HomeAnswersDermatologyfoot eczemaWhy is my toenail attached to the skin underneath?

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

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At July 10, 2016
Reviewed AtJuly 4, 2023

Patient's Query

Hi doctor,

I am a 54 year old male. My height is 5"41" and weight is 136.68 Ibs. 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 toenails seem to stick with the skin as they grow. I have attached the pictures for your reference. It occasionally pains while clipping the toenails. Please help.

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? It may be onychomycosis, a fungal infection of the nail. 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

Patient's Query

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.

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

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sunil Kumar Kothiwala
Dr. Sunil Kumar Kothiwala

Dermatology

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