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My two year old grand daughter has skin peeling on her palms and the soles of her feet around the heel. could it be a fungal infection? If it is how should it be treated?

 

Distinct Déjà vu, zsuzsanna ;)

I wouldn`t recommend any treatment without a diagnosis. Any chance of a pic and more detailed medical history, including familial allergies?

What was the outcome of your grandson?
http://www.podiatry-arena.com/podiatry-forum/showthread.php?t=79908

Cheers,
Bel

 

'Got to admit it's getting better, its getting better all the time'.

Diagnosis and treatment over the telephone are becoming more and more acceptable in the UK.

Your not feeling well. You phone your doctor's practice and the doctor phones you back and after a question and answer session reaches a diagnosis and prescribes.

Podiatry arena goes one step further and does online diagnosis.

Although I can see that this is something that can, will and should be developed in the future/going forward, how much of current undergraduate training is dedicated to remote, diagnosis and treatment?

What sort of economic model does it follow, ie how do private practitioners make a living from it?

Does your professional insurance cover remote diagnosis and/or treatment?

Bill

 

Hi Bel,

I will try and get a picture of the soles and palms. The peeling skin looks like what is left after a blister, but she had no blister on her palms. Unfortunately they went back home yesterday.
I have just checked with my daughter about my grandson's condition and she tells me that he definitely had fungal nail infection, the nail dropped off and he now has Athlete's foot again which the doctor is treating with Dactocort(?) but they forget to use it. He also tried Tea tree oil sporadically. I had almost forgotten about his problem until you have reminded me! I don't see them very often but we did spend a week with them after Easter and nothing was mentioned!
My daughter also thought that my 2 year old grand daughter might have caught the fungal infection from her son. I think it is more likely from the wellingtons.

Thanks for your help in this!
Cheers
Zsuzsanna

 

No matter what, a biopsy is in order of both the feet and hands before any diagnosis or treatment is entertained.

Is there any family history of rashes on the palms and soles?
Are there any other locations of involvement?


That said:
1. fungal hands and feet of a two year old is rare.
2. the "cort" product you are using is not for fungus but I suspect it will work well.
3. I would consider a familial dermatitis and contact dermatitis almost as strongly as fungus
Dennis

 

Zsuzsana,

If it was my grandchild I would be pushing for an appointment with a dermatologist and I would not find it adequate to have an internet or telephone interview with the dermatologist.

The dermatologist needs to sit in the same room as the patient, look at the feet and possibly skin elsewhere, touch the feet, ask questions, do tests, reach a diagnosis and then prescribe (which could mean do something or do nothing).

Of course it is possible that by using the internet you are not so much looking for an internet diagnosis but are looking for moral support, ie so that you can apply more pressure on her parents to take her to the GP. If that is the case take it as read you have got the moral support.

When they do take her to the GP don't let them be fobbed off with a quick look and a tube of cream, unless there is a good explanation for it, eg OK we'll try this cream but if it hasn't gone away completely within the next two weeks, we'll refer you to a dermatologist.

Good luck,

Bill

 

Thank you for your advice Bill, I have sent it off to my daughter who in the meanwhile managed to get some photos of the little girl's feet and hand. She is two today!
She hates having he feet touched so the picture taking was very traumatic for her!

Thank you for all your input

Zsuzsanna

 

Agree with the above contributions - skin culture required, tinea unlikely in a 2 year old, photo appearance suggestive of friction blistering of both heels and palms - does the child move about on her hands and feet as some do when not yet fully ambulatory?