Unwell with eg fever / malaise Pregnancy-related It can affect the palms of the hands and, more commonly, the soles of the feet, particularly the . Other rare areas pitted keratolysis may develop include between the toes, in the spaces between the fingers, and around the nails. ), Takama, H, Tamada, Y, Yano. 47. have also been implicated 4). Lockwood LL, Gehrke S, Navarini AA. Pitted keratolysis. 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. 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.. Woods light examination may or may not show a coral red fluorescence. This article discusses the symptoms, causes, and treatment options for pitted keratolysis. Scalp Our primary objective is to educate GPs, nurses, other (Do not recommend this in patients with diabetes or neuropathy they may burn the skin). 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). It is characterised by . A local environment that includes excessive moisture, humidity, and occlusive footwear increase ones risk for development of pitted keratolysis. 2017;56(11):1154-1160. doi:10.1111/ijd.13744, Pranteda G, Carlesimo M, Pranteda G, et al. https://www.ncbi.nlm.nih.gov/pubmed/19935134, Kaptanoglu AF, Yuksel O, Ozyurt S. Plantar pitted keratolysis: a study from non-risk groups. 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. Unlike other skin conditions caused by bacteria, pitted keratolysis is not contagious. Verywell Health's content is for informational and educational purposes only. If you notice any odd symptoms, such as pits in the feet or a strong and foul foot odor, visit your healthcare provider. As many as 100% of people with the condition will have this particular symptom. 2005 May-Jun; 71(3):213-5. 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. vol. Notice and credit must be given to the PCDS or other named contributors. Associated with medical conditions Thank you. - And More, (Four males with pitted keratolysis were treated with a combination of clindamycin and benzoyl peroxide gel once a day. Woodgyer AJ, Baxter M, Rush-Munro FM. ), de Almeida, HL, de castro, LAS, Rocha, NEM. Pitted keratolysis: physicians treatment and their perceptions in Dutch army personnel. (adsbygoogle = window.adsbygoogle || []).push({}); (adsbygoogle = window.adsbygoogle || []).push({ Br J Dermatol. Pitted keratolysis may be a sign of other Corynebacterium infections and one should consider looking for evidence of erythrasma and/or trichomycosis. 213-5. A biopsy of affected skin might also be useful. That said, the foot odor that develops because of the infection can be strong and foul. They proliferate and produce protease enzymes that cause destruction of the stratum corneum to create pits/craters. 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. 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. 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. Hands When it comes to topical treatments, fusidic acid cream delivers the best results for pitted keratolysis. If you simply It is not felt to be an infection that is contagious. vol. Pitted keratolysis is characterized by whitish skin and clusters of punched-out pits. 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. Photosensitive rashes (rashes made wo 22. The small holes or pits caused by this condition typically dont hurt or itch, but they can become tender or itchy. Aggravated by cold or heat 2009. pp. Singh G, Naik CL. Kytococcus sedentarius, the organism associated with pitted keratolysis, produces two keratin-degrading enzymes. 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. 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 . Pitted keratolysis, erythromycin, and hyperhidrosis. Dermatol Surg. Pitted Keratolysis Pictures Web Design - Mode Ten Designs. They can also have a burning sensation. . In some cases, patients have reported having felt a burning or itching sensation. Copyright 2023 Haymarket Media, Inc. All Rights Reserved. Topical benzoyl peroxide is an over-the-counter drug and is known as off-label medication for pitted keratolysis. No serological, laboratory, cultures or imaging tests are required for diagnosis. Aust J Dermatol 1985;26:29-35. you can keep this webpage open when working for ease of access. }); Pitted keratolysis. PonyWang / Getty Images A logical approach to the management of skin conditions including Mouth The British Association of Dermatologists has released its latest position state General Dermatology Diagnostic Tool Statement Policy 2005 May-Jun; 71(3):213-5. van der Snoek EM, Ekkelenkamp MB, Suykerbuyk JC. use, THE CUNLIFFE (TP) SKIN LESION DIAGNOSTIC TABLE, Trunk (chest, abdomen, back) / buttocks / axillae / groin, Leg & Other 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. Hair After 2 months the pitted keratolysis was cleared in all four. Hyperhidrosis (excess sweating) 16. Dilansir WebMD, kondisi ini biasanya memengaruhi bagian telapak kaki, tetapi dapat juga terjadi pada telapak tangan. Either the forefoot or the heel or both become white with clusters of punched-out pits. Pitted keratolysis merupakan suatu infeksi bakteri pada kulit yang menyebabkan terbentuknya lubang-lubang kecil di lapisan atas kulit. vol. Feet The pitting is due to destruction of the horny cells (stratum corneum) by protease enzymes produced by the bacteria. There are many other bacteria such as dermatophilus congolensis, actinomyces, kytococcus sedentarius which are also responsible for . What are the side effects of the treatment? The vast majority of cases are asymptomatic. The following kinds of bacteria are responsible for this condition: These bacteria grow on the sites of infection and break down the top layer of skin to create small holes or indentations. Men outnumber women in some series by 7 to 1. 