Treatment
1. Blistering scaly type can be used externally with miconazole cream, clotrimazole cream, compound benzoic acid application, compound lexapro application and so on. Keratinized thickening type can be compound benzoic acid ointment, miconazole cream or 10% glacial acetic acid soak. For those with cracks, urea oil can be added. After the lesions subside, continue to apply the drug for more than 2 weeks.
2. The hands are often washed, so the number of local applications should be increased, especially after washing hands to apply ointment or cream.
3. If the disease has a long duration or the effect of local treatment is poor, add oral treatment with ashwagandha, ketoconazole or fluconazole, itraconazole, terbinafine and other drugs.
4. Nail ringworm and tinea cruris are sources of infection for each other, and should be treated at the same time, including ringworm in other parts of the body.
Clinical manifestations
1. Blistering scaly type
Mostly unilateral onset. Starting from a certain part of the palm of the hand, it is a pinhead-sized blister with thick and shiny walls containing clear liquid. The blisters gather in groups or are sparsely distributed, and are itchy. The blisters dry up, flake off and gradually spread to the surrounding area, forming a ring-shaped or multi-ring-shaped damage, with clear edges. The course of the disease is chronic and can last for many years until it involves all the palms and spreads to the backs of the hands and nails, and even to the opposite palms. Sometimes the blisters may become infected and form pustules. Tinea versicolor is less likely to be associated with serious bacterial infections than tinea pedis.
2. Keratotic thickening type
Mostly developed from blister scaling type. Patients often have a history of many years, involving both hands, can also be unilateral. The lesions are usually without obvious blisters or ring-shaped flakes. Diffuse redness and thickening of the palm surface, deepening of the skin lines, skin roughness, dry and flaky. In winter, cracking often occurs, and sometimes the crack is very deep with bleeding, pain is intolerable, affecting the activities. Factors contributing to the thickening of keratinization of the palm of the hand in addition to the dermatophytes, but also with long-term scratching, washing and scalding, soap, detergents, a variety of chemicals and solvents stimulation, as well as improper treatment.
The clinical manifestations of goose paws are generally manifested as transparent blisters and thickening of keratinization of the hands, and in severe cases, there will be dry cracks and bleeding of the hands, which will affect the daily activities, therefore, if there is a goose paws condition, it must be treated in time, and the condition can not be delayed. The above is to introduce you to some of the clinical manifestations of goose paws and some of the correct treatment, I hope you get well soon.