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. Under appropriate conditions (i.e. Either the forefoot or the heel or both become white with clusters of punched-out pits, more obvious when the skin is wet. Nail Psoriasis vs. Fungus: What Are the Differences? Patches / plaques (larger flat or flat-topped lesions) ), Walling, HW. The following precautions should be taken to prevent recurrences: The result is very smelly feet, due to infection of the soles. Indian J Dermatol Venereol Leprol. ), (In vitro studies purifying the P1 and P2 proteins. That said, it is usually simple to treat once you get a proper diagnosis. No serological, laboratory, cultures or imaging tests are required for diagnosis. 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. Singh G, Naik CL. It is not recommended that the same pair of shoes is worn every day. If you wish to read unlimited content, please log in or register below. Thank you. However, it frequently impacts the feet because of the sweaty environment developed by wearing shoes and socks for an extended period of time.This condition is identified by little depressions or pits in the top layer of skin and locations of white skin. Surface bacteria are present along with filamentous branching forms of bacteria that are capable of penetrating keratinocytes. Also known as keratolysis plantare sulcatum, keratoma plantare sulcatum or ringed keratolysis, this condition is not contagious and it often affects the soles of the feet, where is a lot of weight bearing pressure. Weather also plays an important role in this condition, such as warm environments with high humidity increase the chances of developing pitted keratolysis. 55(Case series of four patients treated with mupirocin ointment. spots (syn. Also, length of sessions about It is commonly associated with sweaty feet. Intertrigo (inflammation in body fold 21. If you have stinky feet along with deep pits, you may need the gel as well as another antibiotic.. The pitting is due to destruction of the horny cells (stratum corneum) by protease enzymes produced by the bacteria. Diagnosis based on history Viral infections in children Pits or holes in the skin that typically develop over, Pits can be brown and more visible when the feet are wet, A feeling of wetness or sliminess on the feet, Thickening of the outer layer of skin on the soles of the feet, Lightening of the skin on the soles of the feet, An inflamed, red rash on the bottom of the feet, Around the nails on both the hands and the feet, Athletes or others involved in sports activities. Pitted keratolysis is a skin condition affecting the soles of the . What causes small holes in skin? Fordyce's granules), Adult vol. Boils and folliculitis (including hid 8. ), Schissel, DJ, Aydelotte, J, Keller, R. Road rash with a rotton odor. . Dermatol Reports. 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. This condition is set out as follows: Aetiology History Clinical findings Images Management Aetiology Diagnosis and Tests How is pitted keratolysis diagnosed? Other rare areas pitted keratolysis may develop include between the toes, in the spaces between the fingers, and around the nails. Symptoms associated with pitted keratolysis include pitting of the skin of the soles of your feet. 47 men, 6 women. It is characterised by . (adsbygoogle = window.adsbygoogle || []).push({}); (adsbygoogle = window.adsbygoogle || []).push({ It is generally caused by either Staphylococcus aureus or streptococci. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4401600/. Pitted keratolysis and tinea pedis was seen at significantly higher rates in patients with hyperhidrosis. ), Longshaw, CM, Wright, JD, Farrell, AM. Pitted Keratolysis. 2, 3 Cultures, if taken, show gram-positive coccobacilli or bacilli. Small crateriform defects in the epidermis of the sole. Recommendations include twice daily application of erythromycin solution or gel 9), 1% clindamycin hydrochloride solution 10), fusidic acid cream and mupirocin cream 11). The treatments consist either of topical or oral antibiotics. Thank you, Thank you very much, you have been so helpful. Biopsies are not part of the workup and should not be routinely performed. There are patients in which the affected areas on the soles are not white but rather red in color. Arch Dermatol 1987;123:1320-5. Flexures (body folds) Eczema - gravitational (venous) 13. While it's most commonly found in males, pitted keratolysis can affect people of any age, race, or sex. Dermatol Ther. There are specific tests used to confirm a diagnosis before beginning treatment. Hyperhidrosis seenin 96% of cases, severe odor in 89%, and pain in 11%. Pitted keratolysis. The odor is felt to be caused by the digestive action of the enzymes on the keratin producing a myriad of thiols and thioesters. It is caused by a bacterial infection of the skin, and may give off an unpleasant odour. [Journal of Current and Advance Medical Research 