OpenHealth Q&A

It sounds like you're dealing with a frustrating skin issue that could either be related to hives or a fungal infection like athlete’s foot. Since you've had this for a month and the cream hasn't helped, it’s important to clarify what you're experiencing.

Explanation

The tiny red spots and itchiness you're describing could indicate an allergic reaction, especially since you mentioned a history of hives. Hives typically appear as raised, itchy welts and can change rapidly, but they usually resolve on their own. On the other hand, athlete’s foot, which is a fungal infection, often presents with redness, itching, and sometimes flaking or cracking skin, usually between the toes or on the soles of the feet.

Since treatment with over-the-counter creams hasn't worked, it's crucial to consider the following:

1. Possibility of Misdiagnosis: If the initial treatment was for a fungal infection and didn’t improve your symptoms, reconsider whether it’s actually an allergic reaction or something else.
2. Skin Condition Progression: The expansion of the lesions suggests the need for further evaluation.

Next Steps

1. Avoid Triggers: If you suspect it could be an allergic reaction, try to identify and avoid any new soaps, detergents, or foods that might be causing it. Consider keeping a diary of what you apply to your skin and any potential allergens you might be coming into contact with.

2. Use Antihistamines: Over-the-counter antihistamines, like cetirizine or loratadine, can help relieve itching and reduce the allergic response.

3. Keep the Area Dry and Clean: If it’s possible it could be athlete's foot, keep your feet clean and dry. Change socks often and avoid wearing damp footwear.

4. Moisturize Carefully: If your skin is dry or flaky, use a gentle moisturizer to avoid further irritation, but be cautious of products with added fragrances or harsh ingredients.

5. Monitor Symptoms: Keep an eye on the spots over the next week. If they worsen, spread significantly, or you develop accompanying symptoms like fever or intense pain, take action promptly.

6. Seek Professional Help: If symptoms persist after a week of these measures, consider consulting a dermatologist for an accurate diagnosis and appropriate treatment.

Taking these steps can help clarify the issue and provide some relief from your symptoms. Let me know if you need further guidance or clarification on any of these points.