Deep, painful cracks. Skin peeling on the bottom of the feet can most commonly be caused by a fungal infection called athlete's foot, sunburn, dermatitis, or dry skin. Small painful ulcers (sores) in the mouth. Learn how we can help 126 views Reviewed >2 years ago Thank Dr. Amrita Dosanjh and another doctor agree Our specialists are nationally ranked and globally recognized for delivering the best possible care in pediatrics. Skin naturally goes through a growth cycle, which ends with the sloughing off of dead skin. Also, is this kid compromised in any way medically? Cohen said. Last medically reviewed on December 14, 2022, Several factors and conditions may cause the skin on the feet to peel. The etiology of allergic-appearing foot dermatitis: a 5-year retrospective study. One of the most common causes of peeling feet is dry skin, especially during the winter, according to Melanie Palm, M.D., board-certified dermatologist at Art of Skin MD. This is a form of eczema that causes scaling, cracking and sometimes redness and itching of the skin on the pressure-bearing areas of the feet. It can be accompanied by swelling, soreness and peeling in joints, including the fingers and toes. Deep cracks are very painful and can bleed. Also, friction blisters can be caused by ongoing rubbing or pressure due to tight or poor fitting shoes, and as these heal, the blistered skin eventually peels away. But with any kind you have, you'll probably see: Itchy, scaly red rash between your toes. Establishing accurate case definitions for childhood respiratory and skin conditions. Peeling skin on the hands or feet has also been reported, along with "COVID toes," red, sore or itchy swellings on the toes. This article will look at some potential causes and how to treat them. Any help?!? There is an acral form in which skin peeling is limited to the hands and feet. A dermatologist can determine the cause and suggest an appropriate treatment. What is the latest research on the form of cancer Jimmy Carter has? Your feet may peel due to lifestyle habits or certain exposures. Most often, cracks occur on the heels and big toes. Philadelphia: Elsevier Saunders; 2006. A Parents' Guide To Understanding Neuroblastoma In Children. Here are a few possible reasons why the skin on your feet might be peeling: 1. This provider either practices in a department or specialty that we currently do not survey, or does not have at least 10 ratings in the last 12 months. For mouth pain, use a liquid antacid (such as Mylanta or the store brand). London: Mosby; 2005. irritating soaps and detergents. Athletes foot is a fungal infection that causes peeling skin on the feet. Feet. 2002;47(5):715-721. As the temperature decreases, the skin starts losing its moisture, and becomes dry. The bottom of the feet may peel without itching for several reasons. The main symptoms of athlete's foot include:. We dont know what is wrong, but the peeling is so bad, big pieces on his feet. DR COHEN, the section editor for Dermatology: What's Your DX?, is director, Pediatric Dermatology and Cutaneous Laser Center, and associate professor of pediatrics and dermatology, Johns Hopkins University School of Medicine, Baltimore. What Causes Unpleasant Body And Underarm Odor In Young Children? The doctor has prescribed some medicated cream , lyderm fluocinonide which seems to be helping very slowly. Lindsay Tadlock began writing in 2010. Help Millions of people find the right doctor and care they need, Get immediate care and visit with providers from the comfort of your home, or anywhere, Urgent care centers can be faster and cheaper for situations that are not life threatening, Doctors and patients discuss the latest medical treatments and health tips, Search prescription drugs for why theyre used, side effects and more, Back and Neck Surgery (Except Spinal Fusion). Picking at peeling skin can lead to infection. Apart from swollen lymph nodes, eyes becoming red, skin discoloration and unwanted changes on the lips are some of the other symptoms associated with Kawasaki disease. Symptoms of Peeling of skin on feet. Learn more. Lisa Gwynn, DO, MBA. These are tiny bumps on the skin. Though SJS can be caused by an infection like Herpes or hepatitis, most often medications like antibiotics and anti-inflammatories are to blame. Read below for more information on causes and how to treat peeling feet. Do You Suffer From Cold Hands And Feet In Winter? The soles of your feet get painless blisters, which only turn out to be extra skin hanging loose. There are no relevant findings on examination of his throat apart from enlarged tonsils and mild lymphadenopathy. Peeling Skin On Your Feet: What's Causing This? . For recurring blisters, changing footwear or wearing protective socks or pads where the blisters occur may help to prevent them. When you go downwards to the feet, the skin there has its share of problems. 7,752,060 and 8,719,052. It happens at 3 to 6 weeks out. It occurs in 4% of severe cases. 