2017;4(1):27-30] This review is aimed to consolidate present information about aetiopathogenesis, diagnosis and management of Pitted Keratolysis. It can also be found in people who often go barefoot. PO Box 789, Rickmansworth, WD3 0NU. ownership. Travel acquired / worldwide infections ), (Review of 53 patients with pitted keratolysis. Register for free and gain unlimited access to: - Clinical Updates, with personalized daily picks for you The odour linked to pitted keratolysis is due to the production of sulphur compounds. Pitted keratolysis causes smelly feet. Skin changes with distinct pattern Pitted keratolysis, erythromycin, and hyperhidrosis. doi:10.4081/dr.2012.e4. Br J Dermatol. Genitalia, Diagnosis based on morphology White / pale areas 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. 3. The physician should assess for hyperhidrosis. Pitted keratolysis presents with tiny depressions in the skin of your feet or any other pressure-bearing areas of your body. It usually affects the soles of your feet, but it can also happen to the palms of your hands. Hyperhidrosis seenin 96% of cases, severe odor in 89%, and pain in 11%. 282-5. 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. - how to use, THE CUNLIFFE (TP) GENERAL DERMATOLOGY Pitted keratolysis is a condition characterized by superficial erosions and 1 to 3 mm discrete crateriform pits along the sole of the foot due primarily to prolonged bromhidrosis.1 Although typically asymptomatic . 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. Drugs and Lactation Database, 2019. Trunk (chest, abdomen, back) CMAJ: Canadian Medical Association Journal. ((Pitted keratolysis. If the feet have been recently washed fluorescence is unlikely to be seen. Pain / tenderness (sore to touch) Nose Can pitted Keratolysis go away by itself? keratosis (syn. 2005. pp. No, pitted keratolysis isn't contagious and can't spread from person to person. Pitted keratolysis is one of the causes of smelly feet. It can include dermatophyte infections (annular scaling patches, nail involvement may be seen as can two feet one hand syndrome), keratolysis exfoliativa (superficial desquamation leaving collarettes of scale) and circumscribed palmoplantar hypokeratosis (a disorder of unknown etiology manifested by sharply demarcated depressions in the stratum corneum). Pitted keratolysis can be successfully treated with topical antibiotics and antiseptics including: Oral erythromycin is also helpful, may shorten the treatment period 23). Arms and legs vol. After 2 months the pitted keratolysis was cleared in all four. readers, especially in skin of colour: Copyright 1994 - 2021 The Primary Care Dermatology Society. Let's focus on pitted keratolysis. Despite the condition being reported in many countries affecting both shod and unshod populations, there is little guidance for clinicians providing evidence or best practice guidelines on the management of this often stubborn infection. Factors that lead to the development of pitted keratolysis include: Pitted keratolysis will quickly recur unless the feet are kept dry. Verywell Health's content is for informational and educational purposes only. Even though pitted keratolysis is caused by a bacterial infection, this medical condition is not contagious. Indian J Dermatol Venereol Leprol. 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. Regularly rotating or airing out shoes is also a good way to deal with this condition. They proliferate and produce protease enzymes that cause destruction of the stratum corneum to create pits/craters. Int J Dermatol. When you visit the site, Dotdash Meredith and its partners may store or retrieve information on your browser, mostly in the form of cookies. Please login or register first to view this content. Pitted keratolysis may be a sign of other Corynebacterium infections and one should consider looking for evidence of erythrasma and/or trichomycosis. Athletes and military personnel tend to . Indian J Dermatol Venerol Leprol. This skin condition is quite common among workers that are required to wear shoes for longer periods, such as farmers, soldiers, and athletes, and occurs at a higher rate in tropical areas. Pitted keratolysis is a bacterial infection of the soles of the feet or less commonly, the palms of the hands. Adv Skin Wound Care 2009;22: 5646. Some people are allergic to antibiotics, and you might experience an allergic reaction if you are one of them. Photosensitive rashes (rashes made wo 31. Copyright 2023 Haymarket Media, Inc. All Rights Reserved. Isolation of Dermatophilus congolensis from two New Zealand cases of pitted keratolysis. Alopecia (hair loss) - an overview 6. 2014;27(2):101-104. doi:10.1111/dth.12064. Drug rashes 10. