$Unique_ID{BRK01041} $Pretitle{} $Title{A Case of Athlete's Foot That Just Won't Quit} $Subject{athlete's foot ill defined symptoms symptom skin feet sensitive dye dyes contact dermatitis scaling fissuring itching swelling wet packs Burrow's solution corticosteroid cream occlusive therapy synthetic synthetics sensitivity} $Volume{N-20} $Log{} Copyright (c) 1991-92,1993 Tribune Media Services, Inc. A Case of Athlete's Foot That Just Won't Quit ------------------------------------------------------------------------------ QUESTION: Despite all precautions, and vast quantities of over the counter medications, I have a case of athlete's foot that just won't quit. I change my socks one or twice during each game of basketball, use foot powder and the like all to no avail. What am I doing wrong? ------------------------------------------------------------------------------ ANSWER: Your stubborn foot problem may not be athlete's foot at all. Many people today are sensitive to the dyes and synthetics that go into the making of shoes, socks and stockings. The symptoms of this contact dermatitis are remarkably similar to those of athlete's foot: scaling, fissuring (splits in the skin), itching. With contact dermatitis, however, itching begins early, swelling is common, and, a big clue, the webs between the toes are symptom-free, a site where athlete's foot usually strikes. Another broad hint is that contact dermatitis does not respond to the antifungal medications the drugstore stocks for athlete's foot. You are going to have to change your treatment strategy. The treatment for feet with contact dermatitis is wet packs soaked with Burrow's solution, available at any pharmacy. If the problem is very severe or does not respond to these simple soaks, it may require a corticosteroid cream, used as the medication in "occlusive therapy" where the cream is applied overnight and the feet are sealed in plastic bags (sandwich bags will do) overnight. The cure is identifying the offending footwear and/or chemicals that are causing the problem. For this you will need to have a patch test performed, which can help to isolate the exact cause of the rash. Then get rid of those shoes that have been the source of all your foot aches. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.