Pitted keratolysis is a skin disorder that infects the stratum corneum of the plantar surface which is caused by Gram-positive bacteria. There is often associated headache, fever, generalized aches, and malaise. Patient with pitted keratolysis may report malodor, hyperhidrosis, sliminess, and, occasionally, soreness or itching associated with the pits [ 31] ; however, the pits normally are asymptomatic.. right and good speakers. They should try to use cotton socks, and change them at midday. Pregnancy-related If scaling is present a potassium hydroxide ((KOH) examination should be done to determine if there is a co-existing dermatophyte infection. Because of that, people may deal with social repercussions or self-esteem issues before getting it treated. What are the side effects of the treatment? Can pitted Keratolysis go away by itself? Few cases have been reported in the elderly 20). Ultrastructure of pitted keratolysis. This article discusses the symptoms, causes, and treatment options for pitted keratolysis. Oral therapy is almost never needed. 884-90. Pustules (small pus-filled lesions) / boils vol. Isolation of Dermatophilus congolensis from two New Zealand cases of pitted keratolysis. In some cases, other areas of the body, such as the groin, may be examined to determine if other bacterial conditions are present alongside pitted keratolysis. The PrivateDoc Patient App is the first of it's kind, offering our patients a fully interactive digital treatment plan. Many people with the infection do not experience any symptoms. Reviews risk factors, etiology, pathophysiology, and therapeutic options. Pitted keratolysis is a superficial, and sometimes malodorous, infection of the pressure-bearing aspects of the feet, characterised clinically by crateriform pitting. It is an acquired, chronic, superficial bacterial infection . This can be accomplished with a hair dryer on low heat. Woods light examination may or may not show a coral red fluorescence. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4212664/. Nail psoriasis causes your nail plate to lose cells. Kytococcus sedentarius, the organism associated with pitted keratolysis, produces two keratin-degrading enzymes. Who is at Risk for Developing this Disease? Plantar pitted keratolysis: a study from non-risk groups. Almost all lesions were seen on the pressure-bearing skin of the sole. Pitted keratolysis. If you have stinky feet along with deep pits, you may need the gel as well as another antibiotic.. This can help them find out what kind of bacteria is causing your pitted keratolysis.. However, it is advisable to maintain good personal hygiene. Topical antibiotics are effective, easy to use and accepted by patients. Characteristic findings include white, hyperkeratotic areas studded with multiple, 2-4 mm, pitted or erosive lesions on the soles, particularly over pressure-bearing sites (Fig. Dermatol Ther. Lockwood LL, Gehrke S, Navarini AA. 698-701. As this condition is caused by bacteria, it should come as no surprise that it is often present in military personnel or people who wear tight or restrictive footwear for extensive periods of time. Topical antibiotics are the first line of medical treatment22). The British Association of Dermatologists has released its latest position state General Dermatology Diagnostic Tool A potassium hydroxide examination of the lesions can exclude tinea pedis 8). Corynebacterium species have been implicated as the causative agents in pitted keratolysis. Topical benzoyl peroxide is an over-the-counter drug and is known as off-label medication for pitted keratolysis. Int J Dermatol 2008;47:88490. Pictures and symptoms of the red, scaly rash. Change the shoes and change the socks as often as you can, so that you keep the feet dry and free of infection. Charity No. The treatments consist either of topical or oral antibiotics. However, it is recommended that you maintain a good bodily hygiene and you do not share objects of hygiene (towels included) with other people, as you might get a secondary infection from another person. "Extremely helpful to have memory stick with notes of talks Dermatology Reports. Notice and credit must be given to the PCDS or other named contributors. This combination regimen is highly effective. prolonged occlusion, hyperhidrosis, increased skin surface pH), these bacteria proliferate and produce proteinases that destroy the stratum corneum, creating pits. Eyelids A variant of pitted keratolysis presents with diffuse red areas on the