Itchy red spots on the soles of the feet can be caused by a variety of reasons, and are more commonly associated with fungal infections such as tinea pedis, eczema, or palmoplantar pustulosis. 1. Tinea pedis: Tinea pedis is a fungal infection of the skin of the feet caused by the fungus tinea pedis, which often occurs on the soles of the feet and the skin between the toes and can appear as red or white blisters and vesicles, usually with significant itching, and is contagious. Daily life does not pay attention to personal hygiene, wearing common slippers and use of shared foot wash basin, may lead to fungal infection of the foot, causing tinea pedis; 2, hand and foot eczema: hand and foot eczema is a common epidermis inflammation, may be due to personal constitution, external stimuli, or internal toxins, generally not contagious, manifested as skin erythema, blisters, papules, etc., most accompanied by itching; 3, palmoplantar pustulosis. A chronic recurrent skin disease, repeated pustules on the soles of the feet, but also brown spots, erythema, skin desquamation, often accompanied by itching, burning sensation and pain, mostly seen in middle-aged and older women aged 50-60 years, may be related to local infection, metal allergy, genetics, etc. If red spots appear on the soles of the feet with itchy symptoms, it is recommended to maintain personal foot hygiene and dry footwear, pay attention to daily rest, eat as light as possible, and avoid spicy and stimulating food. If the symptoms do not subside, go to the dermatology department of a regular hospital to seek medical treatment under the guidance of a doctor.