7th June 2025

David is a 2-year-old boy who presents with thickened, waxy lesions on the palms of the hands, associated with fissures and desquamation of surrounding skin.

David is a 2-year-old boy who presents with thickened, waxy lesions on the palms of the hands, associated with fissures and desquamation of surrounding skin. His mother mentions that she tried several emollients and moisturizers, however no improvement was seen. There are similar lesions in the soles of the patient’s feet. He has no allergies and is not on any regular medications. Which of the following would you recommend to start to alleviate his symptoms?

Select the SINGLE most appropriate option from the list below. Select ONE option only.