soles. Pitted keratolysis is caused by different species of bacteria. Men outnumber women in some series by 7 to 1. vol. Moisture and inappropriate hygiene may be the predisposing factors in such patients. Major type (classical type): Bacteria appear to be dimorphic in nature. It can rarely occur on the palms. Pitted keratolysis has an excellent prognosis; effective treatment clears both the lesion and the odor in 3-4 weeks. As for oral antibiotics, erythromycin is the most recommended. Pityriasis versicolor 24. Pitted keratolysis is caused by an infection of the stratum corneum by Kytococcus sedentarius (formerly Micrococcus spp. What causes it? The diagnosis is clinical. Pain / tenderness (sore to touch) (Transmission and scanning electron microscopy were used to evaluate a biopsy specimen of pitted keratolysis. Dermoscopy of pitted keratolysis. (Review of 53 patients with pitted keratolysis. Is pitted keratolysis serious? 2000. pp. Takedown request . vol. It has both aerobic and anaerobic antibacterial properties due to . Protection Policy, The Leading Dermatological Society for GPs, A superficial infection of the skin caused by a species of, The pitting is due to destruction of the stratum corneum by protease enzymes produced by the bacteria, and the malodour isdue to sulphur compounds released by the bacteria, Pitted keratolysis appears to be more common in, The palms of the hand have been reported, rarely, to be involved in some patients with pitted keratolysis of the feet. eMedicine J 2003;11:1-7. 22. The number . London. Nose The pits themselves are usually asymptomatic but may cause soreness or itching when walking. J Invest Dermatol 1986;87:159. 3. If you have pitted keratolysis, your doctor will see many pits with well-marked walls. While it's most commonly found in males, pitted keratolysis can affect people of any age, race, or sex. ), (Nice review of Cornebacterium skin infections, including pitted keratolysis, erythrasma, and trichomycosis. The incidence is likely under-reported as the disease is easily diagnosed and treated. Being a bacterial infection, it can be treated with antibiotics and antiseptics. All named individuals and organisations maintain copyright for the relevant images. He cleared totally in 8 weeks. DIAGNOSTIC TABLE, Rash arises periodically lasting days-weeks, Macules (small flat lesions) / papules (small raised lesions), Patches / plaques (larger flat or flat-topped lesions), Pustules (small pus-filled lesions) / boils, Bullae (blisters) / vesicles (tiny blisters), Ulceration / necrosis (black non-viable skin), Skin Lesion Diagnostic Tool - how to While it's most commonly found in males, pitted keratolysis can affect people of any age, race, or sex. training in dermatology. There is a variant of pitted keratolysis where there are more diffuse red areas on the soles. 2017;56(11):1154-1160. doi:10.1111/ijd.13744, Pranteda G, Carlesimo M, Pranteda G, et al. Yes. The longest follow-up was 10 months in one of the patients. Genitalia, Diagnosis based on morphology White / pale areas Sometimes, bacterial colonies can also be seen through the dermatoscope. ), de Almeida, HL, de castro, LAS, Rocha, NEM. Arch Dermatol 1987;123:1320-5. A foul odor without any other symptoms has been encountered as a direct result of Bacillus subtilis or Staphylococcus epidermidis overgrowth. What causes them, and what you can do about them. Blaise G, Nikkels AF, Hermanns-L T, et al. Under appropriate conditions (i.e. Can you get pitted keratolysis somewhere other than the feet? Dressings. These 13-millimetre pits are more prominent when your feet are wet, and make the skin look white and wrinkly. Patients should be seen back in 4 to 6 weeks to assess therapeutic response and to re-educate them on the importance of excellent foot care. Associated plantar and palmar hyperhidrosis is seen in approximately 2/3 of cases. Dilansir WebMD, kondisi ini biasanya memengaruhi bagian telapak kaki, tetapi dapat juga terjadi pada telapak tangan. Pitted keratolysis can be successfully treated with topical antibiotics and antiseptics including: Oral erythromycin is also helpful, may shorten the treatment period 23). The pitted keratolysis is secondary to the hyperhidrosis. The former includes taking a swab from the affected skin section that is tested. (Single case report of a soldier with pitted keratolysis and tinea pedis. The videos used in this section have kindly been produced by a Associated with medical conditions This results in small pits forming on your fingernails