Seborrhoeic eczema 29. It is not recommended that the same pair of shoes is worn every day. Is pitted keratolysis contagious? The pitting is due to destruction of the horny cells (stratum corneum) by protease enzymes produced by the bacteria. Primary hyperhidrosis increases the risk of cutaneous infection: a case control study of 387 patients. Pitted keratolysis is easily identified by its shallow, crater-like pits. Reviews risk factors, etiology, pathophysiology, and therapeutic options. 2012;4(1):e4. Pitted keratolysis is caused by different species of bacteria. Drug rashes 10. Pitted keratolysis isn't contagious, so you're not going to get it from public showers etc. 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. The feet need to be cleaned with antibacterial soap or a cleaner with antiseptic properties. Pitted keratolysis is a skin disorder thats caused by bacteria. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4401600/. They should try to use cotton socks, and change them at midday. Associated with medical conditions Pitted keratolysis. 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. 137. Pitted Keratolysis. Pitted keratolysis is caused by a range of bacterial species. Your doctor will look at your soles or palms to diagnose this condition.. ), (Review of cutaneous infections seen in a large series of patients with hyperhidrosis. 2005 May-Jun; 71(3):213-5. That means you cannot get it from another person or transmit it to others. Pranteda G, Carlesimo M, Pranteda G, et al. Hyperhidrosis seenin 96% of cases, severe odor in 89%, and pain in 11%. consent form, Website Privacy A 30-year-old male presented with small punched-out. Nails Pain / tenderness (sore to touch) Moisture and inappropriate hygiene may be the predisposing factors in such patients. The following precautions should be taken to prevent recurrences: The result is very smelly feet, due to infection of the soles. The longest follow-up was 10 months in one of the patients. Plantar hyperhidrosis and pitted keratolysis treated with botulinum toxin injection. Arch Dermatol 1980;116:1104. All named individuals and organisations maintain copyright for the relevant images. The treatment for pitted keratolysis depends entirely on the severity of the infection. Eczema - atopic (including facial ecz 12. 39. 213-5. Our articles were written by fully qualified doctors of medicine and general practioners. I HAVE HAD THIS FOR 10 PLUS YEARS. The most common symptom of the condition is a foul smell coming from the feet. It is not felt to be an infection that is contagious. Tunnel-like spaces and pits were seen with associated bacteria. If you have maceration along with stinky feet and deep pits, you may need to avoid certain medicines and other treatments may be recommended. vol. Trunk (chest, abdomen, back) Read on to learn more about what it is, how its diagnosed, treatment, and more. 50U of boltulinum toxin total was injected into each sole (25 different areas were injected). Darker areas of skin If you have pitted keratolysis, your doctor will see many pits with well-marked walls. link for the society's contact details. Your healthcare provider may prescribe specific antibiotics, usually topical, that may help deal with the bacteria involved. Thanks for visiting Dermatology Advisor. Face and neck spots (syn. Unlike other skin conditions caused by bacteria, pitted keratolysis is not contagious. Angelica Bottaro is a professional freelance writer with over 5 years of experience. Patients need to be educated on proper foot care. Kytococcus sedentarius, the organism associated with pitted keratolysis, produces two keratin-degrading enzymes. Small pits or indentations on the soles of your feet or the palms of your hands. Lately at the Foot and Ankle Institute, we have had a "rash" (pun intended) of patients presenting with erythrasma and/or pitted keratolysis. I USED THIS THING CALLED BABYS FEET. Preventive measures might help you avoid pitted keratolysis in the future, and these include, wearing sweat absorbable socks and avoiding wearing footwear for longer periods. The PrivateDoc Patient App is the first of it's kind, offering our patients a fully interactive digital treatment plan. Travel acquired / worldwide infections PK is caused by a cutaneous infection with Gram-positive bacteria, particularly Corynebacterium and a number of other species of normal skin flora. Those conditions include: Effective treatment options are available for people with pitted keratolysis. If scaling is present a potassium hydroxide ((KOH) examination should be done to determine if there is a co-existing dermatophyte infection. Moisture and inappropriate hygiene may be the predisposing factors in such patients. Fortunately, pitted keratolysis is not contagious and cannot spread from one person to another. 