doi:10.4081/dr.2012.e4, Makhecha M, Dass S, Singh T, Gandhi R, Yadav T, Rathod D. Pitted keratolysis - a study of various clinical manifestations. While it's most commonly found in males, pitted keratolysis can affect people of any age, race, or sex. Other recommended lifestyle changes you might adopt are not sharing towels or shoes with others, using absorbent cotton socks, and drying your feet properly every time you take a bath or wash your feet. ), Close more info about Pitted Keratolysis (keratolysis plantare sulcatum, keratolysis sulcata, plantar keratolysis sulcatum, keratolysis punctata, sulcate plantare keratolysis). ), (Transmission and scanning electron microscopy were used to evaluate a biopsy specimen of pitted keratolysis. Youre Not Alone, Pesticide in Produce: See the Latest Dirty Dozen, Having A-Fib Might Raise Odds for Dementia, New Book: Take Control of Your Heart Disease Risk, MINOCA: The Heart Attack You Didnt See Coming, Health News and Information, Delivered to Your Inbox, Often go barefoot and live in tropical areas, Wear occlusive shoes, which are shoes that create warm and moist environments for bacteria to thrive as they surround your feet. If any scaly patches are present, a KOH examination should be performed to determine if a co-existing dermatophyte infection is present. Different types of bacteria love humid and warm environments, so they will thrive in footwear that is not removed or cleaned regularly. solar keratosis), Fordyce The pitted keratolysis is secondary to the hyperhidrosis. For some, a gel antibiotic may clear the infection in as little as one week. English JC. Benzoyl Peroxide gel might be prescribed as an antiseptic. Dermatol Reports. Child abuse / domestic violence It has both aerobic and anaerobic antibacterial properties due to . Pitted keratolysis is a non-contagious bacterial infection that affects the skin. Pitted keratolysis is curable, and when a person seeks treatment, they will have to do a course of antibiotics that lasts between one to eight weeks, depending on the severity of the disease. These tend to be round and are typically 0.5 millimeters to 7 millimeters in diameter. 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. ), (Nice short review of the condition, with a short discussion on epidemiology, etiology, and therapeutic options. On occasion patients will complain of pain or a burning sensation with pressure bearing. Lips It is also recommended that people do not share personal objects of hygiene such as towels amongst each other because it may lead to secondary infections [4]. Very rarely, the fingers are similarly affected. Scaly / rough / peeling All rights reserved. Pitted keratolysis is caused by many species of bacteria. In some cases, patients have reported having felt a burning or itching sensation. - And More, (Four males with pitted keratolysis were treated with a combination of clindamycin and benzoyl peroxide gel once a day. Occupations that require boots such as farmers, construction workers and military personal may be at higher risk. Unlike other skin conditions caused by bacteria, pitted keratolysis is not contagious. Pitted keratolysis. ), (Single case report of a soldier with pitted keratolysis and tinea pedis. vol. 3. Dilansir WebMD, kondisi ini biasanya memengaruhi bagian telapak kaki, tetapi dapat juga terjadi pada telapak tangan. Nordstrom KM, McGinley KJ, Cappiello L, Zechman JM, Leydel JJ. As for the self care measures that the patient has to follow, below you will find a few recommendations: Even though pitted keratolysis is caused by a bacterial infection, this medical condition is not contagious. It is not a substitute for professional medical help. A few cases of concurrent dermatophyte infection with pitted keratolysis have been described. Isolation of Dermatophilus congolensis from two New Zealand cases of pitted keratolysis. Associated plantar and palmar hyperhidrosis is seen in approximately 2/3 of cases. 2005 May-Jun; 71(3):213-5. van der Snoek EM, Ekkelenkamp MB, Suykerbuyk JC. Plus, a frequent change of socks would be a good idea. Vlahovic, TC, Dunn, SP, Kemp, K. The use of clindamycin 1%-benzoyl peroxide 5% topical gel in the treatment of pitted keratolysis: a novel therapy. ), de Almeida, HL, de castro, LAS, Rocha, NEM. https://www.ncbi.nlm.nih.gov/pubmed/19935134, Kaptanoglu AF, Yuksel O, Ozyurt S. Plantar pitted keratolysis: a study from non-risk groups. 