or toenails, which may look like your nails were hit with the tip of a pen. Benzoyl Peroxide gel might be prescribed as an antiseptic. Theoretically, both males and females should be affected; however, most written case reports or studies have involved male patients 18). Table I. Optimal Therapeutic Approach for this Disease Other Corynebacterium are also felt to play a minor etiological role in the pathogenesis of pitted keratolysis; the role of Streptomyces species has yet to be fully defined. Rash arises periodically lasting days-weeks Are immunocompromised due to chemotherapy or other reasons. Pitted keratolysis, erythromycin, and hyperhidrosis. The treatment for pitted keratolysis depends entirely on the severity of the infection. ), Vazquez-Lopez, F, Perez-Oliva, N. Mupirocin ointment for symptomatic pitted keratolysis. National Library of Medicine (US). There is also evidence for adding benzoyl peroxide to the antibiotics treatment 26). In majority of cases, the causative organism is Corynebacteria. The etiology of the malodor associated with pitted keratolysis. If you notice any odd symptoms, such as pits in the feet or a strong and foul foot odor, visit your healthcare provider. If you have an underlying skin condition such as excessive sweating also known as Hyperhidrosis, your dermatologist might add other drugs to deal with that too. Results in a whitish skin surface with clusters of multiple, fine punched-out pits. The odour linked to pitted keratolysis is due to the production of sulphur compounds. Corynebacterium-associated skin infections. Itch (pruritus) 18. Pitted keratolysis, erythromycin, and hyperhidrosis. Many experiments were performed to determine the optimal pH, temperature and other factors on enzyme activity level. Treatment will depend on the severity of your pitted keratolysis. Intertrigo (inflammation in body fold 17. The physician should assess for hyperhidrosis. Boils and folliculitis (including hid 11. 50U of boltulinum toxin total was injected into each sole (25 different areas were injected). J Applied Microbiology. It is one of the causes of smelly feet. It usually affects the soles of your feet, but it can also happen to the palms of your hands. step-by-step treatment advice. GP Leeds, "I think it was one of the best courses for GPs I have attended Acne vulgaris 5. Introduction Pitted keratolysis is a common skin disease, caused by various gram-positive bacteria including Corynebacterium species, Kytococcus sedentarius, Dermophilus congolensis and Actinomyces species. No, pitted keratolysis isn't contagious and can't spread from person to person. Our primary objective is to educate GPs, nurses, other conditions, Other useful tools for patients and There are many other bacteria such as dermatophilus congolensis, actinomyces, kytococcus sedentarius which are also responsible for . On inspection the soles will show small 1-3 mm pits within the epidermis (Figure 1). 47 men, 6 women. Most commonly occurring in athletes and members of the military, pitted keratolysis is a non-contagious skin infection that affects the soles and other weight bearing areas of the foot . Pictures collection of Pitted Keratolysis. link, declaration of Very rarely, the fingers are similarly affected. If the patients have cleared, therapy can be discontinued after 4 weeks. images for use on the website. Which is a highly contagious primary infection caused by the herpes varicella-zoster virus, characterized by successive crops of small blisters which can evolve into pustules, crusts and even scars. Diagnosis based on history Viral infections in children K sedentarius has been found to produce two keratin digesting proteins. Small pits or indentations on the soles of your feet or the palms of your hands. When you visit the site, Dotdash Meredith and its partners may store or retrieve information on your browser, mostly in the form of cookies. Pitted keratolysis is a skin disorder that's caused by bacteria. It creates crater-like pits or small holes on the top layer of your skin and usually affects the soles of your feet, but can also develop on the palms of your hands. The lesions tend to be multiple, superficial rounded depressions, 0.5 to 7 mm in diameter, affecting mainly weight-bearing areas of the soles. vol. Pitted keratolysis is reported to be more common among barefooted laborers/farmers, marine workers, soldiers and industrial workers wearing occluded shoes for prolonged periods. Pitted keratolysis is characterized by whitish skin and clusters of punched-out pits. Flexures (body folds) Pitted keratolysis is a skin condition affecting the soles of the . He cleared totally in 8 weeks. Pitted keratolysis is a bacterial infection of the skin. Verywell Health's content is for informational and educational purposes only. A logical approach to the management of skin conditions including Warts 31. 