Skin Glossary · Appearance of the skin

Fissure

Related terms · skin cracking · severely cracked skin

A fissure is a state where the skin is cracked, creating a gap, which can cause pain and bleeding on the hands, feet, or folded areas.

Reviewed by Korean Medicine Doctor Choi Yeon-seung · Last updated 2026-08-25
Key Points

Cracks: Please check these three things first

  • Skin cracks occur when dry or thickened skin splits; they commonly appear in areas that move repeatedly, such as the fingers, heels, and corners of the mouth.
  • It is easier to distinguish between simple dryness and inflammatory skin diseases by observing the depth, bleeding, and pain, as well as exposure to water, cleansers, and friction.
  • Do not wait and rely solely on self-moisturizing if you experience redness, heat, pus, or rapid spreading, or if there are deep wounds on the feet of a patient with diabetes.
01

What are skin cracks?

This is a condition where dry or thickened skin splits deeply like a line. Cracks are gaps formed by the skin splitting, which can cause pain and bleeding on the hands, feet, and in skin folds.

02

How is it different from similar conditions?

They are deeper than fine dryness lines on the surface and may be accompanied by pain or bleeding.

03

Why is this important in skin care?

In cases of hand eczema, pompholyx (dyshidrotic eczema), psoriasis, and severe dryness, these are significant changes that can interfere with function.

04

What should be checked based on my symptoms?

If redness, pus, and heat increase within the crack, check for a secondary infection.

Context

Identify the location of the cracks and any repeated irritants

Note any repeated irritants that occurred before the cracking, such as hand washing, dishwashing, disinfectants, gloves, long walks, or friction from shoes. It is also helpful to consider whether the skin was initially dry, if it cracked after scratching due to itching, if it recurs in the same spot, and if there are seasonal changes.

Context

When should I seek medical evaluation instead of just moisturizing?

For shallow, dry cracks, management focused on reducing irritation and providing moisturizing and protection can be helpful. If pain and bleeding persist, or if the surrounding area becomes red and hot, it is necessary to identify the cause, such as eczema, psoriasis, or infection, and determine the required topical treatment and wound care.

Frequently Asked Questions

Frequently Asked Questions about skin cracks

Is it enough to just apply moisturizer to cracked skin?

While it may help with shallow dry cracks, treatment for the underlying cause is necessary if there are changes suggesting deep pain, bleeding, oozing, or infection. Irritating substances and currently used topical agents should also be reviewed.

Can I trim away the cracked dead skin?

Tearing or cutting the skin without confirming the depth and boundaries can increase the risk of bleeding and infection. Protect the area gently, and if the condition recurs, seek medical evaluation to identify the cause.

Related conditions and medical guidance

Check guides where this term is used

Condition GuidanceHand eczemaHand eczema is a type of dermatitis characterized by recurring dryness, redness, flaking, stinging, and deep cracks on the back of the hands, fingers, and palms. Exposure to water, detergents, disinfectants, gloves, occupational hazards, or a history of atopy may be contributing factors. It must be distinguished from pompholyx (characterized by deep, small blisters on the sides of the fingers), tinea manuum (characterized by fine flaking on one hand accompanied by athlete's foot), and contact dermatitis (occurring at the boundary where a specific substance touched the skin).Condition GuidanceDyshidrosisDyshidrosis is a type of eczema characterized by small, deep blisters appearing in clusters mainly on the palms, sides of the fingers, soles, and toes, accompanied by intense itching or a burning sensation. Itching or tingling may start before the blisters appear, and as the blisters dry over 3 to 4 weeks, the skin may peel, become dry, and develop deep cracks. However, not all blisters on the hands and feet are dyshidrosis. If they appear for the first time, are distinct on only one side, or spread to other areas, they must be differentiated from contact dermatitis, athlete's foot, or infections at a dermatology clinic. If there are yellow crusts, pus, rapidly spreading redness, heat, pain, or fever, prompt medical evaluation is a priority over self-care.Condition GuidancePalmoplantar and Nail PsoriasisPalmoplantar psoriasis appears as well-defined thick plaques and cracks in pressure areas of the palms and soles, while nail psoriasis may present as small pits, yellowish-brown oil-drop discoloration, lifting, or crumbling. These should be distinguished from the deep blisters of pompholyx, tinea (fungal infection) of one hand or foot, and nail fungus. Additionally, check for joint pain, swelling, and morning stiffness in the fingers and toes.Medical Evaluation GuidePrepare for your visit with skin photos, symptoms, and medications usedRather than a single photo, please prepare a chronological record of the date the symptoms first appeared, the timing of when they disappear and reappear, itching and pain, and the medications used and your reactions to them. It is helpful for the medical evaluation to take photos of the same area from the same distance during both normal states and when symptoms are most severe.
Evidence and Update Information

The definitions and safety standards in the materials below were referenced.

  1. NCBI Clinical Methods: Principles of Skin Lesion ObservationClinical terms describing the shape, arrangement, and distribution of lesions have been verified.
Summary and review information for this page

Reviewing Medical Staff

Choi Yeon-seung, Doctor of Korean MedicineChief Director · Editor of Korean Medicine Atlas · BRC Researcher

Page Summary

A fissure is a state where the skin is cracked, creating a gap, which can cause pain and bleeding on the hands, feet, or folded areas.

What this page covers

What is explained
Cracks are gaps formed by the skin splitting, which can cause pain and bleeding on the hands, feet, and in skin folds. What should be checked first?
What situations are covered
Cracks are gaps formed by the skin splitting, which can cause pain and bleeding on the hands, feet, and in skin folds.
What distinctions are made
Difference from similar terms: They are deeper than fine dryness lines on the surface and may be accompanied by pain or bleeding.
How should this be understood
Fissures occur when the skin cracks and gaps form, which can cause pain and bleeding on the hands, feet, and in skin folds.

Key Points

  • Definition of fissures: A state where dry or thickened skin is deeply cracked like a line.
  • Difference from similar terms: They are deeper than fine dry lines on the surface and may be accompanied by pain or bleeding.
  • Reason for checking during medical evaluation: They are significant changes that interfere with function in cases of hand eczema, pompholyx, psoriasis, and severe dryness.

References cited on this page

Skin Terminology Glossary

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