Ceramide Containing Multivesicular Emulsion Application . . .

Inclusion Criteria: * \>18 years of age * non insulin-dependent diabetes * moderate to severe xerosis of both feet \[a score of at least 4 on a scale of 0 (normal) to 8 (deep fissuring)\] * capable of understanding and signing consent form Exclusion Criteria: * history of ichthyosis vulgaris * known hypersensitivity to the topical product used in the study * previous use of high potency steroids (class I and II) in past 2 week * presence of acute skin disease or infection, such as vasculitis or cellulitis * presence of foot ulcer * evidence of gangrene