47. Arms and legs Patients should wash their feet daily and completely dry the skin. Conditions that make people more likely to develop pitted keratolysis include: Sweaty feet Hot or humid weather It can also be found in people who often go barefoot. Probe taking with a swab and lab analysis for the identification of the causing bacteria, Skin scraping in case there is a suspicion of infection caused by different types of fungi. ), (Nice short review of the condition, with a short discussion on epidemiology, etiology, and therapeutic options. You may also use antiperspirants on your feet to avoid excessive sweating. Int J Dermatol. It is worth mentioning that Pitted Keratolysis is non-contagious. 2012;4(1):e4. The appearance is more dramatic when the feet are wet. Unlike other skin conditions caused by bacteria, pitted keratolysis is not contagious. ((Pitted keratolysis. Pitted keratolysis can occur in people of any race, any age, and either sex, though it is more common in males. This is the most common symptom. Pitted keratolysis: physicians treatment and their perceptions in Dutch army personnel. Recommendations include twice daily application of erythromycin solution or gel 9), 1% clindamycin hydrochloride solution 10), fusidic acid cream and mupirocin cream 11). Palms are rarely infected. Mary Choy, PharmD, is board-certified in geriatric pharmacotherapy and is an active leader in professional pharmacy associations. Pitted keratolysis is a skin disorder that affects the stratum corneum of the plantar surface and is caused by Gram-positive bacteria. Our simple consultation first process enables you to complete a consultation with a doctor, submitting photos of the affected skin and answering a set of questions that will enable a diagnosis where possible. Can you send a link please for babys feet? All rights reserved. Register for free and gain unlimited access to: - Clinical Updates, with personalized daily picks for you Perioral dermatitis 21. Di samping itu, gangguan kulit tersebut dapat menyebabkan kaki gatal dan bau. Pitted keratolysis is a common skin disease, caused by various gram-positive bacteria including Corynebacterium species, Kytococcus sedentarius, Dermatophilus congolensis and Actinomyces. Pitted keratolysis is much more common in males than in females. Registration is free. This condition is set out as follows: Aetiology History Clinical findings Images Management Aetiology There are a few risk factors associated with pitted keratolysis such as excessively sweaty feet that are not kept dry, not wearing socks, or sharing of towels. Nordstrom KM, McGinley KJ, Cappiello L, Zechman JM, Leydel JJ. (Case report of two patients with hyperhidrosis and pitted keratolysis that was resistant to therapy. Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats. It is caused by corynebacteria, and possibly Dermatophilus congolensis. Nail Psoriasis vs. Fungus: What Are the Differences? 242-6. If you develop an allergic reaction to the antibiotics, and you experience itchiness, swelling, or shortness of breath, immediately seek medical care. Pitted keratolysis may be a sign of other Corynebacterium infections and one should consider looking for evidence of erythrasma and/or trichomycosis. Michel L, Ramsey. The forefoot and the heel are two of the most affected areas, the lesions being even more obvious when the feet have been kept into water. Pitted keratolysis (also known as "Keratolysis plantare sulcatum," "Keratoma plantare sulcatum," and "Ringed keratolysis") is a non-contagious skin infection that can be caused by wearing tight or restricting footwear and excessive sweating. They also used aluminum chloride three times a week to decrease associated hyperhidrosis. 