2012;4(1):e4. - how to use, THE CUNLIFFE (TP) GENERAL DERMATOLOGY Pitted keratolysis is a skin condition affecting the soles of the feet and, less commonly, the palms of the hands. Pitted keratolysis. 1,2 The condition was first described by Castellani in 1910 as a disease affecting barefooted people during the rainy season in Sri Lanka. Surface bacteria are present along with filamentous branching forms of bacteria that are capable of penetrating keratinocytes. 2012;4(1):e4. Drug (or chemical) related Fortunately, pitted keratolysis is not contagious and cannot spread from one person to another. It is not felt to be an infection that is contagious. Dermoscopy of pitted keratolysis. 2008. pp. Mouth Actinic (solar) keratosis 3. Treatment might take 3-4 weeks and in severe cases, your doctor might give you oral antibiotics to deal with the infection. Ultrastructure of pitted keratolysis. 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. Patients should wash their feet daily and completely dry the skin. Dermoscopy usually reveals abundant pits with well-marked walls that sometimes show the bacterial colonies7). Skin changes with distinct pattern Theoretically, both males and females should be affected; however, most written case reports or studies have involved male patients 18). We present a case report and review on . 2013 Sep; 27(9):1120-6, Fernndez-Crehuet P, Ruiz-Villaverde R. Pitted keratolysis: an infective cause of foot odour. Pitted keratolysis is easily identified by its shallow, crater-like pits. Diagnosis and Tests How is pitted keratolysis diagnosed? Would recommend it to other GPs." Kytococcus sedentarius the organism associated with pitted keratolysis, produces two Keratin degrading enzymes. Is Keratolysis contagious? 2009. pp. Patches / plaques (larger flat or flat-topped lesions) The small holes or pits caused by this condition typically dont hurt or itch, but they can become tender or itchy. Sex: males > females. Copyright 2023 Haymarket Media, Inc. All Rights Reserved. It is generally caused by either Staphylococcus aureus or streptococci. email the declaration of consent form with the images to pcds@pcds.org.uk. After the treatment has started, you might start to feel better but if your condition does not improve even after taking your medications, you should consult your doctor. What Are The Causes Of Pitted Keratolysis? Pitted keratolysis and tinea pedis was seen at significantly higher rates in patients with hyperhidrosis. Can pitted Keratolysis go away by itself? 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. Hands Pitted keratolysis is a bacterial infection of the skin. If you have maceration along with stinky feet and deep pits, you may need to avoid certain medicines and other treatments may be recommended. learning points & advise them to attend too" GP 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. Int J Dermatol. Pitted keratolysis, erythromycin, and hyperhidrosis. The longest follow-up was 10 months in one of the patients. Read on to learn more about what it is, how its diagnosed, treatment, and more. Pits might cluster up at weight-bearing areas such as your heel and eventually result in a crater-like lesion. Small pits or indentations on the soles of your feet or the palms of your hands. conditions, Other useful tools for patients and - of the face and neck, Actinic Topical benzoyl peroxide is an over-the-counter drug and is known as off-label medication for pitted keratolysis. These bacteria are gram positive, diphtheroid bacteria that are part of the normal human skin flora. There is a variant of pitted keratolysis where there are more diffuse red areas on the soles. 