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Expert Q&A:
Could the dry, cracked skin around my 27-month-old's toes be athlete's foot?

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Answered by Anthony Mancini M.D.


Dr. Mancini received his undergraduate and medical educations at the University of Arizona, and trained in pediatrics, pediatric dermatology, and dermatology at Stanford University. He is currently Associate Professor of Pediatrics and Dermatology at Northwestern University's Feinberg School of Medicine and Head of the Division of Dermatology at Children's Memorial Hospital in Chicago, Illinois.



Dr. Mancini has served as a member of the AAP Executive Committee, Section of Dermatology since 2001. He is a member of the AAP Super CME Planning Group and the AAP Pedia Link Pediatric Dermatology Project Team, and is Secretary-Treasurer of the Society for Pediatric Dermatology. His teaching accomplishments include the Faculty Excellence in Education Award from the Department of Pediatrics at Northwestern, which he has received for the last eight years. Dr. Mancini is a peer reviewer and/or sits on the editorial board for several academic journals, and has published over 75 peer-reviewed articles, abstracts, and book chapters. He is co-author of Hurwitz Clinical Pediatric Dermatology, 3rd edition, and is an associate editor for the comprehensive dermatology textbook Dermatology. His special interests include infectious skin diseases and exanthems of childhood, vascular malformations and hemangiomas, and neonatal skin maturation and skin disorders.



Dr. Mancini is a Fellow of the American Academy of Pediatrics and the American Academy of Dermatology. He and his wife, Nicola, a neonatal intensive care nurse, have three children (Mallory, Christopher, and Mackenzie) and reside in Evanston, Illinois.

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Question


Athlete's foot may occur at a young age, but is far less common than in older children.

Answer


Athlete's foot may occur at a young age, but is far less common than in older children. Another possible explanation for these changes may simply be "foot dermatitis," which is the term used to describe eczema when it occurs on the feet. This is usually treated with thick moisturizers and, if redness and itch are present, anti-inflammatory creams or ointments (such as hydrocortisone or stronger, prescription preparations). The fact that your son's changes heal with hydrocortisone suggests that this is more likely to be dermatitis than a fungal infection such as athlete's foot. Neosporin, which is a topical antibiotic, may be working because of some mild bacterial infection in the area, or because it is having a moisturizing effect. A dermatologist can give you more guidance after examining your son.
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