Why Are My Hands and Feet Dry with White Patches? - Dermatology

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Skin issues


The skin on the hands and feet is dry and has white patches; what could be the reason?

Xiao Ling, 20~29 year old female. Ask Date: 2016/02/26

Dr. Wu Yuxin reply Dermatology


It is likely that the flakes are caused by dehydration.
Without actually seeing the lesions, it is difficult to confirm.
If it is very bothersome, it is advisable to seek medical attention as soon as possible.

Reply Date: 2016/02/26

More Info


Dryness and the appearance of white patches on the hands and feet can be indicative of several dermatological conditions. The symptoms you are experiencing are not uncommon, and they can arise from various factors, including environmental influences, skin conditions, or underlying health issues.

One of the most common causes of dry skin with white patches is a condition known as xerosis, which is simply dry skin. This can occur due to a lack of moisture in the skin, often exacerbated by environmental factors such as cold weather, low humidity, or excessive washing. When the skin loses its natural oils, it can become dry, flaky, and may develop white patches.
Another potential cause is eczema, or atopic dermatitis, which is characterized by dry, itchy patches of skin. Eczema can affect any part of the body, including the hands and feet, and it often presents with redness, swelling, and sometimes white patches due to the skin's reaction to dryness and irritation.
Psoriasis is another skin condition that can lead to dry patches. It is an autoimmune disorder that accelerates the life cycle of skin cells, leading to the buildup of cells on the surface of the skin. This can result in thick, red patches covered with silvery scales, but in some cases, it can also present as dry, white patches.

Fungal infections, such as tinea (ringworm), can also cause white patches on the skin. These infections thrive in warm, moist environments and can lead to dry, flaky skin that may appear white.
Additionally, vitiligo is a condition that causes loss of skin pigment, resulting in white patches. While it is less common, it is important to consider if the white patches are not associated with dryness but rather a change in pigmentation.

To address your concerns, it is essential to consider the following steps:
1. Moisturization: Regularly applying a good quality moisturizer can help alleviate dryness. Look for products that contain ingredients like ceramides, glycerin, or hyaluronic acid, which help retain moisture in the skin.

2. Gentle Cleansing: Use mild, fragrance-free soaps and avoid hot water when washing your hands or bathing, as hot water can strip the skin of its natural oils.

3. Avoid Irritants: If you suspect that certain products or environmental factors are contributing to your skin issues, try to identify and avoid them.

4. Hydration: Ensure you are drinking enough water throughout the day, as hydration plays a crucial role in maintaining skin health.

5. Consult a Dermatologist: If the dryness and white patches persist or worsen, it is crucial to seek professional medical advice. A dermatologist can provide a proper diagnosis and recommend appropriate treatments based on the underlying cause.

In conclusion, while dry skin with white patches can be a common issue, it is essential to monitor the symptoms closely and seek medical attention if necessary. Early intervention can lead to better management of the condition and improve your skin health.

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