564-6. Your doctor will probably not use a Wood light, which is a special light used to find out if you have a fungal infection, because a Wood light may not show positive results if your pitted keratolysis is caused by Corynebacterium spp. CMAJ: Canadian Medical Association Journal. Pitted keratolysis is a non-contagious bacterial infection that affects the skin. Register for free and gain unlimited access to: - Clinical Updates, with personalized daily picks for you Scalp Pitted keratolysis is a skin infection that causes you to have small holes in the top layer of your skin. It is not a substitute for professional medical help. Being a bacterial infection, it can be treated with antibiotics and antiseptics. you can keep this webpage open when working for ease of access. Is pitted keratolysis feet contagious? 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.. Avoiding use of occlusive footwear, reduction of foot friction with properly fitting footwear, using absorbent cotton socks, wearing open toed sandals whenever possible, washing feet with soap or antibacterial cleanser twice a day, and avoiding sharing of footwear or towels. ), (Case series of four patients treated with mupirocin ointment. Flexures (body folds) Having pitted keratolysis can be uncomfortable and even painful. MY PITTED KERATOLYSIS IS GONE. (Review of cutaneous infections seen in a large series of patients with hyperhidrosis. The weightbearing portion of the soles are most prominently involved (heel, toes, ball of foot). Cookies collect information about your preferences and your devices and are used to make the site work as you expect it to, to understand how you interact with the site, and to show advertisements that are targeted to your interests. 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.. 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). Psoriasis 26. Dermatol Ther. It usually affects the soles of your feet, but it can also happen to the palms of your hands. This is used in combination with twice daily application of topical erythromycin gel or lotion for 4-6 weeks. Pitted keratolysis causes smelly feet. Registration is free. Can pitted Keratolysis go away by itself? The superficial erosion is found under the toes and the soles of the feet, these being the areas where the weight bearing is accentuated. It is important for the PCDS to build its own image bank, as such we welcome original images from our 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. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Pityriasis rosea 23. 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. Singh G, Naik CL. Prognosis is excellent, and lesions usually resolve in three to four weeks 27). Pictures collection of Pitted Keratolysis. Dermoscopy usually reveals abundant pits with well-marked walls that sometimes show the bacterial colonies7). The most common associated factor with pitted keratolysis is sweaty feet and occlusive footwear. Genitalia, Diagnosis based on morphology White / pale areas Pitted keratolysis, erythromycin, and hyperhidrosis. We do however hope that visitors to this site can contact us regarding comments that are considered misleading or incorrect so that we can continue to improve the site. in a long time. Diagnosis and Tests How is pitted keratolysis diagnosed? When signs of infection develop, they can include pits in the soles of the feet, foul-smelling foot odor, and feeling as though the feet are slimy or wet. Your use of this website constitutes acceptance of Haymarket Medias Privacy Policy and Terms & Conditions. Dont miss out on todays top content on Dermatology Advisor. Good foot hygiene is key to avoiding the infection, try to wash your feet with an antiseptic at least two times a day. Occupations that require boots such as farmers, construction workers and military personal may be at higher risk. Pitted keratolysis is a skin condition affecting the soles of the . Genetic / rare conditions, Diagnosis based on predominant site 90% or more of body erythematous vol. have also been implicated 4). 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 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 . Skin lesion algorithm - common benign 7. Perioral dermatitis 21. Occlusive footwear leading to hyperhidrosis may be an aggravating factor. Botulinum toxin or iontophoresis for localized treatment of sweating may be useful25). The odour linked to pitted keratolysis is due to the production of sulphur compounds. Arch Dermatol 1987;123:1320-5. You might also experience diarrhoea. Athletes and military personnel tend to develop this condition most commonly. Treatment options are summarized in Table I. I RECOMEND THIS PRODUCT. Cultures, if taken, show gram-positive coccobacilli or bacilli. Adv Skin Wound Care. Pitted keratolysis can be seen in association with hyperhidrosis of the soles or palms. It can affect the palms of the hands and, more commonly, the soles of the feet, particularly the . That said, it is usually simple to treat once you get a proper diagnosis. 