Q. My feet are dry and toe nails are stuck to skin underneath. Why?

Answered by
Dr. Sunil Kothiwala
and medically reviewed by iCliniq medical review team.
Published on Jul 10, 2016 and last reviewed on: Oct 12, 2019

Hi doctor,

I am a 54 year old male. My height is 165 cm and weight is 62 kg. Currently, I take Stamlo 5 twice a day and Eltroxin 50 mcg once daily. I have dry feet. I keep using foot care cream to make my feet look normal. My toe nails seem to stick with the skin as they grow. I have attached the pictures for your reference. It occasionally pains while clipping the toe nails. Please help.

Dr. Sunil Kothiwala

Dermatology Venereology
#

Hi,

Welcome to icliniq.com.

  • Hypothyroidism is a well known cause for dry skin.
  • Your nails in the photos (attachment removed to protect patient identity) look yellow, thickened, and detached from the nail bed. Are you itching over the feet?
  • I would like to see the images of both feet focusing on nails.

Differential diagnosis:

Xerosis.

Probable diagnosis:

Onychomycosis.

Regarding follow up:

Revert back with the images to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist

Thank you doctor,

I am not itching over the feet. I am attaching the top view pictures of nails. There is no yellow color. It is partly pinkish white and partly dark.

Dr. Sunil Kothiwala

Dermatology Venereology
#

Hi,

Welcome back to icliniq.com.

  • You are having foot eczema. Old age and hypothyroidism are the precipitating factor for this xerosis.
  • Apply Xerina cream (Glycolic acid) locally twice a day. As you are not having itching, no other medicine required at present.

Treatment plan:

Apply Xerina cream locally twice a day.

Regarding follow up:

Revert back after 10 days to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist

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