++
+++
CRACKED HANDS AND FINGERS
++
Usually associated with atopic dermatitis or very dry skin.
++
++
Avoid domestic or occupational duties that involve contact with irritants and detergents
Wear protective work gloves: cotton-lined PVC gloves
Use soap substitutes (e.g. Cetaphil lotion, Dove, Neutrogena)
Apply 2–5% salicyclic acid and 10% liq picis carb in white soft paraffin ointment or Norwegian Formula Hand Cream or
Corticosteroid ointment: potent (e.g. betamethasone dipropionate 0.05% ointment) with night-time plastic occlusion
++
Soak feet for 30 mins in warm water containing an oil such as Alpha Keri or Derma Oil
Pat dry, then apply a cream such as Nutraplus (10% urea) or Eulactol heel balm
For severe cases use sorbolene cream with 20% glycerol or 30% urea (test skin sensitivity first)