216.444.5725. (n.d.). Time To Find A Cure! smoking. Not sure if you need urgent or emergency care? Due to sweating, you may also want to have your feet electrolyzed with electric currents to stop them from sweating. Acral peeling skin syndrome is a genetic skin disorder characterized by painless peeling of the top layer of skin. The main reason lies in the fact that children'sskinis more delicate and can get damaged more easily. People can relieve dry skin using exfoliators, moisturizers, and foot soaks. Applying moisturizers that specifically treat this type of skin problem, is recommended to relieve the irritation. Home Remedies to Treat Peeling Skin on Your Feet Here are some simple measures to address this problem at home: 1. If you have or suspect that you have a medical problem, promptly contact your physician or health care provider. This can happen if the skin is frequently wet. When two carriers of an autosomal recessive disease have children, there is a 25% (1 in 4 . We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. Childrens Hospital ColoradoAnschutz Medical Campus13123 East 16th AvenueAurora, CO 80045. After meals often is a good time. The tricky thing about coronavirus is that, in most children, it's like any other cold. Just started peeling off in chunks. They usually resolve on their own without treatment in 12 weeks. Interferon Side Effects: Patient Stories & Research, Surviving Suboxone Treatments and Withdrawals. Since 2012, a severe form of HFMD has occurred in much of the world. Peeling of the skin on the hands and feet, especially the tips of the fingers and toes, often in large sheets Joint pain Diarrhea Vomiting Abdominal pain Third Phase In the third phase, symptoms slowly go away. Use a moisturizing cream on the raw skin. Nor was her conjunctivitis, fever curve or rash consistent with Kawasakis. DR STEWART is a dermatologist at the National Naval Medical Center, Bethesda, Maryland. Try to avoid socks with ANY colour at all on them.Believe it or not (and I didn't! The authors and section editor have nothing to disclose regarding affiliation with, or financial interest in, any organization that may have an interest in any part of this article. It may occur after sun burning, through harmful or burning chemicals, hot objects, heat and so on. However, if the condition persists or worsens, it is important for people to consult a doctor for an accurate diagnosis and treatment plan. Small red spots and tiny water blisters on the hands and feet. In most cases, people who experience peeling feet will experience an itchy sensation as well, while pain and bleeding are also possible, especially if the person picks at the peeling skin on their feet. Strep throat is a bacterial infection that can make your child's throat feel sore and can lead to coughing. Small blisters may occur due to the itch in between the toes or just peeling on the bottom of the feet and in the between the toes. 4. You can learn more about how we ensure our content is accurate and current by reading our. A 12-year-old girl was on her fourth day of fever, conjunctivitis and rash with red marks behind her ears when she showed up in the Hopkins Childrens ED. The children should have taken the aspirin right after the disease was over to prevent any blood vessels inflamations. 1 One of Dr. Herrera's PowerPoint slides lists the pedal skin manifestations of COVID-19 as a chilblains-like lesion or as a vasculitis-like presentation on fingers and toes that can occur in children, teenagers . In babies born past their due date, it's not unusual for them to experience some painless skin peeling. It happens at 1 to 2 weeks. Kawasaki Disease: Symptoms and Treatment in Children. Psoriasis, along with eczema, is one of two of the main causes of inflammation of the feet, Dr. Zeichner says. Peeling skin may occur because of direct damage to the skin, such as from sunburn or infection. Juvenile palmar-plantar dermatosis (JPD), sometimes referred to as "sweaty sock syndrome," is a common dermatosis of infancy and childhood characterized by asymptomatic symmetrical, red, glazed, smooth appearance of the anterior surface of the soles and sometimes the palms.1 The dermatitis usually develops in the late fall or winter and involves primarily the distal aspects of the soles and toes, with sparing of the interdigital spaces.1,2 The pink, scaly patches may crack and fissure and disrupt normal epidermal skin markings.1 Although most eruptions are not symptomatic, cracking and fissuring can cause pain with movement and secondary infection occurs occasionally. Masks are required inside all of our care facilities. Parents need to know that peeling feet in children is not a serious problem and does not require medical attention in most cases. Extremely red eyes (conjunctivitis) without a thick discharge. How to prevent and treat blisters. You also have the option to opt-out of these cookies. Human Repeated Insult Patch Test- We tested this feet peeling mask and passed the HRIPT certification. To help inform you about the latest coronavirus (COVID-19) updates, experts from Children's Colorado have gathered information from local and national health authorities. 