What is the treatment for itchy, tight, and dry skin?

Question

Hi doctor,

My mom is suffering from skin disease for the last two months on her palms and bottom part of her legs. She has an itchy feel from inside and usually her hands are getting tight and dry. The upper layer of her palm skin is coming out in patches. Please guide me with the pictures attached.

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concern.

I have seen the pictures (attachment removed to protect patient identity) and the given history of your mother. Most likely she is suffering from tinea manuum (fungal infection of hand) and tinea pedis and the second possibility is hand and foot eczema (dyshidrotic eczema). It is a kind of fungal infection. Certain general measures have to be followed such as:

Dry the body folds, finger and toe webs thoroughly after bathing.
Footwear should not be tight, should fit well and be non-occlusive.
Hyperhidrosis of feet should be controlled.
Proper drying and application of antifungal foot powder after swimming will be helpful.
Clothing, towels and personal effects should be kept separately.

Management part is as follows:

Ketoconazole cream (KZ Cream) plus tablet Terbinafine (Gris ODT) 250 mg for two months.
Terbinafine cream plus Fluconazole 150 mg twice in a week for two months.
Tablet Itraconazole 200 mg twice in a day and KZ cream for one month.

Above are the treatment combinations. Please continue any one of it and get a review after one month.

I hope this information will help you.

Thanks.