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A particular spot right in the middle of the foot itchy, tried anti-fungal creams, no relief. Any alternative ?

hi there, my dad always feel a particular spot right in the middle on only one of his feet really itchy. it is itchy on the surface.. he tried antifungal cream but it didnt work. when he get busy during the day it tends to be less itchy, but it get very itchy during the night it is like the more attention it gets, the more itchy it can be. there is no any other obvious mark and symtons on the foot, he has seen doctor but the doctor couldnt fix it. so really hope that you can help. thank you very much
Asked On : Wed, 10 Apr 2013
Answers:  3 Views:  58
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Dermatologist 's  Response
Hi,
Thanks for sharing your concern with us.
It seems your father is having a skin condition known as lichen simplex chronicus. It is also known as neurodermatitis. It is characterised by a chronic scratch itch cycle which eventually leads to thickening and hyperpigmentation of involved area.
Treatment is in the form of antihistamines like cetirizine to break the itch scratch cycle and topical steroid creams like clobetasol with or without salicylic acid.
Hope that helped. Wishing your dad a speedy recovery.
Answered: Thu, 11 Apr 2013
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Dermatologist Dr. Sanjay Kumar Kanodia's  Response
Dec 2013
Hi Yaubowie,

Welcome to healthcare Magic.

Your father has the problem Known as - Lichen Simplex Chronicus(LSch). This condition is characterized by small scaly Plaque (raised spot ) which typically dry to brownish color present on areas accessible to itching such as on front of lower leg or on back of neck. This is not a disease in itself but is occurring due to continuous scratching of the area. In fact it is the mechanism of the body to become thickened at that place for protection. There is typically a cycle of itch- scratch - itch. This is more frequent when you are free.

For the treatment part potent steroid is to be applied along with round the clock antihistamine ( medicines to prevent itch) under medical supervision and then tapering it by mild steroids application. As a home remedy ( which is actually very effective) apply a liquid paraffin gelly for 10-15 times a day and policy of NO SCRATCHING AT ALL.

You should also ask your father to reduce the stress level as is a very important cause of LSch.

With best wishes to your father's health,

Dr Sanjay K Kanodia
Answered: Wed, 10 Apr 2013
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Allergist and Immunologist Dr. Suman Kumar's  Response
tHIS IS ALLERGIC
STOP USING OILY AND GREESY FOOD
AVOID ALL OILS MUSTARD COCONUT WALNUT GROUNDNUT ALMONDS SOYA
TAKE ONLY LIVE FOR COOKING AND APPLICATION
uSE ANTI ALLERGIC LORATIDINE 10 MG OD FOR 3 WEEK
APPLY CLOBESTROLpLUS SALYSILIC ACID COMBINATION CREAM BD FOR 3 MONTHS
Answered: Wed, 10 Apr 2013
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Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
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