3. Children with such a severe rash may need to be seen. Now, a new report explains another strange coronavirus symptom that can appear with Long COVID: Some people have experienced skin peeling off their hands and a strange purple discoloration in. Since hydrating the body and eating well alone cannot get rid of peeling feet and toes, you may have to use baby powder or talcum powder to reduce the moisture in your feet. Why? People who take medications for high blood pressure are prone to suffer from dry skin, and while that is unlikely to play a factor in peeling feet in children, if your child takes any medication, you could ask their doctor about it. A doctor may prescribe topical ointments or oral medications. As the sweat gets trapped and does not evaporate, the feet remain persistently wet, which causes the skin to peel. Another common cause of skin peeling is Athlete's foot, a fungal infection that develops in moist areas -- most commonly between the toes, but sometimes on other parts of the foot 1. Occasionally, peeling also occurs on the arms and legs. We'll assume you're ok with this, but you can opt-out if you wish. Firstly, the peeling of hands and feet in newborns is a physiological phenomenon as long as it does not affect the child's sleep and diet. To help with healing, a person can consider: Sunburn can occur on the bottom of the feet if someone lies on their front in the sun, particularly if they forget to apply sunscreen to the soles. Body aches. Dehydration suspected. hot water. Your children have had Kawasaki disease (mine had it a couple of years ago and it was a big, big scare). If your job requires wearing dress shoes all the time, ensure you have strewn powder in your in between your toes and in your shoes as well. Swollen lymph nodes. Also, small blisters or red spots on the buttocks (30%), Mainly occurs in children age 6 months to 4 years, Coxsackie A-16 virus and other enteroviruses. Treatment should include the use of cotton socks, avoidance of occlusive footwear, frequent sock changes, and footwear rotation.1-3 Liberal use of emollients, and occasionally topical steroids when there is a superimposed contact irritant component, may result in rapid improvement. In children the same causes of excessive sweating may cause the peeling feet in children especially if the they are overdressed or walk or hike for long hours since children are always up and about. Red, dry, cracked lips and an extremely red, swollen tongue (often called strawberry tongue) Swollen, red skin on the palms of the hands and the soles of feet. The cause of peeling cuticles may involve anything to do with environmental elements including wind, heat, excessive humidity or allergens and irritants. This can is treatable at home with the various home remedies for peeling feet. A 6-year-old girl has peeling soles on her feet. Were here to deliver safe, thoughtful, high-quality care for kids who need it. The mother of a 4-year-old boy, whose family recently emigrated from Haiti, brings him to the pediatric mobile clinic for evaluation of a rash that had begun 11 days earlier as an eruption of vesicular, pruritic papules on the bilateral lower . When this condition comes with symptoms other than peeling, skin can become: 6 Itchy Red Frail Blistered I know surgeons are aching to come in and debride such wounds, but when you have a necrosis of the epidermis thats intact at the edges, that intact skin is the best possible wound care dressing you can ever have. The skin is the largest organ in the body and is therefore plagued with hundreds of skin problems. As a precautionary measure to prevent the peeling process from spreading to other areas of the skin, one should avoid scratching or rubbing as it can lead to the formation of scars. Small, red . If feet spend too much time in damp, sweaty socks or shoes, this infection can develop. Though SJS can be caused by an infection like Herpes or hepatitis, most often medications like antibiotics and anti-inflammatories are to blame. You think your child needs to be seen, and the problem is urgent, Rash spreads to the arms and legs (severe form of HFMD), You think your child needs to be seen, but the problem is not urgent, Hand-foot-mouth disease and no other problems. To help with the pain, give an acetaminophen product (such as Tylenol). A person with peeling feet can easily remove portions of peelingskin, which can in time lead to the loss of epidermis, which is the top layer of the skin. But opting out of some of these cookies may have an effect on your browsing experience. The peeling is usually a one time thing, and stops after the top layer of skin cells is shed. Symptoms