Symmetrical itching on the tops of both feet, worsening with scratching

The tops of both feet experience symmetrical itching that worsens with scratching, possibly caused by athlete's foot, eczema, allergic dermatitis, or other conditions, requiring symptomatic treatment.

1. Athlete's Foot

Athlete's foot is a fungal skin infection commonly presenting with symmetrical itching, redness, and blisters on the tops of both feet. Under medical guidance, topical antifungal medications are typically recommended as first-line treatment, such as imidazole creams, terbinafine cream, and keratolytic agents like salicylic acid and acetic acid. During treatment, it's important to keep the tops of the feet dry and avoid prolonged exposure to damp, hot environments.

2. Eczema

Eczema is an inflammatory skin condition that can occur anywhere on the body. When it affects the tops of both feet, it often causes localized itching that intensifies with scratching. Under medical supervision, topical treatments such as calamine lotion or compound acetic acid dexamethasone cream may be used.

3. Allergic Dermatitis

Allergic dermatitis is a skin condition triggered by allergens, commonly manifesting as itching, redness, and flaking of the skin. Under the advice of a healthcare provider, antihistamines such as chlorpheniramine tablets, diphenhydramine tablets, or loratadine tablets may be used for treatment.

In addition, liver disease could also be a potential cause. If symmetrical itching on the tops of both feet persists or symptoms become severe, medical consultation is recommended for proper diagnosis and treatment. Daily care should include keeping the feet clean and dry to prevent bacterial growth.