What causes recurring clear fluid bumps on the feet?

Question

Hello doctor,

I get these recurring bumps on my feet every year for about 15 years now. They are filled with a clear liquid. They do not hurt or itch unless I am applying pressure or if I break open the skin on top. The skin underneath is so thick and raw that it hurts when exposed. I have gotten these for 15 years now. Kindly tell me what it is and how I can manage it.

Please help.

Answer 1

Hi,

Welcome to icliniq.com.

I saw your clinical pictures (attachment removed to protect patient identity). This is called dyshidrotic eczema. It presents with itchy tense blisters over palms and soles, and as it progresses, the skin peels off. It worsens during winter like any other eczema. You would require:

Topical mid-potent corticosteroids like Triamcinolone acetonide 0.1 %, at night for not more than two weeks.
Good moisturizer in the morning after a bath.
Use cotton socks, dust them with talc-free powder containing 0.15% menthol and zinc oxide.
Avoid hot showers and use lukewarm water for taking a bath.

I hope this helps.

Thank you.