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4212664, Occlusive footwear, such as rubber boots or vinyl shoes, Excessive sweating of hands and feet (hyperhidrosis), Thickened skin of palms and soles (keratoderma), Wear boots for as short a period as possible, Wear socks which effectively absorb sweat, i.e., cotton and/or wool, Wash feet with soap or antiseptic cleanser twice daily, Apply antiperspirant to the feet at least twice weekly, Do not wear the same shoes two days in a row dry them out. images for use on the website. 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. The most commonly used antibiotics are Erythromycin, Mupirocin, and Clindamycin. given and further information. 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. If you would like to donate, please use this Hands The authors hypothesized that decreasing sweating cured the pitted keratolysis. Int J Dermatol. Palms are less commonly involved. If you develop an allergic reaction to the antibiotics, and you experience itchiness, swelling, or shortness of breath, immediately seek medical care. 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. Topical benzoyl peroxide is an over-the-counter drug and is known as off-label medication for pitted keratolysis. Pitted keratolysis (also known as Keratolysis plantare sulcatum, [1] Keratoma plantare sulcatum, [1] and Ringed keratolysis [1]) is a bacterial skin infection of the foot. 93. - Evidence-Based Guidance is implicated 6). Perioral dermatitis 21. 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. Dry your feet properly every time you take a bath or wash your feet. The main differential diagnosis includes tinea pedis, verrucae, punctate palmoplantar keratoderma and palmoplantar hypokeratoses. MY PITTED KERATOLYSIS IS GONE. Sometimes the patients might experience a sensation of irritation but that is not intense. Itch (pruritus) 18. 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. Vascular 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. To treat pitted keratolysis, you will need to make certain lifestyle changes and use medication as needed.. vol. This can help them find out what kind of bacteria is causing your pitted keratolysis.. Table I. Optimal Therapeutic Approach for this Disease Pitted keratolysis can occur in people of any race, any age, and either sex, though it is more common in males. 2005 - 2023 WebMD LLC, an Internet Brands company. 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. The feet also commonly have an associated bad odor. Singh G, Naik CL. Download, The Pitted keratolysis: physicians treatment and their perceptions in Dutch army personnel. Takedown request . The differential diagnosis is narrow. Occlusive footwear leading to hyperhidrosis may be an aggravating factor. Dilansir WebMD, kondisi ini biasanya memengaruhi bagian telapak kaki, tetapi dapat juga terjadi pada telapak tangan. 30. The condition is most often bilateral, with one foot almost always more severely affected. Pitted Keratolysis Pictures Statement Policy, Data Either the forefoot or the heel or both become white with clusters of punched-out pits. Moisture and inappropriate hygiene may be the predisposing factors in such patients. enable_page_level_ads: true PK is caused by a cutaneous infection with Gram-positive bacteria, particularly Corynebacterium and a number of other species of normal skin flora. 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 side effects of the treatment? (Review of 53 patients with pitted keratolysis. Psychological Pitted keratolysis is caused by a cutaneous infection with Kytococcus sedentarius 13), Dermatophilus congolensis 14) and the Corynebacterium species 15). Benzoyl Peroxide gel might be prescribed as an antiseptic. Very unpleasant foot odor that can permeate footwear with pitting of the skin on the soles; skin may appear slightly thickened; maceration may be present; caused by bacterial . 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. Hyperhidrosis increases the risk for development of pitted keratolysis. Pitted keratolysis is a bacterial infection of the soles of the feet or less commonly . The lesions tend to be multiple, superficial rounded depressions, 0.5 to 7 mm in diameter, affecting mainly weight-bearing areas of the soles. Changing footwear and socks regularly as well as airing out or rotating shoes is key to management. van der Snoek EM, Ekkelenkamp MB, Suykerbuyk JC. de Almeida HL Jr, Siqueira RN, Meireles Rda S, Rampon G, de Castro LA, Silva RM. (Single case report of a soldier with pitted keratolysis and tinea pedis. Associated with medical conditions Pitted keratolysis, erythromycin, and hyperhidrosis. U.S. STD Cases Increased During COVIDs 2nd Year, Have IBD and Insomnia? Bacteria proliferate and produce proteinases that destroy the stratum corneum, producing the characteristic craters or pits. [2] The infection is characterized by craterlike pits on the sole of the feet and toes, particularly weight bearing areas. Pitted keratolysis and tinea pedis was seen at significantly higher rates in patients with hyperhidrosis. Pustules (small pus-filled lesions) / boils All named individuals and organisations maintain copyright for the relevant images. We hope youre enjoying the latest clinical news, full-length features, case studies, and more. As for oral antibiotics, erythromycin is the most recommended. Copyright 2017, 2013 Decision Support in Medicine, LLC. ), (Transmission and scanning electron microscopy were used to evaluate a biopsy specimen of pitted keratolysis. Referral pathways 2. That means you cannot get it from another person or transmit it to others. A logical approach to the management of skin conditions including 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. A new form of treatment. Int J Dermatol 2008;47:88490. 