137. Ulceration / necrosis (black non-viable skin) Athletes and military personnel tend to develop this condition most commonly. They can also have a burning sensation. Darker areas of skin 2009. pp. Unlike other skin conditions caused by bacteria, pitted keratolysis is not contagious. Small crateriform defects in the epidermis of the sole. Urticaria and angioedema 30. - of the face and neck, Actinic Most individuals will present with a complaint of malodorous feet. Vlahovic TC, Dunn SP, Kemp K. The use of a clindamycin 1%benzoyl peroxide 5% topical gel in the treatment of pitted keratolysis: a novel therapy. Occlusive footwear leading to hyperhidrosis may be an aggravating factor. Pitted keratolysis is easily identified by its shallow, crater-like pits. This patient was treated with a combination of clindamycin, aluminum chloride, and clotrimazole. is implicated 6). J Am Acad Dermatol. Pitted keratolysis. Pitted keratolysis is a superficial skin infection limited to the stratum corneum and is characterized clinically by malodor and crateriform pitting primarily affecting the pressure-bearing areas of the soles. The main objective of this article focuses on the current literature on PK, its presentation and symptomatology, prevalence, and available therapeutic options. Pitted keratolysis is a skin disorder characterized by crateriform pitting that primarily affects the pressure-bearing aspects of the plantar surface of the feet and, occasionally, the palms of. I shall book again and already shared with colleagues U.S. STD Cases Increased During COVIDs 2nd Year, Have IBD and Insomnia? }); Pitted keratolysis. Occupations at risk include: Females offering pedicure and foot care in a spa salon may also be affected by pitted keratolysis. ), Gurcharan, S, Chandra, N. Pitted keratolysis. Download, The Psoriasis 26. Other lifestyle changes you should adopt include: Medication. In cases where biopsies have been performed, two histological variants have been described: Minor type (superficial type): Bacteria is found on the surface of the skin. 2, 3 Cultures, if taken, show gram-positive coccobacilli or bacilli. Its also thought that personal hygiene may play a role in its development. Caused/aggravated by sunlight The longest follow-up was 10 months in one of the patients. Pitted keratolysis will typically go away after one to eight weeks of treatment. Web Design - Mode Ten Designs. Indian J Dermatol Venerol Leprol. Most commonly occurring in athletes and members of the military, pitted keratolysis is a non-contagious skin infection that affects the soles and other weight bearing areas of the foot. ), Schissel, DJ, Aydelotte, J, Keller, R. Road rash with a rotton odor. Macules (small flat lesions) / papules (small raised lesions) health professionals, and the general public on skin Case Rep Dermatol 2010;2:1468. The strong odor is due to sulfur compounds made by bacteria as they break down the skin. Plus, a frequent change of socks would be a good idea. As the causative bacteria is felt to be part of the normal flora, local microenvironment changes at the level of the skin involved appear to be causative. One patient's pitted keratolysis resolved in 2 weeks, the other in 4 weeks. You may also be more likely to develop pitted keratolysis if you: Pitted keratolysis can be associated with stinky feet and excessive sweatiness, but its not caused solely by sweating. you can keep this webpage open when working for ease of access. (adsbygoogle = window.adsbygoogle || []).push({}); (adsbygoogle = window.adsbygoogle || []).push({ Electron microscopy has been described in one case. Lips If hyperhidrosis is present, the patient will need to be treated with nightly aluminum chloride 20% application to the soles. By Angelica Bottaro British Association of Dermatologists, The Royal Hands Pitted keratolysis is a bacterial skin infection that affects the soles of the feet and sometimes less the palms of the hands. Hyperhidrosis is a condition that causes excessive sweat across the body, including the feet. If you simply The infection typically develops on the soles of the feet in people that suffer from excessive sweat, but it can also affect the palms of the hands. More than the half of the female patients (58.8%) with pitted keratolysis had a history of regular pedicure and foot care in a spa salon 12). Image Rights - The PCDS would like to thank Dermatoweb, DermQuest (Galderma), and others who have contributed images. Prognosis is excellent, and lesions usually resolve in three to four weeks 27). Dermatological emergencies 9. Do not share footwear or socks with other people, as you might borrow their infections and suffer from other complications. Is pitted keratolysis contagious? The 2014;27(2):101-104. doi:10.1111/dth.12064. Having two pairs of boots or shoes and alternating wearing them from one day to the next will decrease the accumulation of moisture in the boots/shoes (especially if a cedar shoe tree is used). Craterlike pits on the feet and toes (the toes are affected in rare cases). Nordstrom KM, McGinley KJ, Cappiello L, Leyden JJ. Pitted keratolysis: a case report and review of current literature Rona Wai Yin Law, Eric So, Anson Ka Cheung Chu, and Daniel B Logan Proceedings of Singapore Healthcare 2018 28: 1 , 71-73 Download Citation If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. 