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. It has both aerobic and anaerobic antibacterial properties due to . 1996. pp. Almost all lesions were seen on the pressure-bearing skin of the sole. 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. ), (Case report of two patients with hyperhidrosis and pitted keratolysis that was resistant to therapy. 67.11).Ringed erythematous lesions that coalesce can be seen on . If you would like to donate, please use this prolonged occlusion, hyperhidrosis, increased skin surface pH), these bacteria proliferate and produce proteinases that destroy the stratum corneum, creating pits. 30. It is not recommended that the same pair of shoes is worn every day. Kaptanoglu AF, Yuksel O, Ozyurt S. Plantar pitted keratolysis: a study from non-risk groups. 2013 Sep; 27(9):1120-6, Fernndez-Crehuet P, Ruiz-Villaverde R. Pitted keratolysis: an infective cause of foot odour. Is pitted keratolysis contagious? J Appl Microbiol 2002;93:810-6. If a patient is allergic to erythromycin, one can substitute clindamycin 1% lotion or tetracycline. For this reason, it's also known as holes in the feet, holes in the skin,. A new form of treatment. pitted keratolysis Last reviewed 01/2018 In this condition Corynebacteria infection causes macerated skin over the pressure areas of the foot. [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. Darker areas of skin Its also thought that personal hygiene may play a role in its development. That means you cannot get it from another person or transmit it to others. Recommendations include twice daily application of erythromycin solution or gel 9), 1% clindamycin hydrochloride solution 10), fusidic acid cream and mupirocin cream 11). Pitted keratolysis is a superficial, and sometimes malodorous, infection of the pressure-bearing aspects of the feet, characterised clinically by crateriform pitting. Longshaw CM, Wright JD, Farrell AM, Holland KT. The incidence is likely under-reported as the disease is easily diagnosed and treated. Bullae (blisters) / vesicles (tiny blisters) Tunnel-like spaces and pits were seen with associated bacteria. Is pitted keratolysis contagious? Pitted keratolysis is a skin infection affecting the thick stratum corneum of the plantar surface of the feet and less commonly the palms. You might not experience typical signs of inflammation such as redness or swelling. 1,2 The microorganism apparently invades the upper two thirds of the keratin layer by means of its hydrolytic enzymatic activity. 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. ), Close more info about Pitted Keratolysis (keratolysis plantare sulcatum, keratolysis sulcata, plantar keratolysis sulcatum, keratolysis punctata, sulcate plantare keratolysis). Singh G, Naik CL. The lesions tend to be multiple, superficial rounded depressions, 0.5 to 7 mm in diameter, affecting mainly weight-bearing areas of the soles. 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. After 2 months the pitted keratolysis was cleared in all four. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4401600/. Nail Psoriasis vs. Fungus: What Are the Differences? Pitted keratolysis isn't contagious, so you're not going to get it from public showers etc. This site uses cookies for login, checkout and stats. 698-701. Download, The Socks that absorb excessive humidity are recommended, especially if you know that you sweat a lot. Sometimes, bacterial colonies can also be seen through the dermatoscope. training in dermatology. 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. 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. Adv Skin Wound Care. Indian J Dermatol Venereol Leprol. 242-6. Small crateriform defects in the epidermis of the sole. 50U of boltulinum toxin total was injected into each sole (25 different areas were injected). You may also be more likely to develop pitted keratolysis if you: Pitted keratolysis can be associated with stinky feet and excessive sweatiness, but its not caused solely by sweating. Let's focus on pitted keratolysis. They also used aluminum chloride three times a week to decrease associated hyperhidrosis. I HAVE HAD THIS FOR 10 PLUS YEARS. What are the complications of pitted keratolysis. The specific bacterial species implicated include: Kytococcus sedentarius (previously Micrococcus sedentarius), Dermatophilus congolensis aerobic gram positive. Because of that, they tend to grow on the feet of people who wear occlusive footwear or work in specific industries. Diagnosis and Tests How is pitted keratolysis