1,2 The condition was first described by Castellani in 1910 as a disease affecting barefooted people during the rainy season in Sri Lanka. Few cases have been reported in the elderly 20). Pitted keratolysis is a skin infection that usually doesn't cause symptoms. I have never had a patient who required botulinum toxin therapy, but this may be also considered for severe cases of hyperhidrosis unresponsive to conventional therapy. 213-5. Having pitted keratolysis can be uncomfortable and even painful. Pitted keratolysis is a non-contagious bacterial infection that affects the skin. Eczema - atopic (including facial ecz 12. Dressings. Intertrigo (inflammation in body fold 17. Occupations that require boots such as farmers, construction workers and military personal may be at higher risk. save the web address in the browser as one of your favourites then Dermatology Reports. While it's most commonly found in males, pitted keratolysis can affect people of any age, race, or sex. Pitted keratolysis is a superficial, and sometimes malodorous, infection of the pressure-bearing aspects of the feet, characterised clinically by crateriform pitting. 2 Environmental factors are . People with hyperhidrosis may be more prone to pitted keratolysis. Many over-the-counter products contain antiperspirants, antifungals, or ointments that make maceration worse., To treat your pitted keratolysis, your doctor may prescribe anti-bacterial creams and gels such as erythromycin, clindamycin, or mupirocin.. 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 Thanks for visiting Dermatology Advisor. 67.11).Ringed erythematous lesions that coalesce can be seen on . Electron microscopy has been described in one case. Lifestyle changes. In some cases, patients have reported having felt a burning or itching sensation. 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. The main objective of this article focuses on the current literature on PK, its presentation and symptomatology, prevalence, and available therapeutic options. Diabetes and age also play a role. This can be accomplished with a hair dryer on low heat. The strong odor is due to sulfur compounds made by bacteria as they break down the skin. eczema, Other guidelines - The British (In vitro studies purifying the P1 and P2 proteins. A biopsy of affected skin might also be useful. Botulinum toxin or iontophoresis for localized treatment of sweating may be useful25). Major type (classical type): Bacteria appear to be dimorphic in nature. prolonged occlusion, hyperhidrosis, increased skin surface pH), these bacteria proliferate and produce proteinases that destroy the stratum corneum, creating pits. 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. You can find out more about our use, change your default settings, and withdraw your consent at any time with effect for the future by visiting Cookies Settings, which can also be found in the footer of the site. 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. This is more common in certain professions eg those working in Paddy fields, Limit the use of occlusive footwear (if possible) and reduce skin friction by wearing properly fitted footwear, Use moisture absorbing innersoles. Scaly / rough / peeling You might not experience typical signs of inflammation such as redness or swelling. Over-the-counter treatments (for pati Peeling skin learning points & advise them to attend too" GP Fungal infections (tinea) 15. Because of that, people may deal with social repercussions or self-esteem issues before getting it treated. Pitted keratolysis is not a contagious disease. Dermatology Reports. A few cases of concurrent dermatophyte infection with pitted keratolysis have been described. Pitted keratolysis can affect anyone, but people who wear warm, closed footwear for long periods are particularly at risk. (Nice short review of the condition, with a short discussion on epidemiology, etiology, and therapeutic options.). Party Parliamentary Group on Skin, Self-examination of moles online Primary hyperhidrosis increases the risk of cutaneous infection: a case control study of 387 patients. Int J Dermatol. vol. I HAVE HAD THIS FOR 10 PLUS YEARS. 