Dermatitis :: Pompholyx Eczema After Athletes Foot


Jun 3, 2016

About 5 weeks ago i developed really severe athletes foot - now not ever having athletes foot before this was really shocking to me. The doctor prescribed Canesten HC cream and erythromycin - as i am allergic to penicillin and it is now beginning to feel normal again. The problem is now that i seem to have developed the same as what was on my foot on my right hand. I went back to the doctors and he gave me Fucibet cream and told me to continue to take the erythromycin - but i've only been able to take 2 of these a day rather than the prescribed 4 as they were making the side of my face burn. The condition has just been getting worse and worse and when i went back to the doctors the beginning of the week she told me to keep using the cream, prescribed another lot of erythromycin and some dermal hand wash/moisturizer cream and suggested i wear a cotton glove to bed. The doctors haven't diagnosed it as Pompholyx Eczema but after extensive research on the internet this is what i'm 99% sure it is. I have got a few blisters developing on my other hand and am absolutely terrified it's going to spread like wild-fire. The blisters on my right hand are all over my fingers, palm and beginning to go to the base of my wrist and between my thumb and finger towards the back of my hand. The ones on my palm seem to be merging together and are quite pus filled. My other problem is that after applying the Fucibet cream is does look really red and angry, my fingers seem to swell a bit more and is drawing liquid out. Is this a good thing or is it as i suspect and that is i am allergic to the Fucibet cream?

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Im wanting to avoid all the necessaries, SLS, fragrance etc but when i can avoid these, i cannot avoid paraffin in these. Can anyone recommend anything, or have they come across the same issue? 

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I'm a 20 year old university student struggling to cope with the constant pain and irritation of my eczema. 

I get it all over my arms, armpits, neck, chest, the back of my legs and my wrists. Its scabby, sore and irresistible to scratch at. I have on too many occasions scratched it until i bleed but i really cant help it. I have had severe eczema all my life but in the past two years, it has really started to get me down. I have applied prescribed steroid creams, Hydrocortisone, E45, Doublebase.. showered and bathed in prescribed shower and bath gels and swallowed countless anti-histamine tablets in the hope of them taking away the itch and the urge to scratch.

I'm writing this as i am so fed up, just like the millions of others suffering from eczema out there, and hope that one of you out there can help me, or atleast give me some tips to reduce the irritation.

Currently i am applying Aveeno Skin Relief Moisturising Lotion after i shower. It does reduce the itch and calm my skin, but the redness and dryness returns when the cream is absorbed or whenever i start to sweat. I can't partake in exercise or sporting activities as i am scared, actual fear, of how itchy and sore my whole body becomes.

As i sit here repeatedly itching up and down my arms i'm hoping there is someone out there who can give me some advice, i've had enough of being embarrassed and fed up of my skin.

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Pompholyx Sharing My Experience

I am a 29-year-old male of Asian decent (Taiwanese) living in the United States. My first episode happened last November and has continued ever since. It was diagnosed by a dermatologist this April. The worst that I've suffered was when all my fingers and palms, toes and soles were covered with small itchy blisters. Currently my hands are 90% pompholyx-free (yay!).

I think there are three major factors that contribute to the outbreak (environmental, mental, and diet), and I'll explain each in more detail:

Environmental: During dry winter seasons, I develop skin rashes all around my body (guys hate lotion), I think if dry skin can contribute to skin rashes, it probably can contribute to pompholyx outbreak as well.

Solution: Make sure your body is well moisturized, I really don't enjoy the oily sensation, but it sure beats waking up to the itch in the middle of the night! Cetaphil cream (not lotion) work very well for me. Stock up when they're on sale!

Mental+Sleep: I was unemployed when the first episode occurred, and I think stress has a lot to do with it. Also, make sure you sleep at least 7 hours a day, and try to relax and think positive thoughts as much as you can.

Solution: I just try to be grateful of what I have... there are people out there who are suffering diseases 1000x worse than pompholyx or being unemployed....

Diet: The dermatologist told me to cut out chocolate and nuts (especially peanuts) completely. It was HARD. But I started about 2 weeks ago, and it's been working so far. There was a scientific study about the possibility of chromium in chocolate that induced a flare up (from breast milk)

http://www.ncbi.nlm.nih.gov/pubmed/17671414

For nerds like me, you can check it out (be aware though, it's just a sample size of 1!)

solution: see above, you can cut out coffee too, but that will be too hard for me.

Medication:

As a prophylaxis, I take a 180mg fexofenadine every night. In addition, when you see (or feel) small blisters starting to accumulate, there are two topical steroids that I use.

0.05% clobetasol propionate (GSK markets it as Dermovate), ointment form

0.5mg/gm fluocinonide, cream form

http://img.medscape.com/fullsize/migrated/551/352/dn551352.tab4.gif

clobetasol is listed as class 1, very high potency steroid, and fluocinonide is listed as class2, high potency steroid. My dermatologist assured me that applications to the extremities (fingers, toes) will not cause a lot of absorption to the body, so you can be very generous in your application.

I also take multi-vitamins. My dad (who's an MD) told me Asians do not absorb B-vitamins very well, so it's important to supplement with either B-complex or B-12 vitamins.

This is a pesky condition to have...

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