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Dr. Mark
Dr. Mark, Neurologist (MD)
Category: Neurology
Satisfied Customers: 1985
Experience:  Neurosurgeon - Brain, spine, and peripheral nerve surgery
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Severe itch on soles of both feet happens every couple of

Customer Question

severe itch on soles of both feet happens every couple of weeks, lasts three days and disappears. Benn to doctors who say nuero dermatitis or nerve pain. I do not have diabetes.
Submitted: 2 years ago.
Category: Neurology
Expert:  Dr. Bob replied 2 years ago.

Yes. Neurodermatitis would fit this description. Another consideration would be an atopic (allergic) dermatitis below the surface. This could be triggered by any one of many possible exposures, including certain socks (fabrics ), certain soaps, even cold or exercise. Taking a long acting antihistamine (eg zyrtec) every day could help with this. Steroid creams can also prove to be quite helpful if used regularly.

Customer: replied 2 years ago.
With my last episode I noticed symptoms improved by keeping my foot level or elevated. Does this offer further clues?
Expert:  Dr. Bob replied 2 years ago.

Elevation reduces blood pressure and swelling. This generally makes an allergic reaction better because it improves angioedema, a common part of the histamine reaction. This is why ice is often used in allergic reactions as well.

Customer: replied 2 years ago.
How common is this condition and what is the prognosis?
Expert:  Dr. Bob replied 2 years ago.

Allergic dermatitis with itch and angioedema is a very common affliction that can affect any body part. The prognosis is excellent if you can get the diagnosis confirmed, preferably by a skin or allergy specialist, and get on the appropriate treatment .

Expert:  Dr. Bob replied 2 years ago.

In some cases, identifying and avoiding triggers is all that is needed. In others, antihistamines and/or steroid creams are required. Sometimes, mast cell stabilizers (eg Cromolyn) are used.