Feet on both sides of the symmetrical cracked hard skin may be due to chapped eczema, scaly keratosis pilaris and other factors, can be treated with topical medications, oral medications and other ways. 1. Cracked eczema: a type of chronic eczema, occurring in the hands and feet, can be symmetrically distributed. Clinical manifestations can be localized skin thickening, cracking, flaking and other symptoms. Oral antihistamines such as loratadine and cetirizine can be used in combination with topical hormonal drugs such as flumethasone. 2. Scaly keratinized tinea pedis: it is a fungal infection of the foot skin caused by dermatophytes. Clinical manifestations for the skin diffuse thickening, flaking, and even cracking, bilateral can be involved. It can be treated with some external exfoliators such as salicylic acid and antifungal drugs such as miconazole. Symmetrical dry cracked skin on both sides of the foot symptoms, should be timely to the hospital, improve the relevant examination such as pathogenic examination to clarify the cause of the disease, under the guidance of the doctor’s symptomatic treatment, to avoid unauthorized use of medication.