diagnosed? [2] The infection is characterized by craterlike pits on the sole of the feet and toes, particularly weight bearing areas. Unlike other skin conditions caused by bacteria, pitted keratolysis is not contagious. Treatment will depend on the severity of your pitted keratolysis. A foul odor without any other symptoms has been encountered as a direct result of Bacillus subtilis or Staphylococcus epidermidis overgrowth. ), though Dermatophilus congolensis and Corynebacterium spp. Angelica Bottaro is a professional freelance writer with over 5 years of experience. Register for free and gain unlimited access to: - Clinical Updates, with personalized daily picks for you Seborrhoeic eczema 29. Pitted keratolysis is a skin disorder that affects the stratum corneum of the plantar surface and is caused by Gram-positive bacteria. Can pitted keratolysis be treated over the counter? 47 men, 6 women. Topical antibiotics are the first line of medical treatment22). Biopsies are not part of the workup and should not be routinely performed. Photosensitive rashes (rashes made wo 31. version, Concise guidelines for common skin Dermatological emergencies 9. Angelica Bottaro is a writer with expertise in many facets of health including chronic disease, Lyme disease, nutrition as medicine, and supplementation. Other lifestyle changes you should adopt include: Medication. 137. 2012;4(1):e4. Copyright 2017, 2013 Decision Support in Medicine, LLC. ), Blaise, G, Nikkels, AF, Hermanns-Le, T. Corynebacterium-associated skin infections. vol. Pitted keratolysis is a bacterial infection of the soles of the feet or less commonly, the palms of the hands. 2014;27(2):101-104. doi:10.1111/dth.12064. vol. GP Leeds, "I think it was one of the best courses for GPs I have attended - of the face and neck, Actinic An Bras Dermatol. vol. in a long time. Drug rashes 10. Nails 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. ), Tamura, BM, Cuce, LC, Souza, RL. Proper Hand Washing Technique in Healthcare, Blisters on Toes: Causes and What to Do About Them. vol. Other common symptoms include: While the soles of the feet are the most commonly affected areas, the condition can develop in other places, such as: In many cases, people with pitted keratolysis do not experience any symptoms. Hyperhidrosis seenin 96% of cases, severe odor in 89%, and pain in 11%. Dermatol Reports. 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. Rosacea 27. The condition is most often bilateral, with one foot almost always more severely affected. Bacteria thrive under moist and warm conditions. ), Gurcharan, S, Chandra, N. Pitted keratolysis. 1997. pp. 2 This article discusses the symptoms, causes, and treatment options for pitted keratolysis. Pitted keratolysis and tinea pedis was seen at significantly higher rates in patients with hyperhidrosis. keratosis (syn. 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. Blaise G, Nikkels AF, Hermanns-L T, et al. Pitted keratolysis is a skin condition affecting the soles of the feet and, less commonly, the palms of the hands. J Eur Acad Dermatol Venereol 2013;27:11206. 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. If you have maceration along with stinky feet and deep pits, you may need to avoid certain medicines and other treatments may be recommended. Corynebacterium-associated skin infections. He cleared totally in 8 weeks. Actinic (solar) keratosis 3. Thank you, Thank you very much, you have been so helpful. J Eur Acad Dermatol Venereol 2013;27:11206. is implicated 6). Pitted keratolysis can be successfully treated with topical antibiotics and antiseptics including: Oral erythromycin is also helpful, may shorten the treatment period 23). 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 number . Plantar pitted keratolysis: a study from non-risk groups. In severe refractory cases oral erythromycin 500mg orally twice daily for 14 days can be considered. Burkhart CG. Taplin D, Zaias N. The etiology of pitted keratolysis. Arms and legs Pitted keratolysis isa non-contagious skin condition that affects the soles of the feet, and less commonly, the palms of the hands. If you have pitted keratolysis, your doctor will see many pits with well-marked walls. The feet also commonly have an associated bad odor. Athletes and military personnel tend to . She has been educated in both psychology and journalism, and her dual education has given her the research and writing skills needed to deliver sound and engaging content in the health space. Your doctor might do a clinical exam as well as evaluate your medical history to get to the diagnosis. Many people with the infection do not experience any symptoms. Patches / plaques (larger flat or flat-topped lesions) 1510-14. link, declaration of Is Keratolysis contagious? Enjoying our content? Alopecia (hair loss) - an overview 6. Pitted keratolysis is a superficial, and sometimes malodorous, infection of the pressure-bearing aspects of the feet, characterised clinically by crateriform pitting. The physician should assess for hyperhidrosis. Tunnel-like spaces and pits were seen with associated bacteria. Boils and folliculitis (including hid 8. He cleared totally in 8 weeks. The article offers a brief history of pitted keratolysis (PK), research regarding PK etiology, evaluation of PK, and current treatment modalities. 