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Severely dry cuticles and skin around toe nails plus big toe skin splitting. ?

My son is 6 and has had very dry, cracked cuticles and skin surrounding the toe nail beds. He also has one scooped toenail on his left foot and two on his right, (all smaller toes, not the big toe or pinkie toe). I have searched and searched and can't seem to find anyone with the dry cuticle and surrounding skin. I've tried putting pure vitamin E oil on his toes after every bath and before bed every night with socks for months at a time with absolutely zero change whatsoever. The scooped nails have also been there since birth and I have no idea what to do about those. He doesn't say they hurt but it isn't normal so I'm hoping it isn't a symptom of something more serious. We tried iron supplements for the scooped nails (online said iron deficiency was a common cause) but that did nothing. His big toes also split on the fronts. Not underneath where the crease is, but out in the front of his toe at the very top. The skin on his toes is very tight so it seems like maybe it's just a pressure split or something but it happens a lot and it's really deep. I never notice them bleeding, but they are several layers deep and look awfully uncomfortable. Anyway, I've exhausted google and need someone's opinion who knows what they are talking about :) My insurance deductible is stupid high for emergencies only so I'd appreciate an advice I could get before having to go in somewhere and pay out of pocket. Thank you so much! I can take some pictures if that would be helpful!

3200 day(s) ago

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