I have a rash on the soles of my feet. Consider Vesicular tinea - clear itchy fluid filled vesicles on a scaly base, Localised pustular psoriasis - initial pustules on instep or heel drying to brown crusts that peel away Hyperkeratotic psoriasis - thick cracked keratin on weight bearing areas of heel and edges of foot Contact dermatitis - again heels and forefoot involved if rubber or dorsum of foot if shoe glues or tanning leather allergies. Tinea pedis - dry fine scale across the foot sole and web spaces plus or minus nails Pompholyx eczema - clear itchy fluid filled vesicles often on instep. This may be vesicular tinea, an allergic reaction to tinea pedis. Use Lamasil cream . Rare- Larva Migrans - serpiginous itchy linear rash on sides or sole of foot from hookworm larvae. Tinea Nigra - dark solitary slightly scaly fungal patch on sole Pitted keratolysis - punched out holes in the keratin of the sole , heel and forefoot skin. Common Skin Presentations 1 Additional images Lots of conditions can involve the soles of the feet but the chronic ones are Tinea, Psoriasis, Eczema, Juvenile forefoot eczema in kids wearing sneakers, Pitted keratolysis with sweaty feet, localised pustular psoriasis and keratodermas. We will deal with these under different morphological headings below. View the video below on rashes on the soles of the feet