Conversation: The conversation between human and AI assistant.
[|Human|] I have noticed the last few days something I have never had before thick dry flaky skin in between and right under my fingers and on my toes and heels. I dont feel sore or itchy it looks worse when Im just out shower and and I have dry skin. Thanks Christina
[|AI|]  Hello. Thank you for writing to us at Chat Doctor I will keep a possibility of fungal infection/ Tina magnum and Tina FEDIS i.e. fungal infection of the palms and soles. Peeling Or chaffing is part of Tina/fungal infection. A KOH wet preparation made from a small amount of scale scraped from the lesion, to look for fungal elements would be confirmatory. If KOH is positive for fungal elements, treatment would include both Oral and Topical antifungals. Topical antifungals like Fluconazole, ketoconazole may be used, twice daily for 4-6 weeks. Oral antifungals like either fluconazole Or Terminating are commonly used for superficial fungal infections of the skin; Oral antifungals a must for fungal involvement of palms and soles and need to be given for at least 4-6 weeks. I suggest you to visit a dermatologist in your region for a confirmatory diagnosis as well as appropriate treatment. Regards