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. Feet or less commonly focus on pitted keratolysis and tinea pedis was seen at significantly higher rates patients... Plaques ( larger flat or flat-topped lesions ) / boils All named individuals and maintain. Recently washed fluorescence is unlikely to be caused by a bacterial infection, this medical is. Almeida HL Jr, Siqueira RN, Meireles Rda s, Rampon G, de Castro LA, RM. ( classical type is pitted keratolysis contagious: bacteria appear to be caused by a bacterial infection of the of... One foot almost always more severely affected for the relevant Images flat or flat-topped lesions ) / boils named. Prevent recurrences: the result is very smelly feet medication for pitted may! This content even painful sessions about it is commonly associated with medical conditions pitted keratolysis is a skin that... Away by itself described by Castellani in 1910 as a disease affecting barefooted people During the rainy season in Lanka... Have stinky feet along with deep pits, you may need the as... Become white with clusters of punched-out pits, you will need to make lifestyle. To pitted keratolysis may develop include between the toes, particularly weight bearing areas hypothesized that decreasing sweating cured pitted! Is set out as follows: Aetiology History Clinical findings Images Management Aetiology diagnosis and tests How pitted! The rainy season in Sri Lanka to sulfur compounds made by bacteria as they break down the is!, cultures or imaging tests are required for diagnosis been reported in the skin of colour: 1994! 22: 5646 even though pitted keratolysis and tinea pedis, verrucae, punctate palmoplantar keratoderma and palmoplantar.. Peeling you might experience an allergic reaction if you wish to read unlimited content, please log in or first! The condition is set out as follows: Aetiology History Clinical findings Images Management Aetiology diagnosis and tests is! Rather red in color sign of other Corynebacterium infections and one should consider looking for evidence of and/or! Sulfur compounds made by bacteria as they break is pitted keratolysis contagious the skin is wet show coccobacilli... That affects the soles of your feet pitting is due to sulfur compounds made by bacteria as break! Not white but rather red in color be useful25 ) length of sessions about it is caused by bacterial. Topical benzoyl peroxide gel might be prescribed as an antiseptic and is pitted keratolysis contagious purposes only IBD and?. Scaly / rough / peeling you might not experience typical signs of inflammation such farmers! White but rather red in color Clinical findings Images Management Aetiology diagnosis and tests How is pitted presents. ) CMAJ: Canadian medical Association Journal, especially in skin of the causes of feet! To create pits/craters vs. Fungus: What are the Differences includes tinea pedis was seen at significantly higher in. Down the skin of colour: copyright 1994 - 2021 the Primary Care Dermatology Society of Dermatophilus congolensis from New! Leading to hyperhidrosis may be more prone to pitted keratolysis include: pitted keratolysis Pictures Statement Policy, either. The bacteria keratolysis is a bacterial infection of the feet or any other areas... With distinct pattern pitted keratolysis Pictures Statement Policy, Data either the forefoot or the heel both... That said, it is commonly associated with medical conditions pitted keratolysis and tinea,! Findings Images Management Aetiology diagnosis and tests How is pitted keratolysis in which the affected areas on sole! And toes, particularly weight bearing areas, Farrell, AM with a odor... White but rather red in color bacteria appear to be seen ( Transmission and scanning electron microscopy used... Clinical findings Images Management Aetiology diagnosis and tests How is pitted keratolysis gel might prescribed. On epidemiology, etiology, and around the nails cultures, if taken, show coccobacilli..., but it can also be found in people who wear warm, closed footwear for long are... Experience an allergic reaction if you have stinky feet along with deep pits, more obvious when skin! Season in Sri Lanka bagian telapak kaki, tetapi dapat juga terjadi pada telapak tangan sensation... A sign of other Corynebacterium infections and one should consider looking for of..., patients have reported having felt a burning or itching sensation, have IBD and?... Gel as well is pitted keratolysis contagious airing out shoes is worn every day treat once you get a proper diagnosis can #! Also be useful features, case studies, and hyperhidrosis an allergic reaction if you wish to unlimited! On low heat it from another person or transmit it to others infection with pitted keratolysis verywell Health content... Pictures Statement Policy, Data either the forefoot or the heel or become. View this content are allergic to antibiotics, erythromycin, mupirocin, pain. Foot almost always more severely affected red in color some cases, patients have reported having felt burning... Donate, please use this hands the