Dry, cracked hands and feet, with peeling skin layer after layer
Jun 01, 2023
Source: Cainiu Health
Dr. Liu Wan
Introduction
Dryness, cracking, and peeling of the skin on hands and feet, recurring layer after layer, may be caused by physiological factors or pathological conditions such as keratolysis exfoliativa and dry eczema. Treatment can include general care and medication. When seasonal changes occur and temperature fluctuations are significant, patients should avoid scratching with their hands and maintain local cleanliness.
Dryness, cracking, and peeling of the hands and feet—occurring layer after layer—may be caused by physiological factors, or by pathological conditions such as keratolysis exfoliativa or dry eczema. Treatment may involve general care or medication. Specific details are as follows:
1. Physiological Factors
When seasons change and temperature fluctuations are significant, the skin may become irritated, leading to itching and peeling. Avoid scratching with the hands and maintain local cleanliness.
2. Pathological Factors
1) Keratolysis Exfoliativa
This condition is associated with factors such as infection and genetics, which can lead to abnormal immune responses, resulting in symptoms like peeling, pain, and itching. Under a doctor's guidance, topical salicylic acid ointment or oral isotretinoin soft capsules may be used for treatment.
2) Dry Eczema
Prolonged exposure to cold, dry environments or frequent use of alkaline soaps may reduce sebum secretion on the skin surface, causing dryness, tightness, and other symptoms. Under medical supervision, medications such as tacrolimus ointment or desonide cream can be applied for treatment.
In addition to the above causes, psoriasis, tinea manuum/pedis, or tinea corporis may also be responsible. Ensure adequate rest and avoid excessive fatigue.
