Dry (cracked) heels

Dry (cracked) heels are common. It is not a hand or foot dermatitis, but can be misdiagnosed as dermatitis on the hand or foot. Also consider other diagnoses such as tinea, pustular psoriasis, palmoplantar keratoderma and ichthyosis. Severe cases of dry (cracked) heels can become infected. Complications can include cellulitis, and diabetic foot ulcers (in patients with diabetes).

Advise patients to avoid soaps and irritants. Advise patients to use a soap-free wash, and to frequently apply a greasy emollient. Wearing closed footwear may help. A cream containing urea 10 to 25%, or salicylic acid 3 to 6%, can be used for treatment. For exfoliation, pumice stone can be used in the shower. Seek podiatrist advice for symptom management, if needed.