instruction: hello doctor I am having an allergic reaction on both of my feet it will start like fluid filled vesicle then it will get hardened and will start peeling off the skin there is an excess of itching in that affected area I had consulted a dermatologist and was told that it is contact dermatitis doctor prescribed me momate ointment for two weeks and asked me to change the footwear it did not subside after two weeks and then the doctor prescribed halovate ointment and levocetirizine for two weeks then also it is not subsiding it has been more than two months and still eczema is present and new areas on my foot are getting affected
output: hi very itchy rash over the feet with fluid filled vehicular lesions is tina pedis vehicular type no response to steroids also confirms that contact dermatitis also mics it and bilateral also gives suspicion of dermatitis but you did not respond to steroids I can see some involvement of toe cleft please tell me are cleft involved how much duration since the start how it started like which area and which foot do you buy any new shoes or anything new when they started do you have wet work of feet often any other medical condition you have like do be etc renal or liver disease start the following treatment capsule itraconazole 200 my be after meals for three weeks terbinafine cream twice daily for three weeks loratadine 10 my once daily for itching for 10 days ke dusting powder avoid wetting or sweating of feet keep dry shoes in sun change socks daily fungus contact dermatitis antifungal keep dry after three weeks