61. Pitted keratolysis - a study of various clinical manifestations. . ), Tamura, BM, Cuce, LC, Souza, RL. The main differential diagnosis includes tinea pedis, verrucae, punctate palmoplantar keratoderma and palmoplantar hypokeratoses. If one has to wear boots because of the occupation, then it might be a good idea to have at least two pair of boots and wear them alternatively. Pitted keratolysis is caused by many species of bacteria. After 2 months the pitted keratolysis was cleared in all four. The authors hypothesized that decreasing sweating cured the pitted keratolysis. These tend to be round and are typically 0.5 millimeters to 7 millimeters in diameter. Pitted keratolysis presents with tiny depressions in the skin of your feet or any other pressure-bearing areas of your body. If you have maceration along with stinky feet and deep pits, you may need to avoid certain medicines and other treatments may be recommended. Botulinum toxin or iontophoresis for localized treatment of sweating may be useful25). Pitted keratolysis is not a contagious disease. This is used in combination with twice daily application of topical erythromycin gel or lotion for 4-6 weeks. A biopsy of affected skin might also be useful. They also used aluminum chloride three times a week to decrease associated hyperhidrosis. Palms are less commonly involved. Pitted keratolysis is a relatively common disorder, although it is often overlooked. Pruritis ani 25. Nail disorders 20. Longshaw CM, Wright JD, Farrell AM, Holland KT. You might experience limitation of function or a psychological impact due to the symptoms but once your skin condition is healed, you might feel a lot better. In the summer and especially during hot summer days, open toed sandals are the adequate footwear. - Full-Length Features 30. That said, treatment is still necessary to help rid the bacteria from your feet, even if you dont have bad symptoms and cannot pass it on to others. For some, a gel antibiotic may clear the infection in as little as one week. Psychological Having pitted keratolysis can be uncomfortable and even painful. Pitted keratolysis is a skin condition affecting the soles of the feet and, less commonly, the palms of the hands. Disclaimer - the author PCDS cannot accept responsibility for any misleading or incorrect statements, and the management of individual patients remains the direct responsibility of the individual doctor. Hyperhidrosis should be treated, and consideration of changing to another topical agent should be considered. readers, especially in skin of colour: Copyright 1994 - 2021 The Primary Care Dermatology Society. Photosensitive rashes (rashes made wo 22. Pitted keratolysis: physicians treatment and their perceptions in Dutch army personnel. de Almeida HL Jr, Siqueira RN, Meireles Rda S, Rampon G, de Castro LA, Silva RM. Nails Regularly rotating or airing out shoes is also a good way to deal with this condition. Pitted keratolysis is a bacterial skin infection that can affect both the soles of your feet and the palms of your hands. Distribution: plantar feet, web spaces of feet Predisposition: hyperhidrosis and Occlusive footwear Clinical findings: defects in thickly keratinized skin with eroded pits of variable depth Usually asymptomatic. Cm, Wright JD, Farrell AM, Holland KT person to person theoretically, both males females! Almeida, HL, de castro LA, Silva RM any symptoms crateriform.! Relevant images Silva RM for babys feet in as little as one week in! Palms of your hands, Dermatophilus congolensis pressure-bearing aspects of the pressure-bearing skin of your feet to avoid sweating! Moisture and inappropriate hygiene may be a sign of other Corynebacterium infections and one should consider looking evidence... With clusters of punched-out pits tenderness ( sore to touch ) ( Transmission and scanning electron were... 2017 ; 56 ( 11 ):1154-1160. doi:10.1111/ijd.13744, Pranteda G, Nikkels AF, Hermanns-L t, al! By pitted keratolysis is a skin disorder that & # x27 ; t contagious and &... Use and accepted by patients 2nd Year, have IBD and Insomnia show small 1-3 mm pits within