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Hi, just wondering if anyone had seen something similar.
57 year old female office worker with discolouration to B/F dorsal aspect and skin condition of B/hands palmar surface (Diagnosed by 2 Dermatologists) commenced 3 years ago.
Started with dry hands rapidly developing into lesion shown with associated fissuring of hands.
Discolouration to feet commenced 2-3 weeeks after hands. Dorsal aspect of B/F very anhydrotic around area of discolouration only.
No history of skin conditions in family and pt not taking any medication. Any ideas as to tx? of feet or hands?

Thanks,
Kim.

Attached Images

	Mums_Feet_Small.jpg (31.8 KB, 140 views)
	Mums_RHand_Small.jpg (27.0 KB, 109 views)

Could be a candida infection.Do a fungal culture to R/O this and then see what happens.

Thanks,
Canestan has already been applied but to no avail.
This has me stumped!!!

Ask about change in diet,soap,detergent to rule out contact dermatitis.

Estimated Kim

The first thing that I would do would be to confirm the diagnosis;

- It would take samples and would realize diverse tests to see if a possible bacterial infection exists or fungal infection. Direct visualization, culture, microculture, dissociation in plate, etc, even depending on the laboratory you try molecular biology.

- It realizes also an exhaustive clinical history, having a special attention to the systemic diseases that could give him dermatological injuries, care with the rheumatic diseases.

- You can help also with blood test and in difficult cases or before the suspicion of dangerous injuries for the integrity of the person, test with a biopsy.

Once confirmed the diagnosis will be able to rule the suitable treatment.

I expect to see helped a little,

Regards.

Sorry for my english

This is food allergy, usually Citrus Fruits, started drinking orange juice? or can be just salicyclates. Cure is keto diet, like the Atkins diet for 2 to 3 weeks. If it clears up and it will, then it is something that you eat. Oranges, wheat, soy, are the usual causes, but salicyclates are a subcause. Zyrgic tabs over the counter willl stop it reoccuring if you eat something 'wrong'. Carole

Has she been scratching these areas? The lesions on the ankles are a very common site for scratching with either the fingernails or contralateral heel. Dryness and itching can escalate via the itch/scratch cycle and present with those lesions. This does not explain the hands unless she is scratching these areas as well. Just a thought.....