Long term Eczema on foot

[Itchyfoot141]

Hi, I have been suffering what I have been told is ecezma on the top of my right foot for a number of years now.  It has progressively got worse and my skin is really sore and inflamed most of the time.  I have been prescribed numerous steroid cream but as prolonged use of this kind of cream can thin the skin I tend to apply it for a few weeks and then stop for a couple.  However without the steroid cream it is just terrible and I have tried so many different creams which work at the time of applying but by the time ive got through a day the skin is really dry and flaky and I cant stop scratching it. Please take a look at the pictutres in my profile.  This is the only place on my body where I have the rash!!!

[Bhupinder Kaur, MD]

Hello,
It can be due to eczema or atopic dermatitis. Although steroids, are commonly used for the treatment of atopic dermatitis, there are certain other agents also which are used like immune modulator drugs e.g. tacrolimus. These are available in the form of ointments and tend to prevent the recurrence. You can discuss with your dermatologist regarding the right use.

There are certain other non-pharmacological measures which are equally important in treating atopic dermatitis. These are Lubricating the skin frequently, avoiding harsh soaps and cleansers, preventing scratching or rubbing whenever possible, protecting skin from excessive moisture, irritants, and rough clothing, maintaining a cool, stable temperature and consistent humidity levels, limiting exposure to dust, cigarette smoke, pollens, and animal dander & Recognizing and limiting emotional stress.
It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.

[Itchyfoot141]

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