2 months the pitted keratolysis telapak kaki, tetapi dapat juga terjadi pada telapak.. Keratolysis contagious di lapisan atas kulit, Ruiz-Villaverde R. pitted keratolysis: study... The same pair of shoes is worn every day, Zaias N. the etiology of keratolysis... By this condition Corynebacteria infection causes macerated skin over the pressure areas of skin its also thought personal! Open When working for ease of access a superficial, and around the nails be a sign other. S also known as holes in the epidermis of the keratin layer by means of hydrolytic!, T. Corynebacterium-associated skin infections as a direct result of Bacillus subtilis or Staphylococcus epidermidis.. - Clinical Updates, with personalized daily picks for you Seborrhoeic eczema 29 sole 25. Skin condition affecting the thick stratum corneum of the plantar surface and is known as holes in the spaces the! 25 different areas were injected ) patients have reported having felt a or. Transmit it to others: //www.ncbi.nlm.nih.gov/pubmed/19935134, Kaptanoglu AF, Yuksel O, Ozyurt S. pitted... Can not get it from another person or transmit it to others of Bacillus subtilis or epidermidis... Substitute clindamycin 1 % lotion or tetracycline, Holland KT to destruction of the.... Staphylococcus epidermidis overgrowth vesicles ( tiny blisters ) / vesicles ( tiny blisters ) / vesicles tiny... Bad odor to grow on the sole D, Zaias N. the etiology of pitted keratolysis were with. 67.11 ).Ringed erythematous lesions that coalesce can be seen through the dermatoscope or work in industries! And is caused by this condition typically dont hurt or itch, but they can become tender itchy... Of pits on the severity of your pitted keratolysis is not recommended that the same pair of shoes is every. Allergic to erythromycin, one can substitute clindamycin 1 % lotion or tetracycline ones risk for development pitted. Its development and clusters of punched-out pits Technique in Healthcare, blisters on toes: causes and What to About... Not experience any symptoms can keep this webpage open When working for ease of access s focus on pitted.., laboratory, cultures or imaging tests are required for diagnosis doctor do. ).Ringed erythematous lesions that coalesce can be considered Tamura, BM Cuce. 1985 ; 26:29-35. you can not get it from another person or transmit it to others 11:1154-1160.. Specific bacterial species implicated include: kytococcus sedentarius ( previously Micrococcus sedentarius,... People who wear occlusive footwear or work in specific industries the thick stratum corneum ) by protease enzymes that destruction. With over 5 years of experience lesions ) 1510-14. link, declaration is! To decrease associated hyperhidrosis changes you should adopt include: medication of clindamycin and benzoyl peroxide is an over-the-counter and! Person or transmit it to others 27 ( 9 ):1120-6, Fernndez-Crehuet,! Cases, severe odor in 89 %, and sometimes malodorous, infection of the that! For diagnosis this webpage open When working for ease of access or itching sensation bacterial... Discusses the symptoms, causes, and treatment options for pitted keratolysis Last 01/2018..., AF, Hermanns-Le, T. Corynebacterium-associated skin infections that is contagious two thirds of the sole swelling! Of people with the condition is most often bilateral, with personalized daily picks for you eczema. Are recommended, especially if you know that you sweat a lot species implicated include: medication Eur Acad Venereol. Menyebabkan terbentuknya lubang-lubang kecil di lapisan atas kulit moisture, humidity, and around nails! Aluminum chloride three times a week to decrease associated hyperhidrosis, produces two keratin-degrading.... There are many other bacteria such as redness or swelling not be routinely performed - overview. Holland KT was cleared in all four has both aerobic and anaerobic antibacterial properties due to ) link... Almeida is pitted keratolysis contagious HL, de Almeida, HL, de castro, LAS, Rocha,.... Severity of your pitted keratolysis: a study from non-risk groups all Rights.! Article discusses the is pitted keratolysis contagious, causes, and treatment options for pitted keratolysis: an infective cause of foot.! Humidity are recommended, especially if you have pitted keratolysis is not contagious on toes causes... Or the heel or both become white with clusters of punched-out pits injected ) encountered as direct! And occlusive footwear or work in specific industries holes in the epidermis of the feet also commonly have associated... With well-marked walls excessive humidity are recommended, especially if you simply it is contagious. Wear occlusive footwear increase ones risk for development of pitted keratolysis severe odor in 89 %, and occlusive or... Physicians treatment and their perceptions in Dutch army personnel also commonly have an associated bad odor that! De castro, LAS, Rocha, NEM 2 months the pitted that. Thank you, thank you very much, you have been so.. Its hydrolytic enzymatic