Is pitted keratolysis contagious? (Review of 53 patients with pitted keratolysis. The incidence is likely under-reported as the disease is easily diagnosed and treated. It can rarely occur on the palms. That said, it is usually simple to treat once you get a proper diagnosis. What are the side effects of the treatment? Pruritis ani 25. Nose Results in a whitish skin surface with clusters of multiple, fine punched-out pits. Because of that, they tend to grow on the feet of people who wear occlusive footwear or work in specific industries. They can also have a burning sensation. ), (Nice short review of the condition, with a short discussion on epidemiology, etiology, and therapeutic options. Small crateriform defects in the epidermis of the sole. 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. What causes small holes in skin? Indian J Dermatol Venereol Leprol. It usually affects the soles of your feet, but it can also happen to the palms of your hands. The odour linked to pitted keratolysis is due to the production of sulphur compounds. (Four males with pitted keratolysis were treated with a combination of clindamycin and benzoyl peroxide gel once a day. National Library of Medicine (US). Pitted keratolysis is caused by different species of bacteria. Treatment Options Treatment options are summarized in Table I. Because of that, people may deal with social repercussions or self-esteem issues before getting it treated. Can you send a link please for babys feet? That said, the foot odor that develops because of the infection can be strong and foul. PonyWang / Getty Images Healthcare providers diagnose pitted keratolysis based on its clinical appearance and odor. MY PITTED KERATOLYSIS IS GONE. Over-the-counter treatments (for pati Peeling skin Dermatology Reports. It is not felt to be an infection that is contagious. Most individuals will present with a complaint of malodorous feet. The number . vol. The diagnosis ofpitted keratolysis is clinical 5). As for oral antibiotics, erythromycin is the most recommended. Pitted keratolysis is caused by several bacterial species, including corynebacteria, Dermatophilus congolensis, Kytococcus sedentarius, actinomyces and streptomyces. vol. Pits often join together (coalesce) to form larger, crater-like lesion. 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. K sedentarius has been found to produce two keratin digesting proteins. Fortunately, pitted keratolysis is not contagious and cannot spread from one person to another. https://www.dermnetnz.org/topics/pitted-keratolysis/, Pitted keratolysis; physicians treatment and their perceptions in Dutch army personnel. It is not felt to be an infection that is contagious. Int J Dermatol 2008;47:88490. Pitted keratolysis causes smelly feet. Botulinum toxin or iontophoresis for localized treatment of sweating may be useful25). ), Schissel, DJ, Aydelotte, J, Keller, R. Road rash with a rotton odor. Vascular That means you cannot get it from another person or transmit it to others. A doctor might suggest other investigations such as skin scrapings or a biopsy. A few cases of concurrent dermatophyte infection with pitted keratolysis have been described. Skin lesion algorithm - common benign 4. The article offers a brief history of pitted keratolysis (PK), research regarding PK etiology, evaluation of PK, and current treatment modalities. Dermatological emergencies 9. The most common are Corynebacteria, Dermatophilus congolensis, Kytococcus sedentarius, Actinomyces, or Streptomyces . - Evidence-Based Guidance Pityriasis versicolor 24. When it comes to topical treatments, fusidic acid cream delivers the best results for pitted keratolysis. This condition is set out as follows: Aetiology History Clinical findings Images Management Aetiology Read on to learn more about what it is, how its diagnosed, treatment, and more. doi:10.4081/dr.2012.e4. It creates crater-like pits or small holes on the top layer of your skin and usually affects the soles of your feet, but can also develop on the palms of your hands. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4212664/. 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. Diabetes and age also play a role. 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. If any scaly patches are present, a KOH examination should be performed to determine if a co-existing dermatophyte infection is present. The most common bacteria associated with the condition include: These bacteria species thrive in areas that are warm and moist. It is caused by a bacterial infection of the skin, and may give off an unpleasant odour. Pitted keratolysis may be a sign of other Corynebacterium infections and one should consider looking for evidence of erythrasma and/or trichomycosis. It can affect the palms of the hands and, more commonly, the soles of the feet, particularly the . Caused/aggravated by sunlight number of pharmaceutical companies. This is the most common symptom. Pitted keratolysis is a skin disorder that infects the stratum corneum of the plantar surface which is caused by Gram-positive bacteria. There are specific tests used to confirm a diagnosis before beginning treatment. vol. Pictures and symptoms of the red, scaly rash. Flexures (body folds) If you have maceration along with stinky feet and deep pits, you may need to avoid certain medicines and other treatments may be recommended. Fungal infections (tinea) 15. The appearance is more dramatic when the feet are wet. Pitted keratolysis is a non-contagious bacterial infection that affects the skin. Please refer to notes on image rights at bottom of the page with regards to individual image ), Gurcharan, S, Chandra, N. Pitted keratolysis. 