A 64-year-old male presents to the clinic complaining of dry, flaky skin between his toes with noticeable redness. This has been present for at least a week. He denies pruritus and has not scratched in between his toes. Patient History: There is no history of trauma. He wears socks with his shoes but has not been wearing his compression stockings for the past several weeks. His self-treatment includes using lotion in and around his toes without any relief. The patient denies fever, chills, nausea, vomiting or pain in his foot.
There has been no change in laundry soap. He has had his current shoes for approximately one year. Physical Examination: The physical exam reveals maceration and erythema between all toes on both feet. Sheets of dry, flaking skin are present on the adjacent sides of toes. There is no lymphangitis or lymphadenopathy. His vital signs are all normal. What is the…