Technique

I think I may have scaly skin that's caused by something called two foot/one hand syndrome. What do I do?

March 01, 2003 | Bookmark +

In the November 2002 issue you mentioned that scaly skin can be caused by something called two foot/one hand syndrome. I believe that I have just that. (It’s awful.) What do I do?

Answer

Two foot/one hand disease is caused by a dermatophyte fungus. In this condition, both feet and one palm have a scaly, dry appearance and test positive for fungus when scrapings of the flaky skin are tested. Often there is fungus in the toenails and fingernails of the affected hand. Treating with an antifungal medication (oral works best but topical helps too) clears the skin of the palms and soles. There is a fairly high recurrence rate of this fungal condition, so long-term preventative treatment with a topical antifungal cream is helpful. There are many other common skin conditions that mimic this fungal skin problem. Eczema can cause scaling and flaking of the palms and soles and is not related to fungus. Psoriasis can also cause similar symptoms of scaling, peeling, and thickening of the palms and soles. It is important to get the proper diagnosis of the problem so that appropriate treatment is used.Phoebe Rich, M.D.

Bookmark +

How can I prevent lifting when my client's hands are constantly in water?

I have a client who is in the medical field so her hands are constantly in water. She has me keep the length of her acrylic nails short. No matter what I do, she always has at least one nail that comes off, and she always has lifting and gets water under the acrylic. I prep the nails correctly, I have a cuticle bit to clean the cuticle area, and I wipe the nail with alcohol, dehydrate the nail, and prime the nail. What should I do?

We respect your data and privacy.
By clicking the submit button below, you are agreeing with Bobit’s Privacy Policy and this outlined level of consent.

Load More
a Bobit media brand

Create your free Bobit Connect account to bookmark content.

The secure and easy all-access connection to your content.
Bookmarked content can then be accessed anytime on all of your logged in devices!

Create Account