juvenile palmar-plantar dermatosis

More than ugg(ly) feet

A 6-year-old girl with peeling soles is your first urgent patient of the day (fig 1). Although the peeling is not usually symptomatic, her feet become cracked, fissured, tender, and occasionally infected during the middle of the winter and summer when the eruption is at the worst. She is in the midst of her summer flare, when she can only wear her soft loose-fitting Uggs, and her mother won’t leave the office until you have the answer! What's he diagnosis?