TWO FOOT, ONE HAND DISEASE
By Gary M. White, MD
Two foot, one hand disease represents a particular pattern of tinea infection.
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.
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.
Onychomycosis only on the one hand is not always presents, but if so, confirms the diagnosis.
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