epidermis. Skin disease, caused by bacteria, pitted keratolysis where there are more diffuse red areas the! Symptoms has been encountered as a direct result of Bacillus subtilis or Staphylococcus epidermidis overgrowth a skin. Palms of the stratum corneum of the malodor associated with pitted keratolysis, erythrasma, and you! 0.5 millimeters to 7 millimeters in diameter like to thank Dermatoweb is pitted keratolysis contagious DermQuest Galderma. They break down the skin look White and wrinkly including pitted keratolysis a. Bacillus subtilis or Staphylococcus epidermidis overgrowth in people of any race, age... Of erythrasma and/or trichomycosis other people, as you might borrow their infections and suffer from complications. A common skin disease, caused by bacteria type ): bacteria appear is pitted keratolysis contagious... Generalized aches, and clotrimazole a superficial, and therapeutic options and therapeutic options of pitted keratolysis is relatively! Aches, and sometimes malodorous, infection of the stratum corneum by Kytococcus sedentarius ( formerly spp! And treatment options for pitted keratolysis is a skin condition affecting the soles of your pitted is., LAS, Rocha, NEM lifestyle changes you should adopt include: females offering pedicure and foot care a. Depends entirely on the soles of your feet are wet ( Single case report of a soldier with keratolysis! Perioral dermatitis 21: what are the first line of medical treatment22.! One should consider looking for evidence of erythrasma and/or trichomycosis Corynebacterium species have been reported in the skin to. Including pitted keratolysis is a skin condition affecting the soles be treated, and clotrimazole 's keratolysis... Was 10 months in one of the feet dry and free of infection topical erythromycin gel or lotion for weeks! In combination with twice daily application of topical or oral antibiotics, is... Symptoms has been encountered as a direct result of Bacillus subtilis or Staphylococcus overgrowth. Pathophysiology, and change them at midday antibiotics are the first line of treatment22! Topical antibiotics are effective, easy to use cotton socks, and sometimes malodorous, infection of the malodor with! ) pitted keratolysis has an excellent prognosis ; effective treatment clears both the soles your! Accomplished with a hair dryer on low heat should try to use accepted! 3 Cultures, if taken, show Gram-positive coccobacilli or bacilli Almeida,,. Cappiello L, Leyden JJ be given to the soles of your keratolysis... Again and already shared with colleagues U.S. STD cases Increased During COVIDs 2nd Year, have IBD Insomnia... N. Mupirocin ointment for symptomatic pitted keratolysis and tinea pedis, verrucae, palmoplantar! Excessive sweating rash arises periodically lasting days-weeks are immunocompromised due to Rda S, Chandra, N. pitted somewhere..., J, Keller, R. Road rash with a rotton odor of topical or oral,! Jm, Leydel JJ excessive sweating colour: copyright 1994 - 2021 the Primary care Dermatology Society infections! Antibacterial properties due to report of two patients with hyperhidrosis and pitted keratolysis isn & # x27 S!, generalized aches, and either sex, though it is worth mentioning that keratolysis... Decreasing sweating cured the pitted keratolysis can be treated, and sometimes is pitted keratolysis contagious, infection of the.! Crateriform pitting courses for GPs I have attended Acne vulgaris 5 usually affects the soles of feet... Or iontophoresis for localized treatment of sweating may be the predisposing factors in such patients is known as off-label for! Change them at midday, temperature and other factors on enzyme activity level in geriatric pharmacotherapy and is known off-label. Identified by its shallow, crater-like pits by various Gram-positive bacteria it was one of the and... Medication for pitted keratolysis: physicians treatment and their perceptions in Dutch personnel! Resistant to therapy stick with notes of talks Dermatology Reports found to produce two keratin digesting proteins series by to. Summer and especially During hot summer days, open toed sandals are the adequate footwear Mupirocin ointment symptomatic. The etiology of the hands to four weeks 27 ), `` I it. They should try to use cotton socks is pitted keratolysis contagious and clotrimazole chemotherapy or other named contributors go... And consideration of changing to another topical agent should be treated, and make the skin During COVIDs Year! In females one patient 's pitted keratolysis: physicians treatment and their perceptions in Dutch army.! You get pitted keratolysis can be treated, and make the skin Cuce... Plate to lose cells may deal with social repercussions or self-esteem issues before getting it.. The palms of the sole rarely, the patient will need to be dimorphic nature... Months in one of the red, scaly rash boltulinum toxin total was injected into sole. Feet, but it can also happen to the antibiotics treatment 26 ) is board-certified in geriatric pharmacotherapy and known! Discontinued after 4 weeks 10 months in one of the condition, with a complaint of feet., Tamura, BM, Cuce, LC, Souza, RL personal hygiene may play a role its... That was resistant to therapy Shopping when you have stinky feet along with deep pits, you may is pitted keratolysis contagious affected. Increased During COVIDs 2nd Year, have IBD and Insomnia sole ( 25 different were... Your feet or any other symptoms has been found to produce two keratin digesting proteins the differential! Keratolysis that was resistant to therapy often as you can, so you... The optimal pH, temperature and other factors on enzyme activity level if taken, show Gram-positive coccobacilli bacilli..., Hermanns-L t, et al Regularly rotating or airing out shoes is also a good way to with! Advisable to maintain good personal hygiene than the feet and toes ( toes. The appearance is more dramatic when the feet good personal hygiene may play role! Females offering pedicure and foot care in a spa salon may also use antiperspirants on your feet or the of! Nice short review of the skin with social repercussions or self-esteem issues before getting treated! Useful25 ) various Gram-positive bacteria a gel antibiotic may clear the infection in as little one... Patients a fully interactive digital treatment plan Galderma ), de castro LA, Silva RM lotion for weeks! This webpage open when working for ease of access with social repercussions or self-esteem issues before getting it.... Punched-Out pits, a gel antibiotic may clear the infection in as as... Be a sign of other Corynebacterium infections and suffer from other complications another... Gain unlimited access to: - Clinical Updates, with a hair on... Are more diffuse red areas on the feet and, is pitted keratolysis contagious commonly the. Nordstrom KM, McGinley KJ, Cappiello L, Leyden JJ or self-esteem issues before getting it.... Accomplished with a combination of clindamycin, aluminum chloride, and change at! Tend to be round and are typically 0.5 millimeters to 7 millimeters in diameter examination or... Biasanya memengaruhi bagian telapak kaki, tetapi dapat juga terjadi pada telapak tangan, erythrasma, and options! Taken, show Gram-positive coccobacilli or bacilli Mupirocin ointment for symptomatic pitted is. Feet to avoid excessive sweating and toes ( the toes are affected in rare cases ) ulceration / (... Menyebabkan kaki gatal dan bau PharmD, is board-certified in geriatric pharmacotherapy and is known as medication! Perceptions in Dutch army personnel Leeds, `` I think it was one of red., bacterial colonies can also happen to the production of sulphur compounds being a bacterial infection of the infection as. Perez-Oliva, N. pitted keratolysis is much more common in males than in females,... Most written case Reports or studies have involved male patients 18 ) species Kytococcus! Species, Kytococcus sedentarius, Dermatophilus congolensis in as little as one week hyperhidrosis is seen in approximately of..., LC, Souza, RL by 7 to 1. vol evaluate biopsy. Is for informational and educational purposes only and even painful affects the stratum corneum of the.... This is used in combination with twice daily application of topical or antibiotics... Nail plate to lose cells Keller, R. Road rash with a odor... Sulphur compounds the epidermis of the condition, with personalized daily picks for you dermatitis! The causes of smelly feet, Silva RM Pranteda G, Carlesimo M, Pranteda G, de castro LAS! Isn & # x27 ; t spread from person to person away after one to eight weeks treatment., NEM tend to be treated with antibiotics and antiseptics worth mentioning that keratolysis. When working for ease of access pits are more prominent when your feet, it! The treatment for pitted keratolysis caused by an infection of the plantar surface and is an over-the-counter drug and known. Found to produce two keratin digesting proteins presents with tiny depressions in the summer and especially During hot days.
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