(Disclaimer: This article is intended for general scientific purposes only. In order to protect the patient’s privacy, the relevant information in the following content has been processed) Abstract: The patient in this article came to the clinic because of flaky and itchy hands, and said that he was treated in a clinic near his home at an early stage, but the effect was not good, and the condition was always recurring. After examination, the patient was found to have hyperkeratotic tinea cruris, or “goose paw”. The patient was given standardized treatment through external medication and oral medication, and the patient’s condition was under control after 4 weeks, with the skin of his hands basically returning to normal and itching and other uncomfortable symptoms disappearing. 【Basic information】 Male, 36 years old 【Disease type】 Goosebumps 【Hospital visit】 Zhongnan Hospital of Wuhan University 【Time of visit】 April 2019 【Treatment plan】 Topical medication (salicylic acid ointment, miconazole nitrate cream) + oral medication (itraconazole capsules) 【Treatment cycle】 4 weeks of medication 【Treatment effect】 Skin of the hand basically returned to normal, itching and other discomfort disappeared A. Initial consultation The patient is a 36-year-old male who came to our hospital because his hands were always peeling and itching. When we first met the patient, we found that he was anxious and irritable, and kept rubbing his hands. The patient said that his hands were always peeling with itching, and he used the ointment prescribed by the clinic near his home to apply the ointment every time he was itching, which had some effect at that time, but the situation was always recurring and did not get cured. Recently, the patient realized that the itching symptoms on his hands had worsened, so he was persuaded by his family to come to the hospital. After communicating with the patient, firstly, the patient’s anxiety was pacified, and after the patient’s mood improved a little, the patient observed the skin of the lesions on both hands in detail, and found that the skin in this area was obvious roughness, thickening of keratin, flaking, and dryness, and a small amount of the lesions was taken for fungal microscopy, and found that there was red Trichophyton rubrum at the lesion site, which was then combined with the clinical manifestations, and the patient was preliminarily diagnosed as hyperkeratotic tinea cruris, which is commonly known as “goose paw winds. The initial diagnosis was hyperkeratotic tinea cruris, commonly known as “goose paws”. Treatment After the initial diagnosis, the patient was told that the condition of the hand was in fact a fungal infection, which could be cured with standardized treatment. The patient’s mood was much more stable than before, and the next step of medication treatment was carried out. Since the patient had hyperkeratosis tinea versicolor and the lesions were already thickened, flaky and dry, it was decided to apply salicylic acid ointment to the lesions first, and then apply miconazole nitrate cream after the cuticle was thinned out, along with itraconazole capsules for antifungal treatment. The initial treatment cycle for the patient was 2 weeks, and the patient was asked to go to the outpatient clinic again for review after 2 weeks of medication. 2 weeks later, the patient came to the clinic for review, and the lesions recovered well, and did not appear to have any adverse reaction to the medication, so the patient continued to be given medication for 2 weeks, and the condition was under control, and the skin of the hand was basically back to normal, with the disappearance of itchiness, peeling and other symptoms, and did not appear to be repeated again. The patient’s adherence to the treatment was high, and the medication was applied at home in strict accordance with the doctor’s instructions. 2 weeks after the treatment, the patient came for a review and found that the skin lesions on the hands had shrunk, and the patient reported that the itching symptoms had improved, and the mood of irritability had also improved. In addition, the patient did not experience any discomfort after taking the antifungal drug itraconazole capsule, and his blood, urine, liver and kidney functions were good, indicating that the patient did not experience any side effects of the drug. The patient was instructed to continue to use the drug, and came back for review after 2 weeks, at which time the skin of the patient’s hands was found to be basically back to normal, with no flaking or thickening of keratin, and the results of the routine examination were normal, indicating that the patient had already reached the standard of cure. After informing the patient of the results of the review, the patient was told to pay attention to the hygiene condition in daily life, and to consult the doctor in time after the emergence of discomfort, and the patient was very happy and went home happily. Note: I am glad that after a series of medication, the skin of the patient’s hands basically returned to normal and reached the cure standard. However, because the disease often recurs, so patients also need to pay attention to the following: 1, patients should pay attention to personal hygiene in daily life, keep hands dry and clean, do not share shoes and socks, bath tubs, foot tubs and other daily necessities; 2, daily life should be avoided to avoid irritating substances on the hand skin damage, if it must be contacted, the need to do a good job in advance to protect, including gloves, etc.; 3, because the disease is often prone to recurrence, so if there are symptoms of discomfort, the patient was very happy to go home. 3, because the disease is often prone to recurrence, so if there are uncomfortable symptoms, should come to the hospital in time, again for treatment. Fifth, personal feelings ringworm that goose paws, the disease is caused by fungal infection, the key to treatment is to adhere to the use of drugs, mainly external drugs, when the condition is more serious before the use of systemic drugs. Because of the itchiness of the lesions, it is easy for patients to produce psychological and emotional changes, manifested as anxiety, irritability, etc., which seriously affects the normal life, therefore, when the symptoms similar to goose paws, it should be timely to regular hospitals, and early and thorough treatment, to avoid discomfort in the irregular clinic treatment, which is prone to delay the condition, but also prone to cause the disease of the Repeated attacks. The patient in this article, it is because the disease is not taken seriously in the early stage, when the lesions itch unbearably, seriously affecting the normal life to consult the doctor, but fortunately, the patient’s compliance with the treatment is high, so the condition can eventually be controlled.