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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Cause Toes To Get Dry And Hard?

Hi my 19 month old has this red rash on the bottom of his feet for the last week. He's acting normal eating well, no fever and no sign of rash or sores anywhere else. I noticed today that his pinky toes are dry and hard almost like a calus. What could this be?
Mon, 6 Jul 2015
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Pediatrician, Pulmonology ,  's  Response
Hi...I feel by what you quote he should be having a - Hand Foot Mouth disease. This is one viral illness among all other exanthemas which can cause fever followed by rash over palms and soles. It is a self-limiting disorder and itching can be really worrisome. I suggest you use any over the counter antihistamine if you have one with you now. You can use Hydroxyzine at 1-2mg/kg/dose (Maximum 10mg) every 6th to 8th hourly for 7 days.
This can even cause some peeling of skin in the next 4-6 weeks and do not worry about it.
Regards - Dr. Sumanth
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What Could Cause Toes To Get Dry And Hard?

Hi...I feel by what you quote he should be having a - Hand Foot Mouth disease. This is one viral illness among all other exanthemas which can cause fever followed by rash over palms and soles. It is a self-limiting disorder and itching can be really worrisome. I suggest you use any over the counter antihistamine if you have one with you now. You can use Hydroxyzine at 1-2mg/kg/dose (Maximum 10mg) every 6th to 8th hourly for 7 days. This can even cause some peeling of skin in the next 4-6 weeks and do not worry about it. Regards - Dr. Sumanth