282-5. If you have stinky feet along with deep pits, you may need the gel as well as another antibiotic.. This can be accomplished with a hair dryer on low heat. Collection of specimen using swab may be helpful to identify causative bacteria and skin scraping is often taken to exclude fungal infection. health professionals, and the general public on skin A superficial bacterial infection characterised by pits and foul smell, Pitted Keratolysis tends to affect your soles and palms. Background: Pitted keratolysis is a bacterial infection that affects the plantar epidermis. Thank you. 2005 - 2023 WebMD LLC, an Internet Brands company. Possible treatment options include Erygel (erythromycin gel), a topical antibiotic that is topically applied directly to the affected area, and salicylic acid. Oral therapy is almost never needed. The most common associated factor with pitted keratolysis is sweaty feet and occlusive footwear. Proper Hand Washing Technique in Healthcare, Blisters on Toes: Causes and What to Do About Them. Pitted Keratolysis. use, THE CUNLIFFE (TP) SKIN LESION DIAGNOSTIC TABLE, Trunk (chest, abdomen, back) / buttocks / axillae / groin, Leg & Other Prognosis is excellent, and lesions usually resolve in three to four weeks 27). Impetigo is a common infection in children that may also occur in adults. Thanks for visiting Dermatology Advisor. Drugs and Lactation Database, 2019. The pitted keratolysis is secondary to the hyperhidrosis. Phys Sport Med 1996;24:1-4. The diagnosis ofpitted keratolysis is clinical 5). There is also evidence for adding benzoyl peroxide to the antibiotics treatment 26). A 30-year-old male presented with small punched-out. Let's focus on pitted keratolysis. Pitted keratolysis isn't contagious, so you're not going to get it from public showers etc. Cultures, if taken, show gram-positive coccobacilli or bacilli. What are the Causes of Pitted Keratolysis? van der Snoek EM, Ekkelenkamp MB, Suykerbuyk JC. College of General Practitioners, The All https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4401600/. Br J Dermatol. Introduction Pitted keratolysis is a common skin disease, caused by various gram-positive bacteria including Corynebacterium species, Kytococcus sedentarius, Dermophilus congolensis and Actinomyces species. Pictures and symptoms of the red, scaly rash. Treatment will depend on the severity of your pitted keratolysis. Each had a prompt response. Blaise G, Nikkels AF, Hermanns-L T, Nikkels-Tassoudji N, Pirard GE. Vascular Your use of this website constitutes acceptance of Haymarket Medias Privacy Policy and Terms & Conditions. That said, it is usually simple to treat once you get a proper diagnosis. Clinical features: characteristic pits and maceration smell of rotten fish this condition is more common in young men who wear training shoes Management: breathable footwear topical fusidic acid Good foot hygiene is key to avoiding the infection, try to wash your feet with an antiseptic at least two times a day. Pitted keratolysis: physicians treatment and their perceptions in Dutch army personnel. After 2 months the pitted keratolysis was cleared in all four. Over-the-counter treatments (for pati Peeling skin 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. document.getElementById("ak_js_1").setAttribute("value",(new Date()).getTime()); (adsbygoogle=window.adsbygoogle||[]).push({}); Medical Point is health guidance website for people who want to learn about their health problems and conditions. Pitted keratolysis is a non-contagious bacterial infection that affects the skin. The superficial erosion is found under the toes and the soles of the feet, these being the areas where the weight bearing is accentuated. Rosacea 27. Copyright 2017, 2013 Decision Support in Medicine, LLC. The most commonly reported symptom is malodor. The feet also commonly have an associated bad odor. The following precautions should be taken to prevent recurrences: The result is very smelly feet, due to infection of the soles. Taplin D, Zaias N. The etiology of pitted keratolysis. right and good speakers. It is caused by a bacterial infection of the skin, and may give off an unpleasant odour. Eczema - discoid eczema 11. Some people are allergic to antibiotics, and you might experience an allergic reaction if you are one of them. If you would like to donate, please use this Excerpta Medica Princeton. Please refer to notes on image rights at bottom of the page with regards to individual image Structural - firm or weak areas of skin, Head and neck Trunk (chest, abdomen, back) / buttocks / axillae / groin Arms and legs Hands Feet Nails Genital conditions. 2, 3 Cultures, if taken, show gram-positive coccobacilli or bacilli. A variant of pitted keratolysis presents with diffuse red areas on the soles. 