TWO FOOT, ONE HAND DISEASE
Two foot, one hand disease (TFOHD) is a particular pattern of tinea infection where one hand and two feet are involved.
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
Involvement of the nails (onychomycosis) is a telltale sign of fungal infection.
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