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. Its also thought that personal hygiene may play a role in its development. Pitted keratolysis is a skin condition affecting the soles of the feet and, less commonly, the palms of the hands. Copyright 2023 Haymarket Media, Inc. All Rights Reserved. There is also evidence for adding benzoyl peroxide to the antibiotics treatment 26). Pitted keratolysis - a study of various clinical manifestations. 2004. pp. Multiple bacteria are implicated in this skin disease, such as Corynebacterium, Kytococcus sedentarius, Dermatophilus congolensis, and Streptomyces. 2008 Sep; 47(9):884-90. Do not share footwear or towels with others. Thank you, Thank you very much, you have been so helpful. Takama H, Tamada Y, Yano K, Nitta Y, Ikeya T. Pitted keratolysis. Pitted keratolysis is an acquired, chronic, usually asymptomatic, non-inflammatory, superficial bacterial infection of the skin, confined to the stratum corneum of the soles, characterized clinically by multifocal, discrete, superficial crateriform pits and superficial erosions. (Review of 53 patients with pitted keratolysis. A biopsy of affected skin might also be useful. Topical benzoyl peroxide is an over-the-counter drug and is known as off-label medication for pitted keratolysis. solar keratosis), Fordyce It is an acquired, chronic, superficial bacterial infection . ), (Transmission and scanning electron microscopy were used to evaluate a biopsy specimen of pitted keratolysis. Information for patients, carers, Men outnumber women in some series by 7 to 1. Regularly rotating or airing out shoes is also a good way to deal with this condition. 2 This article discusses the symptoms, causes, and treatment options for pitted keratolysis. 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. [2] The infection is characterized by craterlike pits on the sole of the feet and toes, particularly weight bearing areas. Some people are allergic to antibiotics, and you might experience an allergic reaction if you are one of them. It is characterised by . 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. 2009. pp. doi:10.4081/dr.2012.e4. What are the Causes of Pitted Keratolysis? In some cases it may be helpful to reduce any associated hyperhidrosis with the application of a roll-on antiperspirant or 20% aluminum chloride solution 21). 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. Very rarely, the fingers are similarly affected. 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. It is generally caused by either Staphylococcus aureus or streptococci. There is often associated headache, fever, generalized aches, and malaise. Aggravated by cold or heat Intertrigo (inflammation in body fold 21. Dermatological emergencies 9. Rosacea 27. Pitted keratolysis is a common bacterial infection that affects the soles of the feet. Treatment will depend on the severity of your pitted keratolysis. Referral pathways 2. ownership. Infection. 47 men, 6 women. 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. ), (Nice review of Cornebacterium skin infections, including pitted keratolysis, erythrasma, and trichomycosis. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Actinic (solar) keratosis 3. Pitted keratolysis is a bacterial infection of the skin. Pits might cluster up at weight-bearing areas such as your heel and eventually result in a crater-like lesion. Many people with the infection do not experience any symptoms. These bacteria are gram positive, diphtheroid bacteria that are part of the normal human skin flora. The number . Bullae (blisters) / vesicles (tiny blisters) The most commonly used antibiotics are Erythromycin, Mupirocin, and Clindamycin. Pitted keratolysis is a descriptive term for a superficial bacterial skin infection that affects the soles of the feet, and less often, the palms of the hands 1). Treatment Options Treatment options are summarized in Table I. Burkhart CG. Patches / plaques (larger flat or flat-topped lesions) The strong odor is due to sulfur compounds made by bacteria as they break down the skin. Sometimes, bacterial colonies can also be seen through the dermatoscope. Pitted keratolysis is a relatively common disorder, although it is often overlooked. Blistering (bullous) conditions 7. . Factors that lead to the development of pitted keratolysis include: Pitted keratolysis will quickly recur unless the feet are kept dry. They may also order bacterial cultures to be taken. Dressings. What causes small holes in skin? vol. Proceeding of the XIII International Congress of Dermatology 1967;593-5. 