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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For Dark Itchy Spots On Bottom Of Toe?

I have recently noticed some small dark spots on the bottom of my toe. I'm pretty sure they are localized. They seem to accompany an area of unusually dry skin, and the irritation and itchiness is comparable to a mild blister. The small spot do seem to harbor some fluid, but again they are very small. I'm don't think it's hygene or humidty related. I'll admit it's an area that doesn't get the hygenic treatment that most of my body gets, but the reason I say it is because I had the same spots on my fingers about a year ago (Although it was only 2 or 3 at a time on only a couple occasions). If it were hygiene related, I highly doubt they would have been on the sides of my fingers because I have a near obsessive compulsive habit of washing my hands, and my hands are never really dry, while the undersides of my toes become dry quite often. Parasites in my bed have come to mind, but my fiancee shares my bed and has not had the same problem to my knowledge. What may also be worth noting is that they eventually fade and the raised skin dies and peels off over time from the center outwards.
Tue, 11 Feb 2014
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Dermatologist 's  Response
Hi. Thanks for posting your concern at HCM.

I would keep a possibility of Dyshidrotic eczema/pompholyx which presents as itching and fluid filled blisters/vesicles at the sides of the fingers and toes. It is a form of endogenous eczema people usually have palmoplantar hyperhidrosis(excessive sweating of palms and soles). Nickel allergy in metals/ornaments and in food has also been implicated in the causation of pompholyx

In my practice i usually prescribe a potent steroid+antibiotic cream twice daily for 2-4 weeks.

An OTC antihistamine like cetrizine 10mg once or twice daily will help in controlling the itch associated with it.

take care
regards
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What Is The Treatment For Dark Itchy Spots On Bottom Of Toe?

Hi. Thanks for posting your concern at HCM. I would keep a possibility of Dyshidrotic eczema/pompholyx which presents as itching and fluid filled blisters/vesicles at the sides of the fingers and toes. It is a form of endogenous eczema people usually have palmoplantar hyperhidrosis(excessive sweating of palms and soles). Nickel allergy in metals/ornaments and in food has also been implicated in the causation of pompholyx In my practice i usually prescribe a potent steroid+antibiotic cream twice daily for 2-4 weeks. An OTC antihistamine like cetrizine 10mg once or twice daily will help in controlling the itch associated with it. take care regards