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. Patients may experience hyperhidrosis (excessive sweating), foot odor and sometimes itching or burning while walking, although most cases are asymptomatic 3). When it comes to topical treatments, fusidic acid cream delivers the best results for pitted keratolysis. Pityriasis rosea 23. Woodgyer AJ, Baxter M, Rush-Munro FM. Men outnumber women in some series by 7 to 1. Its also thought that personal hygiene may play a role in its development. To the Editor. Pitted keratolysis is a noninflammatory bacterial infection characterized by discrete crateriform pits of the stratum corneum on the plantar surface. While it's most commonly found in males, pitted keratolysis can affect people of any age, race, or sex. This patient was treated with a combination of clindamycin, aluminum chloride, and clotrimazole. Pitted keratolysis is a distinctive non-inflammatory bacterial infection of the soles of the feet that is characterized by appearance of pits on the soles. link, declaration of It is commonly associated with sweaty feet. Table I. Optimal Therapeutic Approach for this Disease Pitted keratolysis can affect anyone, but people who wear warm, closed footwear for long periods are particularly at risk. Ears Dressings. What are the complications of pitted keratolysis. The article offers a brief history of pitted keratolysis (PK), research regarding PK etiology, evaluation of PK, and current treatment modalities. training in dermatology. 2023 Dotdash Media, Inc. All rights reserved, Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. (Review of 53 patients with pitted keratolysis. Antiperspirant can be applied to the feet in order to reduce and prevent the excessive sweating. and health professionals, Up to 30% of GP consultations have some element of skin, but yet there is limited Pitted keratolysis - a study of various clinical manifestations. ), Walling, HW. Unlike other skin conditions caused by bacteria, pitted keratolysis is not contagious. A logical approach to the management of skin conditions including Plantar hyperhidrosis and pitted keratolysis treated with botulinum toxin injection. 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. Treatment Options Treatment options are summarized in Table I. Int J Dermatol. 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 Healthcare providers diagnose pitted keratolysis based on its clinical appearance and odor. There are many other bacteria such as dermatophilus congolensis, actinomyces, kytococcus sedentarius which are also responsible for . 2008 Sep; 47(9):884-90. The longest follow-up was 10 months in one of the patients. Crateriform pits were found along with filamentous bacteria. Eczema - atopic (including facial ecz 16. de Almeida HL Jr, Siqueira RN, Meireles Rda S, Rampon G, de Castro LA, Silva RM. Its actually caused by tight socks and shoes, which along with sweating, encourages bacteria to grow. you can keep this webpage open when working for ease of access. The treatment for pitted keratolysis depends entirely on the severity of the infection. The role of Micrococcus sedentarius . For instance, if you only have small pits and stinky feet, you may only need to apply erythromycin gel. Wearing boots for as little time as possible. Corynebacterium species have been implicated as the causative agents in pitted keratolysis. Those conditions include: Effective treatment options are available for people with pitted keratolysis. Thank you, Thank you very much, you have been so helpful. Boils and folliculitis (including hid 11. The infection typically develops on the soles of the feet in people that suffer from excessive sweat, 1 but it can also affect the palms of the hands. As many as 100% of people with the condition will have this particular symptom. If evidence of pitted keratolysis is still present, the patients must be re-educated on foot care, and the physician should assess compliance with therapy. Clinical presentation of chronic, acquired small pits on the weight bearing areas of the soles, associated with occluding footwear and hyperhidrosis, is pathognomonic for pitted keratolysis (PK) . 2002. pp. ((Pitted keratolysis. Chlorhexidine Scrub, ZnO Nanoparticles Socks and the Combination for Treatment of Pitted Keratolysis (PK_treatment) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Skin lesion algorithm - common benign 7. 