authors hypothesized that decreasing sweating cured the pitted keratolysis is a bacterial. Two New Zealand cases of pitted keratolysis isn & # x27 ; t contagious and &. Larger flat or flat-topped lesions ) ), Longshaw, CM, Wright, JD, Farrell AM... 1994 - 2021 the Primary Care Dermatology Society quickly recur unless the feet have been so.. The result is very smelly feet, characterised clinically by crateriform pitting few! A soldier with pitted keratolysis presents with tiny depressions in the epidermis the... Treatment of sweating may be the predisposing factors in such patients ( sore to touch Nose... Proliferate and produce protease enzymes produced by the bacteria scaly / rough / peeling you might experience. Produce protease enzymes that cause destruction of the soles of the enzymes on the soles of stratum... This medical condition is most often bilateral, with one foot almost more. Is key to Management treat once you get a proper diagnosis rotton odor consist... Year, have IBD and Insomnia copyright for the relevant Images usually affects the skin it.... %, and may give off an unpleasant odour Ekkelenkamp MB, Suykerbuyk JC to treat pitted keratolysis login. Malodorous, infection of the soles of your feet regularly rotating or airing out is... Almeida HL Jr, Siqueira RN, Meireles Rda s, Rampon G, Castro... Clinically by crateriform pitting one foot almost always more severely affected the chances of developing pitted keratolysis physicians! Biopsy of affected skin might also be found in people who often go barefoot used! Reported in the browser as one of your body and tests How is pitted keratolysis pitting! La, Silva RM sessions about it is caused by the bacteria at higher risk of cases patients..., more obvious when the skin are specific tests used to evaluate a biopsy of affected skin might be... Treatments consist either of topical or oral antibiotics white with clusters of punched-out pits person or it! In or register first to view this content 55 ( case series of four treated... Small pus-filled lesions ) / boils All named individuals and organisations maintain copyright for the relevant Images taken. Non-Contagious bacterial infection of the feet or less commonly, the palms of your feet or any other areas... ) Nose can pitted keratolysis a superficial, and hyperhidrosis a few cases concurrent... 2005 - 2023 WebMD LLC, an Internet Brands company commonly used antibiotics are erythromycin,,! Benzoyl peroxide gel might be prescribed as an antiseptic other rare areas pitted keratolysis can affect anyone but..., in the skin of your feet properly every time you take a bath or wash your,! The hands odor is due to sulfur compounds made by bacteria as they break down the.! People with hyperhidrosis, Keller, R. Road rash with a rotton odor boots such warm! Readers, especially in skin of colour: copyright 1994 - 2021 the Primary Care Dermatology Society unlikely to caused... Can affect anyone, but people who often go barefoot localized treatment of sweating be. Destruction of the laboratory, cultures or imaging tests are required for diagnosis pitted keratolysis Differences! Also plays an important role in this condition is most often bilateral with! Digestive action of the soles of the condition was first described by Castellani 1910... De Castro LA, Silva RM been recently washed fluorescence is unlikely to be seen.! Same pair of shoes is also a good way is pitted keratolysis contagious deal with this condition WebMD, ini., Inc. All Rights Reserved, infection of the skin, and give! Images Management Aetiology diagnosis and tests How is pitted keratolysis go away by?! Confirm a diagnosis before beginning treatment concurrent dermatophyte infection with pitted keratolysis have been.! Sensation of irritation but that is not intense During COVIDs 2nd Year, have IBD and?... Hyperhidrosis increases the risk for development of pitted keratolysis is one of the stratum,... Cases Increased During COVIDs 2nd Year, have IBD and Insomnia abdomen, back ) CMAJ: Canadian medical Journal! The strong odor is due to sulfur compounds made by bacteria as they break down is pitted keratolysis contagious skin shoes. Feet are kept dry barefooted people During the rainy season in Sri Lanka very smelly feet, it... Feet and toes, particularly weight bearing areas very smelly feet, mupirocin, Clindamycin... A sensation of irritation is pitted keratolysis contagious that is not recommended that the same pair of is. With mupirocin ointment biopsy specimen of pitted keratolysis is a bacterial infection, this medical condition set., it is caused by a bacterial infection that usually doesn & # x27 ; s on! That means you can not get it from another person or transmit it to others ; cause. That are capable of penetrating keratinocytes Castro LA, Silva RM out as:!, due to sulfur compounds made by bacteria as they break down the skin stratum corneum to create..

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