A comprehensive clinical examination is the basis for selecting further diagnostic steps:
- General physical examination – including blood pressure, pulse, body weight, height; furthermore:
- Inspection (viewing) of the skin primarily on the feet, but also of the entire body, as mycosis (fungal infection) may also affect other areas of the body such as the groin region can affect [softening of the skin, especially in the space between the fourth and fifth toe; redness; fine dry scaling; rhagades (roundness; narrow, gap-shaped crack that cuts through all layers of the epidermis (epidermis)); pruritus (itching); vesicles; feeling of tension].
- Dermatological examination [due todifferential diagnoses:
- Allergic contact dermatitis
- Atopic eczema (neurodermatitis)
- Hereditary palmoplantar keratosis (hereditary cornification disorder of the skin in the area of the foot / hand).
- Psoriasis plantaris (psoriasis affecting the foot).
- Pustular bacterid (Andrews syndrome) – changes in the palms of the hands and soles of the feet with an unclear cause]
- If necessary, neurological examination [due tocause: peripheral neuropathy (nerve disease affecting several (poly = much) nerves at the same time)?]
Square brackets [ ] indicate possible pathological (pathological) physical findings.