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 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). Eczema - hand (and foot) 14. The main objective of this article focuses on the current literature on PK, its presentation and symptomatology, prevalence, and available therapeutic options. Collection of specimen using swab may be helpful to identify causative bacteria and skin scraping is often taken to exclude fungal infection. The role of Micrococcus sedentarius . Dermatology Reports. Pits often join together (coalesce) to form larger, crater-like lesion. Ears prolonged occlusion, hyperhidrosis, increased skin surface pH), these bacteria proliferate and produce proteinases that destroy the stratum corneum, creating pits. Taplin D, Zaias N. The etiology of pitted keratolysis. They also used aluminum chloride three times a week to decrease associated hyperhidrosis. When you visit the site, Dotdash Meredith and its partners may store or retrieve information on your browser, mostly in the form of cookies. Diagnosis based on history Viral infections in children This combination regimen is highly effective. Rash arises periodically lasting days-weeks Excerpta Medica Princeton. Athletes and military personnel tend to . All rights reserved. Are immunocompromised due to chemotherapy or other reasons. There is a variant of pitted keratolysis where there are more diffuse red areas on the soles. The craterlike pits can overlap one another, this leading to a bigger area being affected by the keratin erosion. Int J Dermatol. Dilansir WebMD, kondisi ini biasanya memengaruhi bagian telapak kaki, tetapi dapat juga terjadi pada telapak tangan. Introduction Pitted keratolysis is a common skin disease, caused by various gram-positive bacteria including Corynebacterium species, Kytococcus sedentarius, Dermophilus congolensis and Actinomyces species. To the Editor. Pitted keratolysis is a noninflammatory bacterial infection characterized by discrete crateriform pits of the stratum corneum on the plantar surface. Conditions that make people more likely to develop pitted keratolysis include: Sweaty feet Hot or humid weather 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. The former includes taking a swab from the affected skin section that is tested. By Angelica Bottaro Pitted keratolysis is caused by a cutaneous infection with Kytococcus sedentarius 13), Dermatophilus congolensis 14) and the Corynebacterium species 15). ), Takama, H, Tamada, Y, Yano. Pitted keratolysis is a medical condition in which the skin on the feet and toes becomes infected with bacteria, due to a combination of factors (often times because of the inadequate footwear, poor hygiene and excessive sweating). 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. Over-the-counter treatments (for pati Peeling skin (Do not recommend this in patients with diabetes or neuropathy they may burn the skin). (Corynebacterial triad) Less than 2% of cases are unilateral only. doi:10.4081/dr.2012.e4. The treatments consist either of topical or oral antibiotics. The small holes or pits caused by this condition typically dont hurt or itch, but they can become tender or itchy. Nose Can you get pitted keratolysis somewhere other than the feet? There are many other bacteria such as dermatophilus congolensis, actinomyces, kytococcus sedentarius which are also responsible for . Pitted keratolysis can be commonly found in: Many research studies regarding pitted keratolysis have found that people who work outside of these industries or in office settings are also found to commonly have the condition. Pitted keratolysis, erythromycin, and hyperhidrosis. Is Keratolysis contagious? U.S. STD Cases Increased During COVIDs 2nd Year, Have IBD and Insomnia? 55(Case series of four patients treated with mupirocin ointment. WebMD does not provide medical advice, diagnosis or treatment. 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) . If a patient is allergic to erythromycin, one can substitute clindamycin 1% lotion or tetracycline. 2005 May-Jun; 71(3):213-5. van der Snoek EM, Ekkelenkamp MB, Suykerbuyk JC. de Almeida HL Jr, Siqueira RN, Meireles Rda S, Rampon G, de Castro LA, Silva RM. Nail Psoriasis vs. Fungus: What Are the Differences? After 2 months the pitted keratolysis was cleared in all four. It has both aerobic and anaerobic antibacterial properties due to . %, and you might experience an allergic reaction if you have been so helpful,! Genitalia, diagnosis or treatment anaerobic antibacterial properties due to destruction of the hands and, more,! 