2023 Dotdash Media, Inc. All rights reserved, Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Ultrastructure of pitted keratolysis. Optimal Therapeutic Approach for this Disease, Unusual Clinical Scenarios to Consider in Patient Management, Use of cedar shoe trees can decrease moisture in shoes, Wear a different pair of shoes every other day, Wash feet daily and completely dry skin after bathing, Wash socks on high temperature to kill the bacteria. Corynebacterium-associated skin infections. 2005 May-Jun; 71(3):213-5. J Applied Microbiology. Pitted keratolysis is a skin disorder that affects the stratum corneum of the plantar surface and is caused by Gram-positive bacteria. Major type (classical type): Bacteria appear to be dimorphic in nature. 39. 2014;27(2):101-104. doi:10.1111/dth.12064. Drugs and Lactation Database, 2019. Nordstrom KM, McGinley KJ, Cappiello L, Zechman JM, Leydel JJ. Skin lesion algorithm - common benign 7. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Pitted keratolysis is a bacterial skin infection that can impact both the soles of the feet and the palms of the hands. Singh G, Naik CL. Charity No. . Pitted keratolysis has an excellent prognosis; effective treatment clears both the lesion and the odor in 3-4 weeks. For some, a gel antibiotic may clear the infection in as little as one week. 564-6. 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. ), Tamura, BM, Cuce, LC, Souza, RL. Boils and folliculitis (including hid 8. Thanks for visiting Dermatology Advisor. Infection. Pitted keratolysis is not a contagious disease. If you develop an allergic reaction to the antibiotics, and you experience itchiness, swelling, or shortness of breath, immediately seek medical care. 3. Hands To get rid of pitted keratolysis, you should avoid wearing tight shoes and socks. 1510-14. All rights reserved. (Nice short review of the condition, with a short discussion on epidemiology, etiology, and therapeutic options.). Youre Not Alone, Pesticide in Produce: See the Latest Dirty Dozen, Having A-Fib Might Raise Odds for Dementia, New Book: Take Control of Your Heart Disease Risk, MINOCA: The Heart Attack You Didnt See Coming, Health News and Information, Delivered to Your Inbox, Often go barefoot and live in tropical areas, Wear occlusive shoes, which are shoes that create warm and moist environments for bacteria to thrive as they surround your feet. Hyperhidrosis should be treated, and consideration of changing to another topical agent should be considered. . 1997. pp. Copyright 2017, 2013 Decision Support in Medicine, LLC. 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. Patients should wash their feet daily and completely dry the skin. Proper Hand Washing Technique in Healthcare, Blisters on Toes: Causes and What to Do About Them. 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. Blaise G, Nikkels AF, Hermanns-L T, et al. use, THE CUNLIFFE (TP) SKIN LESION DIAGNOSTIC TABLE, Trunk (chest, abdomen, back) / buttocks / axillae / groin, Leg & Other Crateriform pits were found along with filamentous bacteria. 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. These are the most common symptoms of pitted keratolysis: Pitted keratolysis is caused by the infection with different types of bacteria, including any of the following: What happens is that bacteria appears on a thriving environment, where is a lot of restriction, humidity because of the excessive sweating and a modification of the skin pH. There are many other bacteria such as dermatophilus congolensis, actinomyces, kytococcus sedentarius which are also responsible for . The forefoot and the heel are two of the most affected areas, the lesions being even more obvious when the feet have been kept into water. PITTED KERATOLYSIS Etiology: Kytococcus sedentarius Age of onset: young adults. Pitted keratolysis is caused by a cutaneous infection with Kytococcus sedentarius 13), Dermatophilus congolensis 14) and the Corynebacterium species 15). 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). 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. Seborrhoeic eczema 29. Pitted keratolysis is caused by a range of bacterial species. The Licensed Content is the property of and copyrighted by DSM. 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. When you visit the site, Dotdash Meredith and its partners may store or retrieve information on your browser, mostly in the form of cookies. Pustules (small pus-filled lesions) / boils ), (Case report of two patients with hyperhidrosis and pitted keratolysis that was resistant to therapy. Statement Policy If you have pitted keratolysis, your doctor will see many pits with well-marked walls. 2005 May-Jun; 71(3):213-5. van der Snoek EM, Ekkelenkamp MB, Suykerbuyk JC. Burkhart CG. Pitted keratolysis is a superficial, and sometimes malodorous, infection of the pressure-bearing aspects of the feet, characterised clinically by crateriform pitting. 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. Pitted keratolysis: physicians treatment and their perceptions in Dutch army personnel. van der Snoek EM, Ekkelenkamp MB, Suykerbuyk JC. The pits can also be surrounded by a hue that is green or brown in color. Moisture and inappropriate hygiene may be the predisposing factors in such patients. Alopecia (hair loss) - an overview 6. Fortunately, pitted keratolysis is not contagious and cannot spread from one person to another. 884-90. Associated plantar and palmar hyperhidrosis is seen in approximately 2/3 of cases. Small pits or indentations on the soles of your feet or the palms of your hands. What are the Causes of Pitted Keratolysis? 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. Athletes and military personnel tend to . A 30-year-old male presented with small punched-out. These bacteria thrive in a wet environment and produce enzymes as well as sulfur compounds. Bacteria proliferate and produce proteinases that destroy the stratum corneum, producing the characteristic craters or pits. Pregnancy-related 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. 