nursing women, the elderly, people with skin sores at the site of the application, children younger than 2 years of age, or people who weigh less than 110 pounds. Lindane is not a first-line treatment and is only recommended if patients cannot tolerate other therapies or if other therapies have not been effective.
3.Ivermectin, an oral medication, is an antiparasitic medication that has also been shown to be an effective scabicide, although it is not FDA-approved for this use. The CDC recommends taking this drug at a dosage of 200 micrograms per kilogram body weight as a single dose, followed by a repeat dose two weeks later. Although taking a drug by mouth is more convenient than application of the cream, ivermectin has a greater risk of toxic side effects than permethrin and has not been shown to be superior to permethrin in eradicating scabies. It is typically used only when topical medications have failed or when the patient cannot tolerate them.
4.Crotamiton lotion 10% and cream 10% (Eurax, Crotan) is another drug that has been approved for the treatment of scabies in adults, but it is not approved for use in children. However, treatment failures have been documented with the use of crotamiton.

5.Antihistamines, such as diphenhydramine (Benadryl), can be useful in helping provide relief from itching. Sometimes, a short course of topical or oral steroids is prescribed to help control the itching.
6.Wash linens and bedclothes in hot water. Because mites don't live long away from the body, it is not necessary to dry-clean the whole wardrobe, spray furniture and rugs, and so forth.
8.Treat sexual contacts or relevant family members (who either have either symptoms or have the kind of relationship that makes transmission likely).
End of Quote
Just as the itch of scabies takes a while to reach a crescendo, it takes a few days to subside after treatment. After a week or two, relief is dramatic. If that doesn't happen, the diagnosis of scabies must be questioned. Good Luck.
With best wishes.
Dr Anil Grover,
Medical Specialist & Cardiologist
M.B.;B.S, M.D. (Internal Medicine) D.M.(Cardiology)
http://www/ WWW.WWWW.WW
Above answer was peer-reviewed by
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