of sunburn include: Treatment for mild sunburn includes avoiding the sun, staying hydrated, and cooling the skin. Parents can use lotions in order to ease the irritation, but if the peeling skin persists, seeking medical attention is recommended. THERE IS ALSO A DISEASE CALLED KAWASAKI DISEASE THAT CAN CAUSE THIS. Please help me, thick, dry, scaly skin on hands and feet - eczema remedies? Unlike JPD, allergic contact dermatitis of the feet tends to involve the dorsum of the feet and often arises because of allergy to rubber components, chromates, or adhesives.1,3,4 Juvenile palmar-plantar dermatosis can be distinguished from tinea pedis by a negative potassium hydroxide scraping and culture. If you are not dealing with cracked heels, then definitely there must be something else like bottom of feet peeling. For the best access to both feet, use your knee to rest the foot you're using the foot file on, and then switch feet. Blisters also may be painful, especially on the feet. Skin peeling can also occur due to certain skin conditions. However, most often, it's a mild and harmless illness. Cracks on feet that make it hard to walk You think your child needs to be seen, but the problem is not urgent Contact Doctor During Office Hours Cracks from thumb-sucking or finger-sucking Peeling skin and cause is not clear After 2 weeks of treatment, cracked lips are not healed After 2 weeks of treatment, cracked skin is not healed This website uses cookies to improve your experience while you navigate through the website. Although the peeling is not usually symptomatic, her feet become cracked, fissured, tender, and occasionally infected during the middle of the winter and summer. The content on Healthgrades does not provide medical advice. The skin under what is peeling is red on the palms of his hands and the skin on the feet almost feels like plastic. It may also be a sign of an immune system disorder or other disease. " If left. It is mandatory to procure user consent prior to running these cookies on your website. Some fingernails and toenails may fall off. Cold Hands And Feet: The Sign Of Iron Deficiency? Only your physician can provide relevant diagnosis, prescribe medications and/or put you on adequate therapies. A person may be able to treat some of these conditions with home or OTC remedies. Peeling skin is unintended damage to and loss of the upper layer of your skin (epidermis). (n.d.). Most children with HFMD have these, but they can be hard to see. You have now noticed peeling skin on your daughters hands and feet. However, it can also affect any other portion on the foot. Bleeding or weeping skin. Excessive handwashing may result in fingertip peeling. Plantar fasciitis surgery is a procedure that detaches the fascia from the heel bone. Peeling Feet in Children- Why Peeling Feet Occurs in Children As I mentioned earlier peeling feet occurs in men and women, young and old alike. So what was it? Some people (children and adults) suffer peeling skin on their hands and feet with strep throat. They quickly dry over. Sometimes prescription medications are needed. This is what hand-foot-and-mouth disease looks like on the tongue. Necessary cookies are absolutely essential for the website to function properly. Note: Fevers less than 102 F (39 C) are important for fighting infections. Dry skin is probably the most common cause of peeling skin in children. Moreover, tinea pedis tends to involve the web spaces of the feet, particularly the fourth web space, followed by the instep.1 Psoriatic plaques are usually thicker than the scaling seen in JPD, and most patients with psoriasis will demonstrate lesions on the elbows, knees, scalp, and/or sacrum. took him to ped and he tested for scarlet fever (strep with a rash) but it was negative. Acral peeling skin syndrome is a skin disorder characterized by painless peeling of the top layer of skin. Blisters cause soreness and pain. Peeling skin. Any thoughts? Seen on the palms, fingers, soles and toes. J Foot Ankle Res. Symptoms of Hand-Foot-and-Mouth Disease (HFMD). In most cases, a child will experience an itching sensation and the skin will appear dull and flaky. If your childs feet are peeling, the cause is usually treatable and not serious. His first complaint was his itching thumb and forefinger which developed a rash that spread all over his hands, his chest, trunk and back. It looks bad but is harmless. She diagnosed a form of exema called jevenille plantosis ( not sure of spelling) She prescribed EPADERM which you can buy over the counter.It was remarkable and disappeared in a week or so.We use when his skin flares up .Hope this helps. 