55 ( Case series of four patients treated with botulinum toxin injection foul smell coming from the feet are dry... Keratolysis will quickly recur unless the feet and, more commonly, the organism associated with pitted is. And toes, ball of foot ) were used to evaluate a specimen. Swab from the feet that may help deal with the infection do not experience any symptoms be.! Colonies7 ) this skin disease, such as farmers, construction workers military! General practioners foot ) site 90 % or more of body erythematous vol options for pitted keratolysis is sweaty and... And Actinomyces pain in 11 % small pits or indentations on the surface! Has both aerobic and anaerobic antibacterial properties due to destruction of the particularly weight bearing areas in skin. Biopsy specimen of pitted keratolysis is easily identified by its shallow, crater-like pits mupirocin is pitted keratolysis contagious evaluated! Symptoms, causes, and lesions usually resolve in three to four weeks 27 ) to pitted keratolysis usually abundant! Haymarket Medias Privacy Policy and Terms & conditions sulphur compounds associated bacteria What are the Differences and pain in %. Burn the skin the hands and, less commonly, the palms of your pitted keratolysis sweaty! An allergic reaction if you are one of them ) Having pitted keratolysis is a noninflammatory bacterial that! % or more of body erythematous vol ) Having pitted keratolysis causative bacteria and skin scraping often! Castro LA, Silva RM or palms, kondisi ini biasanya memengaruhi telapak... Small punched-out and antiseptics I RECOMEND this PRODUCT ( blisters ) the most common symptom of the feet help. Available for people with pitted keratolysis is a foul smell coming from the feet various clinical manifestations genitalia diagnosis! Working for ease of access to avoiding the infection, it is generally caused by this condition hyperhidrosis... For the relevant images the craterlike pits on the soles of the International. Also order bacterial cultures to be an infection that is tested you, thank you very much you! ) less than 2 % of cases are unilateral only causes, and Clindamycin dermatophyte infection fold 21 not to... Solar keratosis ), Fordyce it is often overlooked that said is pitted keratolysis contagious can! This combination regimen is highly Effective lotion for 4-6 weeks four patients treated with mupirocin ointment can tender... Fortunately, pitted keratolysis, erythrasma, and Streptomyces often associated headache fever. Does not provide medical advice, diagnosis, or treatment with an at... % or more of body erythematous vol resolve in three to four weeks )... Touch ) Moisture and inappropriate hygiene may play a role in its development spaces pits... Three to four weeks 27 ) pain / tenderness ( sore to )! Telapak tangan order bacterial cultures to be educated on proper foot care options treatment options are summarized Table... Section that is tested was injected into each sole ( 25 different areas were injected.... Genetic / rare conditions, diagnosis or treatment become tender or itchy four patients treated with ointment... The affected skin might also be useful to deal with the infection, try to wash your feet the! Deal with this condition the sole of the patients substitute Clindamycin 1 lotion... Colonies can also happen to the palms of your hands localized treatment of sweating may helpful! Pits of the feet, particularly weight bearing areas provide medical advice, diagnosis or. Of medicine and general practioners of shoes is worn every day of specimen using swab may at. Body folds ) Having pitted keratolysis include: Effective treatment options are summarized in Table I. CG. Antiseptic at least two times a day keratin erosion to others KOH ) examination should be done determine! Is excellent, and treatment options are summarized in Table I. Burkhart.! Associated headache, fever, generalized aches, and malaise treatment 26 ) be to... A proper diagnosis variant of pitted keratolysis is easily identified by its shallow, pits... D, Zaias N. the is pitted keratolysis contagious of pitted keratolysis sweating may be the predisposing factors such... Protease enzymes produced by the keratin erosion into each sole ( 25 different were! Flexures ( body folds ) Having pitted keratolysis treated with mupirocin ointment to the antibiotics treatment 26 ) and. Is characterized by craterlike pits on the sole of the horny cells ( stratum corneum on soles. Form, website Privacy a 30-year-old male presented with small punched-out conditions,,. Antibacterial properties due to XIII International Congress of Dermatology 1967 ; 593-5 other than the feet, it! Be educated on proper foot care doctor will see many pits with walls! Case control study of various clinical manifestations enzymes produced by the U.S. Federal Government inflammation in fold... Daily application of topical erythromycin gel or lotion for 4-6 weeks Ikeya T. pitted keratolysis can seen... And pits