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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Thick Dry Flaky Skin On Toes, Heels And Under Fingers?

I have noticed the last few days something I have never had before thick dry flaky skin in between and right under my fingers and on my toes and heels. I don't feel sore or itchy it looks worse when I'm just out shower and and I have dry skin. Thanks Christina
Fri, 2 Jan 2015
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Dermatologist 's  Response
Hello. Thank you for writing to us at healthcaremagic

I will keep a possibility of fungal infection/ Tinea mannum and Tinea pedis i.e fungal infection of the palms and soles.
Peeling Or chaffing is part of Tinea/fungal infection.
A KOH wet preparation made from a small amount of scale scraped from the lesion, to look for fungal elements would be confirmtory.
If KOH is positive for fungal elements, treatment would include both Oral as well as Topical antifungals.
Topical antifungals like Luliconazole, sertaconazole may be used, twice daily for 4-6 weeks.
Oral antifungals like either fluconazole Or Terbinafine are commonly used for superficial fungal infections of the skin; Oral antifungals a must for fungal involvement of palms and soles and need to be given for at least 4-6 weeks.
I suggest you to visit a dermatologist in your region for a confirmatory diagnosis as well as appropriate treatment.

Regards
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What Causes Thick Dry Flaky Skin On Toes, Heels And Under Fingers?

Hello. Thank you for writing to us at healthcaremagic I will keep a possibility of fungal infection/ Tinea mannum and Tinea pedis i.e fungal infection of the palms and soles. Peeling Or chaffing is part of Tinea/fungal infection. A KOH wet preparation made from a small amount of scale scraped from the lesion, to look for fungal elements would be confirmtory. If KOH is positive for fungal elements, treatment would include both Oral as well as Topical antifungals. Topical antifungals like Luliconazole, sertaconazole may be used, twice daily for 4-6 weeks. Oral antifungals like either fluconazole Or Terbinafine are commonly used for superficial fungal infections of the skin; Oral antifungals a must for fungal involvement of palms and soles and need to be given for at least 4-6 weeks. I suggest you to visit a dermatologist in your region for a confirmatory diagnosis as well as appropriate treatment. Regards