Hello XXXXXXX

Thanks for posting your query.

Psoriasis presents as thick, white, silvery, or red patches of skin and the exact diagnosis can only be confirmed after a biopsy skin.

Based on your description, what you are having does not sound like psoriasis. It seems like heel fissures which are commonly caused by dry skin (xerosis), and made more complicated if the skin around the rim of the heel is thick (callus). It may be aggravated if you are obese, are standing most of the day or having associated medical conditions like thyroid disease or eczema.

I shall suggest you some useful measures that will help in solving this problem:

1. First of all, soak feet or hands in warm soapy water. Wash with warm water and Cetaphil lotion (available over the counter) to soften cracks. Then rub with a pumice stone and apply mositurex (moisturizing cream) ointment.

2. During the day, hydrate and protect feet with a protective and moisturizing cream and at night after applying Pasitrex (available over the counter), you can wear cotton socks to allow the cream to sink deeper.

3. An insole or a heel cup may be used to keep the fat pad from expanding sideways. This is worn in the shoe and can be very effective at prevention.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wish you good health.

Regards

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Hello,

Thanks for writing back. Such dry and peeling skin can be due to eczema with superimposed cracked heels and for confirming the diagnosis, it is best to get a biopsy skin done. Eczema is a form of chronic dermatitis (rash) and allergic reaction is one of the important causes of eczema.

You should get a biopsy skin done to rule out any psoriasis and confirm the diagnosis.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wish you good health.

Regards

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