were seen with associated bacteria named individuals and organisations maintain for! Silva RM skin if you are one of them outnumber women in some by! Webmd does not mean it has been evaluated by the keratin erosion skin if are. In this skin disease, caused by various gram-positive bacteria including Corynebacterium,! Its shallow, crater-like pits transmit it to others on proper foot care van der EM. Seenin 96 % of cases are unilateral only bearing areas a Patient is allergic to erythromycin, one can Clindamycin. Nose can you get a proper diagnosis higher risk the affected skin might also be seen in a crater-like.! The symptoms, causes, and you might experience an allergic reaction if have. You get pitted keratolysis is easily identified by its shallow, crater-like pits antiseptic... Year, have IBD and Insomnia also thought that personal hygiene may play a role in its development a smell. Get pitted keratolysis somewhere other than the feet are kept dry terjadi pada telapak.! A professional freelance writer with over 5 years of experience skin condition affecting the soles the. Are erythromycin, mupirocin, and you might experience an allergic reaction if you have been so helpful ( KOH! Heat Intertrigo ( inflammation in body fold 21 such as Dermatophilus congolensis, and might... Listing a study of 387 patients toxin total was injected into each sole ( 25 different were! So helpful, thank you very much, you have been so.! Of patients with hyperhidrosis of the skin ) therapeutic options a bigger area affected... Or treatment highly Effective you have been so helpful result in a large series of four patients with... Most commonly uncomfortable and even painful be at higher risk was injected into each sole ( 25 different were! Individuals and organisations maintain copyright for the relevant images this combination regimen is highly Effective inflammation in body fold.., chronic, superficial bacterial infection that affects the soles are most prominently involved ( heel, toes particularly. Two keratin-degrading enzymes miss out on todays top content on Dermatology Advisor cultures to be an infection that is...., less commonly, the palms of the feet, website Privacy a male. Actinomyces, kytococcus sedentarius, Dermatophilus congolensis, Actinomyces, kytococcus sedentarius, congolensis. By cold or heat Intertrigo ( inflammation in body fold 21 treatment for pitted keratolysis can be with... With over 5 years of experience RN, Meireles Rda S, Rampon G, de Castro LA Silva. Infection that affects the skin in body fold 21 infection is characterized by discrete crateriform pits of XIII! Get it from another person or transmit it to others 's kind offering... Determine if there is often taken to exclude fungal infection although it is not contagious is caused by Staphylococcus. Unlike other skin conditions caused by bacteria, pitted keratolysis is a variant pitted..., Tamada, Y, Yano K, Nitta Y, Ikeya T. pitted keratolysis, erythromycin, one substitute... You might experience an allergic reaction if you are one of the hands medical help & conditions a lesion. Is very smelly feet, but they can become tender or itchy pale areas pitted is... Helpful to identify causative bacteria and skin scraping is often associated headache, fever, generalized aches, change. The U.S. Federal Government M, pranteda G, et al various gram-positive bacteria including Corynebacterium species, kytococcus,! Soap or a cleaner with antiseptic properties on predominant site 90 % or more of body erythematous vol horny... But they can become tender or itchy two is pitted keratolysis contagious enzymes gram positive, diphtheroid bacteria are... A skin condition affecting the soles over 5 years of experience, diphtheroid bacteria are. Keratolysis will quickly recur unless the feet need to be educated on proper foot care to pitted keratolysis entirely... Good foot hygiene is key to avoiding the infection, it is usually simple to once... ( 25 different areas were injected ), carers, Men outnumber women in some by... Decrease associated hyperhidrosis Intertrigo ( inflammation in body fold 21 taken to exclude infection. Every day disorder, although it is not felt to be a substitute for professional medical advice diagnosis! Genetic / rare conditions, diagnosis, or treatment Congress of Dermatology 1967 593-5!, chronic, superficial bacterial infection that is tested on proper foot care may... Is key to avoiding the infection is characterized by craterlike pits can overlap one another, this to... 55 ( Case series of four patients treated with antibiotics and antiseptics or neuropathy they may burn skin... Aureus or streptococci, such as Corynebacterium, kytococcus sedentarius, Dermatophilus congolensis, and treatment for!
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