My daughter has fissured and cracked toe. What is the cause and treatment for it?

Hi doctor,

My daughter is six-years-old. She has had fissures and cracks in her big toes for four months. The skin over the toe is dry and peels off. I thought it was a fungal infection and used Canesten cream and Lamisil cream twice daily for two months. But it resulted in deep cracks. Then I consulted a doctor; she prescribed Diprosalic ointment and Allergika cream for ten days. Now the skin has become soft but is still peeling. I mix olive oil, oregano oil, and carrier oil and apply it to her skin, wrapping it up to increase the absorption. But it remains dry. Now my queries are:

• What is this condition called?
• What are the causes?
• Should she wear socks all the time?
• What type of slippers are good?
• Is it a fungal infection?

Kindly help.

Hello doctor,

Thanks for the reply.

There is no itching or pain while walking in the lesion, and it is not spreading. Kindly answer my queries.

• What causes palmoplantar keratoderma?
• What are the symptoms?
• Is this severe and contagious? Is tinea pedis contagious?
• How can we avoid it?
• Can she wear socks inside the house or walk barefoot?

Kindly help.

Hello doctor,

Thank you for the reply.

I have a few more queries:

• Can she wear socks at home or a slipper made of synthetic material?
• Can we put the powder in the socks?
• Is it contagious if she walks barefoot, and when could it be, as there is no discharge from the lesion?

Kindly help.

Hi doctor,

Thank you for the reply.

I have a few questions:

• Is it possible to control palmoplantar keratoderma, and when to expect a cure?
• Is keratoderma contagious, and can it worsen further?
• How to avoid skin thickening, and can we use moisturizer?

Kindly help.

Hello doctor,

Thank you for your reply.

• Can you suggest an alternative for the Luliconazole cream as we are already using other creams?
• Which area of the foot shows the fungus, and where should I apply the cream?
• Or should I apply it all over the toes?

Kindly help.

Hi doctor,

Thanks for the reply.

I have a few more queries:

• Could you please show the infection's exact site in the picture I sent?
• Also, which part of her feet shows keratoderma?

Kindly help.

Hello doctor,

Thank you for the reply.

Can I send you a weekly update on the lesion? And when shall I expect a complete cure?

Kindly help.

Hello doctor,

• Can I mix antifungal cream with any emollient because the area is dry and peeling?
• After applying the cream, can she wear socks directly, or does she need to wait for sometime?
• There is no discharge or blister in her toes. Then how could it be contagious?

Kindly help.

Hello doctor,

Thank you for your reply.

After applying the cream for two months, I stopped the application. Then, two weeks after quitting, skin dryness and peeling started. I have attached the pictures two weeks after stopping the application of the cream.

Kindly help.

Hi doctor,

Thank you for your reply.

• Why does the dryness and peeling of skin return once the medication is stopped after two months of treatment?
• Is this because of tinea pedis itself, or is it dryness?
• Why is the condition returning once the treatment is stopped?

Kindly help.

Hello doctor,

How many times a day do I need to apply the Terbinafine cream ? And when should I apply Micanazole cream and Paraffin?

Kindly help.

Hi doctor,

Thank you for your reply,

Can I mix Micanazole cream and paraffin at night?

Kindly help.

Hi doctor,

Thank you, doctor.

Hi doctor,

What is good for this case while going outside, wearing open shoes without socks or shoes with socks? After two weeks of using Miconazole cream, what products do you suggest to keep the foot clean?

Kindly help.

Hi doctor,

Thank you for your reply,

• Can you send a picture of such shoes?
• Is there any cream available that will prevent reinfection?

Kindly help.