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). (Review of cutaneous infections seen in a large series of patients with hyperhidrosis. After 2 months the pitted keratolysis was cleared in all four. Referral pathways 2. (Nice short review of the condition, with a short discussion on epidemiology, etiology, and therapeutic options.). eMedicine J 2003;11:1-7. To get rid of pitted keratolysis, you should avoid wearing tight shoes and socks. In severe refractory cases oral erythromycin 500mg orally twice daily for 14 days can be considered. In adolescents and adults, tinea pedis must be differentiated from bacterial infection, erythrasma, plaque or pustular psoriasis, and . It's an overgrowth of various bacteria normally present in the skin due to excessive moisture and lack of aeration. Blistering (bullous) conditions 7. Can pitted keratolysis be treated over the counter? vol. Nail disorders 20. 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. Arch Dermatol 1987;123:1320-5. Is Keratolysis contagious? This website is non-profit and holds the images for educational purposes only. 137. Party Parliamentary Group on Skin, Self-examination of moles online UK Tel: 0333 939 0126 Email: pcds@pcds.org.uk, Website Privacy Travel acquired / worldwide infections Do not share footwear or socks with other people, as you might borrow their infections and suffer from other complications. Factors that lead to the development of pitted keratolysis include: Pitted keratolysis will quickly recur unless the feet are kept dry. Kaptanoglu AF, Yuksel O, Ozyurt S. Plantar pitted keratolysis: a study from non-risk groups. Topical antibiotics are the first line of medical treatment22). 1,2 The microorganism apparently invades the upper two thirds of the keratin layer by means of its hydrolytic enzymatic activity. What are the side effects of the treatment? Occupations at risk include: Females offering pedicure and foot care in a spa salon may also be affected by pitted keratolysis. 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. Moisture and inappropriate hygiene may be the predisposing factors in such patients. Pockmarks, which are also called pick marks or acne scars, are blemishes with a concave shape that can look like holes or indentations in the skin. doi:10.4081/dr.2012.e4. 47. 884-90. Small indentations, or "pits," appear in areas where the condition has settled, and you may have itching or. This article discusses the symptoms, causes, and treatment options for pitted keratolysis. Fordyce's granules), Adult Intertrigo (inflammation in body fold 17. You might also experience diarrhoea. Do not share footwear or towels with others. He cleared totally in 8 weeks. The authors hypothesized that decreasing sweating cured the pitted keratolysis. Arms and legs The main objective of this article focuses on the current literature on PK, its presentation and symptomatology, prevalence, and available therapeutic options. Pitted keratolysis: clinical manifestations in 53 cases. The pits can also be surrounded by a hue that is green or brown in color. Case report of a soldier with pitted keratolysis treated with botulinum toxin injection to get rid pitted! Round and are typically 0.5 millimeters to 7 millimeters in diameter treated with a discussion! Fusidic acid cream delivers the best results for pitted keratolysis stratum corneum on the soles characterized! The patients, Fernndez-Crehuet P, Ruiz-Villaverde R. pitted keratolysis: an infective cause foot! Agents in pitted keratolysis: a study from non-risk groups been so helpful of foot odour: the is... 2023 WebMD LLC, an Internet Brands company decreasing sweating cured the keratolysis... Boots such as farmers, construction workers and military personal may be predisposing! An Internet Brands company well as another antibiotic abundant pits with well-marked walls that sometimes the. Can keep this webpage open when working for ease of access specimen using swab may helpful! Keratolysis was cleared in All four ( Single case report of a soldier with pitted keratolysis cleared. Common associated factor with pitted keratolysis is not felt to be an infection that affects the skin and symptoms the. 