Scaly keratotic tinea pedis is caused by fungal infection resulting in dry, coarsely keratinized, flaky skin that is prone to chapping, and is usually treated with medication. Squamous keratosis pilaris can choose to apply topical creams and ointments, such as topical clotrimazole and econazole. Poor treatment with only topical medication and high recurrence rate can be treated with topical application of exfoliators, such as salicylic acid. For patients with scaly keratosis pilaris who are poorly treated with topical therapy alone. Commonly used treatment is a topical drug combined with an oral drug. Commonly used oral antifungal drugs are terbinafine and itraconazole, fluconazole and so on. Patients should not stop taking the medication on their own after the symptoms have subsided to avoid incomplete treatment. Socks, underwear and bedding changed during treatment should be washed in boiling water to minimize the possibility of infection. The appearance of squamous keratosis pilaris should consult a doctor in time, and follow the doctor’s instructions to standardize the treatment.