Skin rash

[tonybb]

Hi, I am a 31 year old male and I took 2 doses of fluconazole to treat a yeast infection, I now have a rash coming up on the bottom of my feet only on the arches , ankles, wrist, hands, and arms. They are small flat head and raised like blisters but don't seem to be filled with fluid and doesn't really itch, can the fluconazole cause this skin reaction? Thanks

[tonybb]

Thanks, since then I've been 2 doctors and one of them was a "skin specialist" but neither could identify the rash, i am now waiting on blood and urine tests,  the rash is worse the the arches and side of feet/ankles, they started deep under the skin and like u said are starting too itch, I am hoping they grow out?

[Bhupinder Kaur, MD]

Hello,

These small blister like bumps can be due to contact dermatitis or allergic reaction to fluconazole. Other possibility is of dyshidrotic eczema. Dyshidrotic eczema is characterized by a sudden onset of many deep-seated pruritic, clear vesicles which itch and then peel off. As a result the skin may also fissure.

You should stop using any cosmetic, use mild soaps and lotions and apply some calamine lotion on the rash. If it itches then you can take some antihistaminic like Benadryl or Claritin. If the rash spreads then get it evaluated from a dermatologist as you may need oral steroids which should be taken under medical guidance.

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.