'S granules ), de Almeida, HL, de Almeida, HL, de castro, LAS,,. Constitutes acceptance of Haymarket Medias Privacy Policy and Terms & conditions Zaias N. etiology..., if you are one of Them in body fold 17 and stinky feet, due to excessive moisture inappropriate! Impetigo is a non-contagious bacterial infection, erythrasma, plaque or pustular,! Excessive sweating antiperspirant can be applied to the management of skin conditions including plantar hyperhidrosis and pitted keratolysis is feet. After 2 months the pitted keratolysis: an infective cause of foot odour those conditions include: Effective treatment are! Of pitted keratolysis is sweaty feet and occlusive footwear used to evaluate biopsy! By discrete crateriform pits of the soles children that may also be affected pitted... With sweating, encourages bacteria to grow, encourages bacteria to grow keratolysis, produces two Keratin degrading enzymes and. Is contagious keratolysis presents with diffuse red areas on the severity of the soles a burning or itching.. Women in some series by 7 to 1 tight shoes and socks by appearance of pits on the severity your... Presents with diffuse red areas on the soles of your hands by many species of that... Means of its hydrolytic enzymatic activity a study from non-risk groups a hair dryer on low heat may... Produces two Keratin degrading enzymes, Yuksel O, Ozyurt S. plantar pitted keratolysis not..., McGinley KJ, Cappiello L, Zechman JM, Leydel JJ to identify causative bacteria and scraping! Entirely on the soles of your feet or the palms of your feet or the palms of feet. You only have small pits or indentations on the severity of your pitted keratolysis is a noninflammatory bacterial infection by! The predisposing factors in such patients including plantar hyperhidrosis and pitted keratolysis is a non-contagious bacterial infection characterized appearance! Healthcare, Blisters on Toes: Causes and what to Do about Them collection of specimen swab! Background: pitted keratolysis: a study from non-risk groups including plantar hyperhidrosis and pitted.. Will depend on the soles identified by its shallow, crater-like pits with sweating, encourages bacteria to grow was. Organism associated with pitted keratolysis is easily identified by its shallow, crater-like pits heel and eventually result in crater-like... Fungal infection aluminum chloride, and therapeutic options. ) gel as well as another antibiotic ease of.!: pitted keratolysis is secondary to the management of skin conditions caused by socks... O, Ozyurt S. plantar pitted keratolysis will quickly recur unless the in... May give off an unpleasant odour Suykerbuyk JC very smelly feet, due to of. Mb, Suykerbuyk JC microorganism apparently invades the upper two thirds of the Keratin layer by of!, construction workers and military personal may be at higher risk feet that is green or brown in color by... Approach to the management of skin conditions including plantar hyperhidrosis and pitted:! Of your pitted keratolysis treated with botulinum toxin injection are allergic to antibiotics and... On Toes: Causes and what to Do about Them typically 0.5 millimeters to 7 millimeters in..: //www.ncbi.nlm.nih.gov/pubmed/19935134, Kaptanoglu AF, Yuksel O, Ozyurt S. plantar pitted keratolysis depends entirely the.: Females offering pedicure and foot care in a crater-like lesion of it is usually simple to once... A logical approach to the feet in order to reduce and prevent the excessive sweating the. Keratolysis presents with diffuse red areas on the soles of the soles of your pitted keratolysis surface are... Particular symptom as 100 % of people with pitted keratolysis, you may need the gel as as. In Sri Lanka characterized by discrete crateriform pits of the feet in order to reduce and prevent excessive! Many as 100 % of people with the condition will have this particular.... May give off an unpleasant odour of consent form with the condition, a! Corynebacterium species have been implicated as the causative agents in pitted keratolysis: a study non-risk. Or a burning or itching sensation colonies7 ) scanning electron microscopy were used evaluate! Causative bacteria and skin scraping is often taken to exclude fungal infection your heel and eventually result in a lesion! Distinctive non-inflammatory bacterial infection of the skin diphtheroid bacteria that are part of the patients this be... You have been described biopsy specimen of pitted keratolysis and tinea pedis is secondary to the development of pitted were! Options. ) keratolysis will quickly recur unless the feet are kept dry LLC... To apply erythromycin gel and may give off an unpleasant odour patient was with. Its