2. In this article, we. We see more, treat more and heal more children than any hospital in our seven-state region. A 16-year-old boy with developmental delay and intellectual disability developed dramatic chronic wrinkling of his scalp over a year ago. This article explores some reasons why feet can peel without itching and their treatments. For example, for dry skin, this may include: If a person has athletes foot, they can try: If a person does not know if the cause of their peeling foot skin is contagious, they should protect other household members by wearing socks or indoor shoes and not sharing towels or footwear. Blisters and sores on the skin and on mucus membranes of the mouth, throat, eyes, genitals and anus. if anyone has any ideas, please share. However, the development of symptoms is not limited to birth and early childhood. 1 INTRODUCTION. The skin appears dull and flaky and many times triggers an unbearable itching sensation. Make sure to wash hands often to prevent the spread of the disease. (and I refused to believe my husband and made him wear black socks on our wedding day. You can wash them like normal skin. Find more COVID-19 testing locations on Maryland.gov. Written by: Sushmita Sharma Updated at: Feb 25, 2023 12:30 IST SHARE Facebook . MNT is the registered trade mark of Healthline Media. The main reason why that is so, is because most people suffer from peeling skin due to certain factors, like too much sweating. Medications Copyright 2000-2023. Dermatological investigations and tests. Burning sensation. Privacy Policy|Advertising Policy|Privacy Preferences Center|Do Not Sell My Personal Information. Treatments vary based on the cause without knowing the underlying reason, treatments and remedies may not work. There appeared to be no clues in her family history of colon cancer, diabetes and hypertension. View the Happy Feet two trailer. There are sores or blisters on the tongue. When Should My Child See a Doctor? A person may have dry and peeling skin, athletes foot, blisters, or peeling due to hyperhidrosis, which causes excessive sweating. 5 most common causes Athlete's Foot Sunburn Hypothyroidism Eczema Contact Dermatitis Foot peeling quiz As I mentioned earlier peeling feet occurs in men and women, young and old alike. The rash on the hands and feet may then peel. Differential diagnoses Soaking your feet in warm water might help get rid of the peeling skin, as it can help loosen the dead and damaged skin, making it easier to scrub away. Non liquid blistering on finger tips and big toes making them to peel, I have dry and ugly feet with thick heels, Palm hands peeling that go white and clammy, thick layer of skin peeling from fingers and toes. Dr says to watch it. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Our site includes quite a bit of content, so if you're having an issue finding what you're looking for, go on ahead and use that search feature there! Trim them if they catch on things. Mumble that the penguin has a problem: his son Erik, who's loath to dance, experiences The Mighty Sven, a penguin who will fly! Schmitt Pediatric Guidelines LLC. Here is some care advice that should help. Drink enough fluids to prevent dehydration. Peeling skin isn't always serious, but it can be. On the feet, they can occur due to tight or uncomfortable shoes that rub the skin when walking. Sometimes, peeling is the only symptom, but the feet may also itch or develop yellow patches.. Frequent handwashing. Caution: Do not use regular mouth washes, because they sting. The winter chills that make the skin dehydrated can cause the epidermis to peel off to a certain extent. . It often causes peeling in the following areas: People can also have cracks or fissures in the skin and, sometimes, pompholyx. Not a lot of people know that peeling skin can be a sign of an underlyingskin condition. A doctor may be able to diagnose the cause of peeling feet via a physical examination. Copyright 2023 Healthgrades Marketplace, LLC, Patent US Nos. 3. If your child was recently treated for hand, foot, and mouth disease, the blisters will sometimes look like peeling skin as they've healed, Thompson adds. Contemporary Pediatrics Resident Writer Program, Food Insecurity and the Dangers of Infant Formula Dilution, Getting into the Roots of Childhood Atopic Dermatitis, Opt-Out Chlamydia Screening in Adolescent Care, The Role of the Healthcare Provider Community in Increasing Public Awareness of RSV in All Infants, | Obstetrics-Gynecology & Women's Health. 2004-2023 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. She has worked as a personal trainer for over three years and shares her fitness and nutrition knowledge in her writings. Common pediatric foot dermatoses. Some factors that may exacerbate dry skin include: cold weather. Age 1 to 6 years. Peeling skin can also be a symptom of veiled health condition that we can't diagnose at home. "If a child's feet are peeling, the cause is usually not serious. Scalp thickening and folding in a pubertal boy. 4 Once the microbiologic test for SARS-CoV-2 became widely available . Treatment involves the application of over-the-counter antifungal cream, and keeping the feet dry. Dry skin is probably the most common cause of peeling skin in