eNewsletter Dermatology Sign Up
Look good, feel great with Beautiful Skin
Crutchfield
Crutchfield Dermatology Home Patient Reviews Patient Portal Make a Payment Leading Doctors Best Doctors in America Consumer’s Research Council of America Top Dermatologist for Women Mpls St. Paul Top Doctors Crutchfield Dermatology Awarded 2008 Best of St. Paul for their Excellence in Skin Care Mpls St. Paul Top Doctors Physcian Health Care Heros America's Top Doctors Request Appointment eNewsletter Sign Up
Medical Education Section
54 year old woman complains of dry cracked heels that worsen in the fall and winter. The condition has be recurrent over the past 3-5 years. Her mother had the same problem. She complains that her heels actually catch on her sox and stockings and tear and bleed.
What is your diagnosis? 

Diagnosis:
KERATODERMA CLIMACTERICUM
year old woman complains of dry cracked heels



This disorder was first described by Haxthausen in 1934. Hyperkeratosis begins over pressure points on the heels in women over the age of 45 years. There is no preceding history of skin disorders, including eczema or psoriasis. As the hyperkeratosis extends, fissures form and make walking painful. Obesity and dry winter climates aggravate the symptoms, as can wearing backless shoes, e.g. sandals. If present, involvement of the hands is much milder and more discrete. Deschamps et al. investigated 10 patients with keratoderma climactericum, measuring sex hormone levels and serum vitamin A levels as well as performing fungal scrapings and patch tests, all of which were normal or negative. Others have reported similar changes in young women following oophorectomy, which responded to estrogen replacement.

In my experience, the condition is seen more frequently during the drier parts of the year (fall and winter). In fact, my one of my previous partners used to call this "Minnesota Winter Foot." There seems to be some debate whether this is a true keratoderma or just an extreme case of xerosis of the foot. I see it in men and women and in almost all ages in winter in Minnesota. Nevertheless, I find the simple treatment program outlined below tends to work very well for management and resolution.

Treatment:
Apply Eucerin Plus cream (it has to be this exact formulation of the Eucerin products - others do not work as well). I have my patients soak their feet in warm water for three-five minutes, pat dry, apply the Eucerin Plus cream liberally to their heels, and apply cotton socks for occlusion therapy overnight. I also have them put another coat on in the morning after bathing or showering. I find for the vast majority of patients, this tends to improve or even eliminate the condition to the patient's satisfaction in approximately one week. I like Eucerin Plus cream because the Plus indicates that it has both ammonium lactate for extra moisturization and urea for additional moisturization and loosening of dry skin and scale.

Charles E. Crutchfield III, MD
Clinical Adjunct Associate Professor of Dermatology
At the
University of Minnesota Medical School
Medical Director, Crutchfield Dermatology
www.CrutchfieldDermatology.com


Articles/links
Case of the Month

Cases of the Month Archives

Crutchfield Dermatology





651-209-3600       Look Good, Feel Great with Beautiful Skin ™


Prestigious Organizations
MetroDoctors ASDS-Net.org ASCDAS.org NMANET.org aestheticmd.com Better Business Bureua
expert injectorMayo Clinic American Board Dermatology American Medical Med.UMN.edu cosmeticsurgery.org ASNA Top Dermatologist

AAD Fellow Alpha Omega Alpha
Crutchfield Dermatology All Photographs are copyright protected. Unauthorized use is prohibited 651-209-3600


Crutchfield Dermatology
1185 Town Centre Drive Suite 101 Eagan, MN 55123
Call for appointment: 651-209-3600 Fax: 651-209-3601

top 100 places to work

Proudly serving: The greater Twin Cities area, Minneapolis, St. Paul, Edina, Eden Prairie, Eagan, Richfield, Bloomington, Hopkins, Savage, Mendota Heights, St. Louis Park, Wayzata, Plymouth, Maple Grove, Crystal, Roseville, West St. Paul, Apple Valley, Burnsville



Web Design Arbor Bay Marketing

 

Crutchfield
Alpha Omega Alpha Honor Medical Society