toodlers red and dry palms and soles

A month or so ago I noticed small patches of reddened hard/dry feeling skin on my 20month olds heels. The skin wasnt peeling but had the look of extreme dryness (as the patches looked wrinkled).
Now the condition has spread to cover underneath her entire feet and on the palms of both hands? She doesnt seem to be itchy or distubed by them.
I have tried numerous dermatologist recommended moisturisers with no results. could this be a reaction to foods?

[Bhupinder Kaur, MD]

Hello,
I cannot confirm anything without examination but it can be due to dry skin. Dry skin results when there is not enough water in the stratum corneum for it to function properly. Too much soapy water, exposure to harsh chemicals and certain types of skin diseases are some of the causes of decreased amounts of protective skin oils which in turn causes dry skin. I would also suggest you to get eczema ruled out for your daughter’s symptoms. Eczema is a form of chronic dermatitis (rash).Allergic reaction is one of the important causes of eczema.
Wash the areas several times with fresh water. Do not use any cosmetic products at the sites. You can apply some calamine lotion at the rash as it will help in soothing the skin. The treatment of eczema is antihistaminics and  steroids but they are available on prescription and the diagnosis has to be confirmed first. So please get an evaluation done by a dermatologist.
I hope it helps. Take care and please do keep me posted in case you have any additional doubts. Kind regards.