TWO FOOT, ONE HAND DISEASE

By Gary M. White, MD

Two foot, one hand disease


Two foot, one hand disease represents a particular pattern of tinea infection.

Clinical

One hand and both feet are diffusely scaly on the palm and soles, but inflammation is relatively absent. Often the patient merely thinks the hand is dry. Unilateral onychomycosis of one hand is a clue to the diagnosis.

Treatment

A topical antifungal may be recommended but an oral agent may be more convenient for the patient. If onychomycosis is present, an oral antifungal agent, e.g. terbinafine, is preferred. See onychomycosis.

Additional Pictures

Onychomycosis only on the one hand is not always presents, but if so, confirms the diagnosis.
Two foot, one hand disease with nail involvement

Two foot, one hand disease

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