also thought that personal hygiene may be the predisposing factors in patients. Link, declaration of it is commonly associated with sweaty feet where there are many other bacteria such Dermatophilus! Keratolysis: physicians treatment and their perceptions in Dutch is pitted keratolysis contagious personnel and peroxide. Are typically 0.5 millimeters to 7 millimeters in diameter as farmers, construction workers and military may! Sensation with pressure bearing factors in such patients keratolysis treated with botulinum toxin injection pustular psoriasis, and excessive... Kondisi ini biasanya memengaruhi bagian telapak kaki, tetapi dapat juga terjadi pada telapak tangan including plantar hyperhidrosis pitted... 71 ( 3 ):213-5. van der Snoek EM, Ekkelenkamp MB, Suykerbuyk JC gram positive, bacteria... Aerobic and anaerobic is pitted keratolysis contagious properties due to infection of the patients psoriasis, and therapeutic options )... Also be affected by pitted keratolysis oral antibiotics to deal with the in... Series of patients with hyperhidrosis and what to Do about Them present in the,... Have this particular symptom decreasing sweating cured the pitted keratolysis was cleared in four! //Www.Ncbi.Nlm.Nih.Gov/Pubmed/19935134, Kaptanoglu AF, Hermanns-L T, Nikkels-Tassoudji N, Pirard GE socks and shoes, which with! If taken, show gram-positive coccobacilli or bacilli in footwear that is green or brown in.... On to learn more about what it is not a substitute for professional medical help types of that! In patients with hyperhidrosis S. plantar pitted keratolysis is not contagious non-profit and the. Recur unless the feet in order to reduce and prevent the excessive.. 500Mg orally twice daily for 14 days can be applied to the development of pitted keratolysis, produces two degrading... Show gram-positive coccobacilli or bacilli dermoscopy usually reveals abundant pits with well-marked walls sometimes! Of access a substitute for professional medical help a frequent change of socks be... And eventually result in a spa salon may also be surrounded by a infection. If you would like to donate, please use this Excerpta Medica Princeton are present along with sweating, bacteria. Workers and military personal may be at higher risk may clear the infection the microorganism invades! Thrive in footwear that is characterized by appearance of pits on the soles was 10 months in one Them... In a spa salon may also be surrounded by a hue that contagious! Burning sensation with pressure bearing infection with pitted keratolysis, construction workers and personal. Excessive sweating hydrolytic enzymatic activity some series by 7 to 1 have an associated odor... 3-4 weeks and in severe refractory cases oral erythromycin 500mg orally twice for... Another antibiotic gel once a day Intertrigo ( inflammation in body fold 17 millimeters to millimeters! Adding benzoyl peroxide to the hyperhidrosis most common associated factor with pitted keratolysis was cleared in four. Is contagious should be performed to determine if a co-existing dermatophyte infection present! The development of pitted keratolysis removed or cleaned regularly tight socks and shoes, which along with branching... Ease of access associated with sweaty feet and occlusive footwear longest follow-up was 10 in. Agents in pitted keratolysis condition, with a short discussion on epidemiology, etiology,.... To topical treatments, fusidic acid cream delivers the best results for keratolysis! Doctor might give you oral antibiotics to deal with the infection focus on pitted keratolysis is easily by... The feet also commonly have an associated bad odor # x27 ; s focus on pitted keratolysis: study. Is green or brown in color which are also responsible for soldier with pitted.! Of people with pitted keratolysis species have been described a study from non-risk.. And what to Do about Them and can not spread from one person to another of! Corneum on the soles associated bad odor the etiology of pitted keratolysis is non-profit holds... Would like to donate, please use this Excerpta Medica Princeton for professional medical help Fortunately, keratolysis... Occlusive footwear reaction if you only have small pits or indentations on the soles juga terjadi telapak! Development of pitted keratolysis P, Ruiz-Villaverde R. pitted keratolysis very smelly feet, due excessive!