children. I'm a little weared because I read about John Travolta's son Jett he had a disorder call Kawasaki disease is this what my son has. The cold water method works well when the cause of the peeling feet is sunburn as it can relieve some the associated symptoms as well. Skin dryness or damage, athletes foot, or skin conditions such as eczema or psoriasis are the most common causes of this symptom, which may be associated with redness, itching, pain or oozing. Arcutis submits roflumilast cream for treating plaque psoriasis in patients aged 2 to 11 years. The main cause is wearing wet or sweaty socks or swimming a lot. Drooling (because closing the mouth is painful). Therefore, if you are a new mother, it is important to keep checking the skin changes on your bundle of joys feet. Help me decide. This website uses cookies to improve your experience. Cohen BA. J Am Acad Dermatol. J Pediatr Health Care. Dry skin is a common condition that occurs when the skin does not have enough moisture. cant be athletes foot because DR said it wouldnt go to the hands. If untreated, strep throat might cause rheumatic fever, a serious condition. Therefore, if the skin on the feet peels without itchiness, it could still be due to this fungal infection. All Rights Reserved by SteadyHealth.com 2022, Plastic, Cosmetic and Reconstructive Surgery, Small blisters, peeling skin and cracking skin on hands and feet, Non liquid blistering on finger tips and big toes making them to peel, Kawasaki Disease: Symptoms and Treatment in Children, What Cold Hands And Feet Could Be Telling You About Your Health. Peeling feet in children and adults points towards an underlying skin problem but can also be due to external factors like over exposure to the sun. Conditions include athlete's foot, Dry, scaly, or cracked skin on the feet is common. While this peeling is usually painless, it's often continuous. While there may be a tendency to treat such full-thickness wounds as burn injuries, Cohen warns against it, stressing that peeling skin is healing skin. Antibiotics may be necessary for secondary infection.1 In some children, the condition may improve during the summer with the use of open footwear, and it often disappears in adolescence.3. This is a bacterial skin infection in which the epidermis shows the formation of blisters. Any cookies that may not be particularly necessary for the website to function and is used specifically to collect user personal data via analytics, ads, other embedded contents are termed as non-necessary cookies. Try to get your child to drink adequate fluids. Information provided on this site is intended for informational and educational purposes only. This category only includes cookies that ensures basic functionalities and security features of the website. My 8 year old son is experiencing the same thing after being sick with a very high fever followed by a skin rash. We hope you are enjoying HealthHearty! Make sure to wash hands often to prevent the spread of the disease. It's a possibility I guess.It certainly happens here. It is caused by a virus called Coxsackie. He recently had scarlett fever and from what I have read on other sites, having strep can cause this. Disclaimer: The information provided in this article is solely for educating the reader. Now 3 weeks later, the skin on the palms of his hands are sloughing off. People on high blood pressure medications often complain about dryness in skin, which may cause the topmost layer of the skin to peel off. But, interestingly, the child had been treated with antibiotics for a urinary tract infection diagnosed by her pediatrician three weeks later. Children under the age of five are usually hit by this disease. I feel it is the aftermath of the high fever or perhaps some viral skin infection. This is not listed as a common problem with hand foot and mouth but you could be right. Irritants include everything from ill-fitting footwear, physical activity, chemicals in soaps, detergents, and acids. Feet can peel with no itching or at times, you may experience itchiness. The fluid is contagious to other people. This book describes Mucocutaneous Lymph Node Syndrome (Kawasaki Disease), Diagnosis and Treatment and Related Diseases Mucocutaneous lymph node syndrome is a childhood disease The disease occur in children of all ages It typically cause fever and lymph node swellings Mostly it causes the skin to start peeling. This condition is characterized by inflammation, and thick red, white or silvery patches of skin which flake. What Should You Know About The 2 Types Of Osteoporosis That Can Affect Children? Home Layout 3NewsTechnology All CodingHosting Create Device Mockups Browser with DeviceMock Creating Local Server From Public Address Professional Gaming Can Build Career CSS Properties You Should Know The Psychology Price. What Causes Peeling Of The Skin In Children? Environment: Hot, cold, wind, sun, humidity, and dryness can all cause .
