What could cause skin peeling and bleeding during winter?

Question

Hello doctor,

During seasonal changes, the palms and feet experience skin peeling, particularly during transitions from winter to summer or vice versa. The skin on the fingertips may bleed, making writing difficult. Similar symptoms occur on the feet but are less severe. Typically, after the seasonal change, symptoms subside, but severe peeling, pain, irritation, and bleeding persist for approximately two months. Seeking medical advice is recommended, although no medication is currently being used. The individual is a 13-year-old male, 66 pounds and six feet and nine inches tall. Please help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

Thank you for reaching out, and I understand your concern.

It is palmoplantar keratoderma, a condition characterized by the thickening of the skin on the palms of the hands and the soles of the feet with chronic eczematous dermatitis, a long-term skin inflammation causing itching, redness, and dryness.

I suggest some recommendations:

Avoid prolonged exposure to water, harsh soaps, and detergents.
Moisturize your skin frequently.
Apply liquid paraffin lotion during the day for 15 days.
Apply Olesoft cream (white soft paraffin, light liquid paraffin, glycerine, methylparaben, and propylparaben) twice daily after bathing and at night for two weeks.
Use Soapex soap (water, sodium tallowate, sodium cocoate, sodium palmate, sodium palm kernelate, glycerin, fragrance, and tetrasodium EDTA or ethylenediaminetetraacetic acid) for bathing for two months.
Apply Mometasone furoate cream at night for ten days.
Avoid known triggers and extreme weather conditions.
Avoid contact with irritants, harsh cosmetics, soaps, and fragranced lotions.
Minimize stress.
Take one tablet of 110 mg of zinc after dinner daily for 30 days.
Apply Photostable sunscreen 30 minutes before going outdoors.
Refrain from scratching or rubbing the lesions.
Stay hydrated by drinking plenty of water.
Consume a diet rich in antioxidants, zinc, vitamin A or C, and Omega-3 fatty acids.

Consult your doctor and take the medicines accordingly.

I hope this helps.

Please revert so I can assist you further.

Thank you.