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Expert Q&A
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| By David L. Fay, M.D. Family Physician Associate Director, Waukesha Family Practice Residency Program | ||
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My son has a reoccurring skin rash. It resembles measles but seems to flare up intermittently. We've haven't changed laundry detergents and he is a very picky eater so his food consumption is limited. He has no food allergies yet. My doctor thought it was dry skin but it's most definitely a reaction to something. Also, the skin on the palms of his hand and the soles of his feet have peeled? Very strange...yet he is acting normally energetic. Any suggestions?
There are a few dermatologic causes for peeling hands and soles. The most common is keratolysis exfoliativa, a benign condition which is generally worse in the summer, and is associated with sweaty palms and soles. It will often have a rash which can resemble ringworm. There is no treatment necessary. Exfoliative erythroderma is also associated with peeling skin, and is often a response to allergens or medications. Rarely, peeling palms and soles are associated with internal diseases like pulmonary fibrosis, interstitial pneumonitis, or leukemias, but these normally are also associated with other symptoms. If it is bothersome, skin biopsy may be necessary for diagnosis."