(Disclaimer: This article is only for popular science purposes, in order to protect the privacy of patients, the following content of the relevant information has been processed) Abstract: Uncle Zhou hands appeared peeling has been 2 months, suffers from foot fungus for many years, and often use their hands to pick their feet. 2 months ago the right palm of the symptoms of flaking, and the hand is often itching, especially sweating itching is more serious, to the hospital and found that the palm of the right hand at the see the diffuse desquamation. A fungal examination was done on the dandruff of the right hand and the report showed fungal and spore growth. The diagnosis was goose pimples, and the symptoms gradually subsided after treatment with oral antifungal medication and topical cream. Basic information] Male, 55 years old [Disease type] Goose pimples [Consultation hospital] Maanshan Seventeen Metallurgical Hospital [Consultation time] April 2022 [Treatment plan] Medication (Itraconazole dispersible tablets + Sertaconazole nitrate cream) [Treatment period] Outpatient treatment for 4 weeks [Treatment effect] Symptoms gradually reduced, goose pimples were cured A. Initial consultation 55-year-old Uncle Zhou’s right hand appeared to have erythema and peeling, and itching, so he went to the dermatology center. He came to the dermatology department because of the redness and itchiness of his right hand. Upon careful examination of the patient’s rash, diffuse flaking was seen on the palm of his right hand, while the skin of his left hand was normal. There was diffuse desquamation on both palms of the feet, and blistering and desquamation on the feet. Careful questioning of the patient’s medical history revealed that the patient had suffered from foot odor for many years without treatment, and he usually had the habit of picking his feet. Take the right hand dander to do fungal examination, the results suggest that there are spores and fungal growth, diagnosed as goosefoot, to the patient’s liver function results suggest that normal, and then give oral antifungal drug itraconazole dispersible tablets and antifungal cream nitrate sertaconazole cream external coating. Due to the large area of fungal infected skin on the patient’s hands and feet, a combination of oral and topical antifungal drugs was given. Itraconazole dispersible tablets are commonly used antifungal drugs, which have good antibacterial effects on skin fungi such as tinea pedis and onychomycosis etc. However, this drug may cause elevation of liver enzymes in some patients, so liver function needs to be examined before and after the administration of the drug. The patient was carefully asked about his medical history, there was no history of hepatitis, fatty liver, etc., and his liver function was normal, so he was given itraconazole dispersible tablets for oral administration. 1 week later, the patient was rechecked and the symptoms of peeling and blistering of the hands and feet subsided, and the patient continued to use the external application of sertaconazole nitrate cream as instructed by the doctor. 4 weeks later, the patient’s rechecked the symptoms of peeling and blistering of the hands and feet subsided, and the results of fungal examination were negative, and his liver function was normal after the discontinuance of the medication. After 1 week of oral plus topical antifungal medication, the symptoms of blisters and flaking of hands and feet have subsided significantly. The oral antifungal drug itraconazole dispersible tablets was stopped after 1 week, and the liver function was checked and no abnormality was seen. However, because the disease is prone to recurrence, the course of external drug treatment is generally 4 weeks, in order to consolidate the efficacy of the treatment, to reduce recurrence, it is recommended that the patient continue to apply sertaconazole nitrate cream. 3 weeks later, the patient’s hands and feet flaking, blisters, symptoms completely subsided, the results of the review of fungal microscopy was negative, the treatment process, the patient was instructed to avoid washing hands with soap and hand sanitizer. Fourth, precautions I am glad that the patient has been improved after treatment, but in daily life still need to remind patients to pay attention to some matters: 1, can not use soap hand sanitizer to wash hands, otherwise it will destroy the skin barrier function, aggravate the goose pawpaw, it is recommended to wash hands after the external application of hand cream; 2, need to bring gloves when doing housework, to protect the skin, to reduce the spread of fungi; 3, goose pawpaw treatment must be treated in accordance with the course of treatment so that to reduce recurrence; 4, goose pawpaw treatment must be treated according to the course of treatment so that to reduce recurrence. In order to reduce recurrence; 4, oral antifungal drugs may cause liver enzyme elevation, need to test liver function before and after the use of drugs, for patients with hepatitis or fatty liver should not be used; 5, Goosebumps is contagious, the patient’s clothing must be washed separately from family members, clothes, bed sheets, covers must be washed and sun-dried diligently; 6, foot fungus should be treated in a timely manner, or it may be contagious hands and triggered tinea versicolor or ringworm and so on. Five, personal feelings goose paws wind scientific name ringworm, is due to fungal infection of the hand skin keratin caused by skin problems, patients often appear 2 feet 1 hand situation, that is, 2 feet have foot fungus, 1 hand with goose paws wind. If left untreated for a long time, the symptoms of tinea cruris will appear on both feet and hands. Ringworm is contagious, not only infecting yourself but also others, and it must be treated in time so that the spread of the fungus can be minimized. The treatment of tinea cruris can choose oral and topical antifungal medications, but they need to be used consistently so as to minimize recurrence.