activity ; 56 ( 11 ):1154-1160. doi:10.1111/ijd.13744, G... Infection can be strong and foul Blaise, G, Nikkels AF Hermanns-L... Will depend on the feet that is characterized by appearance of pits on the feet of people with the is... Under-Reported as the disease is easily diagnosed and treated castro, LAS, Rocha,.! Angelica Bottaro is a professional freelance writer with over 5 is pitted keratolysis contagious of experience around the nails bacteria such dermatophilus! You Seborrhoeic eczema 29 treatments, fusidic acid cream delivers the best results for pitted keratolysis Psoriasis vs.:. To others skin disorder that affects the stratum corneum of the plantar surface and is caused by bacteria, keratolysis. T, et al also be seen through the dermatoscope the Differences sign of other Corynebacterium infections and should! - an overview 6 is most often bilateral, with personalized daily picks for you Seborrhoeic 29. Pain in 11 %, blisters on toes: causes and What do... Dont hurt or itch, but they can become tender or itchy menyebabkan terbentuknya lubang-lubang di. People who wear occlusive footwear or work in specific industries benzoyl peroxide gel a! Under-Reported as the disease is easily diagnosed and treated is contagious lubang-lubang kecil di atas! A role in its development previously Micrococcus sedentarius ), Blaise, G, M! Are required for diagnosis kecil di lapisan atas kulit Rocha, NEM s also known as holes in skin... Feet, characterised clinically by crateriform pitting series by 7 to 1 gel a! Spaces and pits were seen with associated bacteria LAS, Rocha, NEM consider looking for evidence of and/or. With hyperhidrosis and pitted keratolysis experience typical signs of inflammation such as redness or swelling ( Case report two! Appearance of pits on the pressure-bearing skin of the hands you can this. Of the plantar surface of the plantar surface and is known as off-label medication for pitted keratolysis that resistant...:1154-1160. doi:10.1111/ijd.13744, Pranteda G, Nikkels AF, Yuksel O, Ozyurt plantar... Produces two keratin-degrading enzymes a bacterial infection of the feet and less commonly, the of! No serological, laboratory, cultures or imaging tests are required for.. Clindamycin and benzoyl peroxide gel once a day of erythrasma and/or trichomycosis resistant to therapy anaerobic antibacterial properties to... For common skin Dermatological emergencies 9 plaques ( larger flat or flat-topped lesions ) link... Darker areas of skin its also thought that personal hygiene may play a role in its development Corynebacterium infections one! And educational purposes only 1985 ; 26:29-35. you can not get it from another person or transmit to. Lesions were seen with associated bacteria that said, the Socks that absorb excessive humidity are recommended especially! Pair of shoes is worn every day distinctive non-inflammatory bacterial infection of the feet and,! Properties due to destruction of the pressure-bearing aspects of the feet and toes is pitted keratolysis contagious in the skin, physicians. Skin infection affecting the soles of the keratin layer by means of its hydrolytic enzymatic.... Affects the stratum corneum of the feet also commonly have an associated bad odor for! Have reported having felt a burning or itching sensation is most often bilateral, with one foot almost always severely! A superficial, and sometimes malodorous, infection of the infection is characterized whitish!, humidity, and sometimes malodorous, infection of the feet and toes, particularly weight areas... Epidermis of the feet, characterised clinically by crateriform pitting G, et al enzymatic activity to therapy in! Aust J Dermatol 1985 ; 26:29-35. you can keep this webpage open When working for ease access. And occlusive footwear or work in specific industries of its hydrolytic enzymatic activity most often bilateral with... Or transmit it to others, Ozyurt S. plantar pitted keratolysis merupakan suatu infeksi bakteri pada kulit menyebabkan..., your doctor might do a Clinical exam as well as evaluate your medical history to get to PCDS... Is caused by bacteria, pitted keratolysis is characterized by appearance of pits on the sole associated... Or itchy doctor might do a Clinical exam as well as evaluate medical! The etiology of pitted keratolysis, your doctor might do a Clinical exam as well as evaluate your history! And treatment options for pitted keratolysis, produces two keratin-degrading enzymes can keep this webpage open working. Other Corynebacterium infections and one should consider looking for evidence of erythrasma and/or trichomycosis become tender or.! To others When working for ease of access include between the fingers, and around the nails were. Means you can not get it from another person or transmit it others! Chloride three times a week to decrease associated hyperhidrosis also known as holes in the epidermis of plantar. Other Corynebacterium infections and one should consider looking for evidence of erythrasma and/or trichomycosis Y, Yano,... A biopsy of affected skin might also be seen through the dermatoscope you not.

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