{
  "schema_version": 1,
  "kind": "condition",
  "id": "skin-texture-symptom",
  "name": "Skin texture symptom (peeling, scaling, fissuring)",
  "category": "acute",
  "sources": "No labelled dose - emollient applied liberally and as often as needed, to effect · SmPC sections 4.2 and 4.4, https://www.medicines.org.uk/emc/product/5453/smpc · Gade A, Matin T, Rubenstein R. Xeroderma. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan-. Last update October 29, 2023.",
  "review_status": "reviewed",
  "verified_against": "SmPC sections 4.2 and 4.4, https://www.medicines.org.uk/emc/product/5453/smpc",
  "verified_date": "2026-08",
  "treatments": [
    {
      "id": 1707,
      "generic": "Liquid paraffin",
      "line": 1,
      "is_adjunct": false,
      "form": "topical",
      "strength_mg": null,
      "adult_dose": "Apply to affected areas as often as required.",
      "adult_duration": "long-term continuous maintenance",
      "dose_source": "SmPC sections 4.2 and 4.4, https://www.medicines.org.uk/emc/product/5453/smpc",
      "rationale": "Emollients treat dry, scaling, or fissured skin regardless of the specific underlying dermatosis and are first-line, safe symptomatic care.",
      "cautions": [
        "Widespread scaling or fissuring with systemic illness could indicate erythroderma or a severe eczema/psoriasis flare needing urgent care.",
        "Regular, liberal emollient use is the mainstay for peeling, scaling, or fissured skin from most causes.",
        "If scaling is widespread and associated with systemic illness or redness, consider erythroderma or a severe eczema/psoriasis flare and seek urgent review rather than emollient alone.",
        "Warn about fire hazard when fabric contacts paraffin-based products."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "Apply to affected areas as often as required. Warning: fire hazard with paraffin-soaked fabrics.",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [
        {
          "trade_name": "ADCOCARE CREAM 20 GM",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "ARAB DRUG COMPANY (ADCO)",
          "price_egp": 12.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 20000.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": "glyceryl monostearate, propylene glycol, urea"
        },
        {
          "trade_name": "DERMOLAN CREAM 50 GM",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "HI-CARE > EMICO PHARMA",
          "price_egp": 19.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 50000.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": "allantoin, glycerol, glycolic acid, panthenol, salicylic acid, urea, vitamin c, zinc oxide"
        },
        {
          "trade_name": "ADCOCARE CREAM 40 GM",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "ARAB DRUG COMPANY (ADCO)",
          "price_egp": 21.75,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 40000.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": "glyceryl monostearate, propylene glycol, urea"
        },
        {
          "trade_name": "CARE MIX PLUS HAIR CREAM 50 GM",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "VITA PHARM > CARE MIX",
          "price_egp": 29.5,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 50000.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": "cetostearyl alcohol, lanolin, panthenol, wheat protein, white soft paraffin"
        },
        {
          "trade_name": "PROPOLIS CREAM 15 ML",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "LUNA FOR PERFUMES AND COSMETICS > TECHNOMED GROUP",
          "price_egp": 30.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": null,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": "cera alba, glycerin, propolis"
        },
        {
          "trade_name": "PROPOLIS CREAM 30 ML",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "LUNA FOR PERFUMES AND COSMETICS > TECHNOMED GROUP",
          "price_egp": 55.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": null,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": "cera alba, glycerin, propolis"
        },
        {
          "trade_name": "HEALTHPOINT NAPPY CREAM 100 GM",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "HEALTHPOINT LTD. > PAXTON",
          "price_egp": 70.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 100000.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": "benzyl alcohol, cetearyl alcohol, glyceryl stearate, lanolin, peg-100 s, water, zinc oxide"
        },
        {
          "trade_name": "HERCUL WHITENING CREAM 60 GM",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "LEADER FOR COSMETICS > JUNIER PHARMA",
          "price_egp": 74.75,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 60000.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": "alpha arbutin, diemthicone, glycerin, licorice ext, octyl methoxy, titanium dioxide, vit.c"
        }
      ],
      "condition_id": "skin-texture-symptom"
    }
  ]
}