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Suggest Treatment For Peeling Of Feet Skin In Children

Posted on Thu, 2 Jul 2015

Question: The bottoms of my 22 month old son's feet are peeling. They are not red, hard, or cracked. He seems to only have very minor pollen allergies, and perhaps a bit of contact dermatitis from the grass. No health issues what so ever. He is well hydrated. Regular, soft bowel movements. His fingers and palms are not involved. Only soft white skin peeling off of feet. Is this a major concern? He wears Croc plastic shoes most days without socks or goes bare footed.

Answered by Dr. Dr. Pradeep Kumar Jain (51 minutes later)

Brief Answer:
I would like to rule out Acral skin peeling syndrome

Detailed Answer:
Hello

Thanks for the query

There can various causes of skin peeling of feet.But if it is not red,hard or cracked; most of the possibilities are straightly ruled out.Apart from skin peeling syndrome,Fungal infection and eczema are two common causes.
In fungal infection the feet or spaces between the toes should be red.itchy and inflammed.
Acral skin peeling syndrome is a condition in which there is spontaneous peeling of skin of soles and/or palms without any signs of inflammation.
It may run in families.Sometimes it may get precipitated by change in enviromental temperature or humidity.It does not need any specific treatment and gradually a new layer grows without any residual scar.You may apply emollient for better recovery.
No association has been found between this syndrome and allergy.
The second possibility is eczema but chances are less likely due to absence of cracking or itching.
So I won't get worried for the peeling if there is no redness or other signs of inflammation as it is a self limiting condition and has no residual effects.

I hope this helps.
Please do ask if you have any more query.
Wish you and your family good health.
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Pradeep Kumar Jain (12 minutes later)

Thank you very much. Palms are clear, and no redness. Feet are soft. I did bring him to doctor last week because of what appeared to be very small bumps on legs and belly. No blisters or pustules. And mostly gone now. She said atopic dermatitis. Any relationship?

Answered by Dr. Dr. Pradeep Kumar Jain (8 minutes later)

Brief Answer:
I would like to keep her in follow up

Detailed Answer:
Thanks for the follow up

Although exact association with atopic dermatitis with peeling of skin is not known.But some of the children with atopic dermatitis has a propensity to develop eczema.
In that case it can be related to the eczema.
As it does not need any specific treatment I would like to keep her in follow up and to see whether this peeling is associated with skin rashes every time or not.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Pradeep Kumar Jain (14 minutes later)

But not a major health concern?

Answered by Dr. Dr. Pradeep Kumar Jain (1 minute later)

Brief Answer:
No,not a major health concern

Detailed Answer:
Unless it is complicated by redness,inflammation,blisters it is not any major health concern.

Regards

Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar