In patients who have diabetes, fissures can provide portals of entry for fungal or bacterial
infection. Fissures are considered the main complication of anhydrosis and are implicated in the causal pathways tofoot ulceration in patients with diabetes and autonomic neuropathy .
At present, it is unclear how many diabetic foot ulcers are preceded by anhydrotic fissures. However, fissures affecting the foot appear to be common in patients with diabetes
The treatment of xerosis is therefore paramount and must be implemented early on