### Patient: Doctor, I have been experiencing foot and toe pain, along with hand and finger pain and swelling. I also noticed some abnormal skin on my hands and feet, and my feet seem swollen.
### Doctor: Based on your symptoms, it appears that you have a pyogenic skin infection. This is a type of skin infection that is caused by bacteria and can result in different symptoms, such as skin redness, pain, and swelling. In some cases, it can also cause peripheral edema or abnormal skin appearance.