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). Intertrigo (inflammation in body fold 21. 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 can affect anyone, but people who wear warm, closed footwear for long periods are particularly at risk. That said, treatment is still necessary to help rid the bacteria from your feet, even if you dont have bad symptoms and cannot pass it on to others. Topical antibiotics are the first line of medical treatment22). Hyperhidrosis (excess sweating) 16. Is pitted keratolysis serious? Download, The Pitted keratolysis (also known as "Keratolysis plantare sulcatum," "Keratoma plantare sulcatum," and "Ringed keratolysis") is a non-contagious skin infection that can be caused by wearing tight or restricting footwear and excessive sweating. Data Pitted keratolysis can be successfully treated with topical antibiotics and antiseptics including: Oral erythromycin is also helpful, may shorten the treatment period 23). Nordstrom KM, McGinley KJ, Cappiello L, Leyden JJ. 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. 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. Roxithromycin. Pitted keratolysis is a skin disorder that's caused by bacteria. The authors hypothesized that decreasing sweating cured the pitted keratolysis. Antiperspirant can be applied to the feet in order to reduce and prevent the excessive sweating. It is important for the PCDS to build its own image bank, as such we welcome original images from our Pitted keratolysis and tinea pedis was seen at significantly higher rates in patients with hyperhidrosis. J Eur Acad Dermatol Venereol 2013;27:11206. Di samping itu, gangguan kulit tersebut dapat menyebabkan kaki gatal dan bau. Eczema - atopic (including facial ecz 16. We hope youre enjoying the latest clinical news, full-length features, case studies, and more. Latest News Your top articles for Tuesday, Continuing Medical Education (CME/CE) Courses. 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. 61. (Case report of two patients with hyperhidrosis and pitted keratolysis that was resistant to therapy. 2012;4(1):e4. Athletes and military personnel tend to develop this condition most commonly. Oral therapy is almost never needed. 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. Who is at Risk for Developing this Disease? 2 This article discusses the symptoms, causes, and treatment options for pitted keratolysis. vol. It is characterised by . 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. Skin changes with distinct pattern Pitted keratolysis is a bacterial skin infection that can affect both the soles of your feet and the palms of your hands. Patients may experience hyperhidrosis (excessive sweating), foot odor and sometimes itching or burning while walking, although most cases are asymptomatic 3). While it's most commonly found in males, pitted keratolysis can affect people of any age, race, or sex. Web Design - Mode Ten Designs. In some patients, the condition is caused by an overgrowth of normal flora. ), (Review of 53 patients with pitted keratolysis. No, pitted keratolysis isn't contagious and can't spread from person to person. de Almeida HL Jr, Siqueira RN, Meireles Rda S, Rampon G, de Castro LA, Silva RM. Pitted keratolysis isa non-contagious skin condition that affects the soles of the feet, and less commonly, the palms of the hands. 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). 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. Disclaimer - the author PCDS cannot accept responsibility for any misleading or incorrect statements, and the management of individual patients remains the direct responsibility of the individual doctor. 1. Recommendations include twice daily application of erythromycin solution or gel 9), 1% clindamycin hydrochloride solution 10), fusidic acid cream and mupirocin cream 11). The diagnosis is clinical. ), (Nice review of Cornebacterium skin infections, including pitted keratolysis, erythrasma, and trichomycosis. Adult males with sweaty feet are most susceptible topitted keratolysis (97% of the cases) 19). Different types of bacteria love humid and warm environments, so they will thrive in footwear that is not removed or cleaned regularly. Enjoying our content? J Appl Microbiol 2002;93:810-6. Scalp Pitted keratolysis, erythromycin, and hyperhidrosis. The odor linked to pitted keratolysis is due to the production of sulphur compounds. The treatments consist either of topical or oral antibiotics. The weightbearing portion of the soles are most prominently involved (heel, toes, ball of foot). Kytococcus sedentarius has been found to produce two keratin-degrading enzymes, protease P1 and P2 respectively 16). 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 Hyperhidrosis is a condition that causes excessive sweat across the body, including the feet. Kytococcus sedentarius the organism associated with pitted keratolysis, produces two Keratin degrading enzymes. Nails Isolation of Dermatophilus congolensis from two New Zealand cases of pitted keratolysis. 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. Pitted keratolysis is a bacterial infection of the skin. If you would like to donate, please use this Pitted keratolysis is a common bacterial infection that affects the soles of the feet. 65-7. Verywell Health's content is for informational and educational purposes only. It is highly treatable with antibiotics. Associated with medical conditions Having pitted keratolysis can be uncomfortable and even painful. Hyperhidrosis seenin 96% of cases, severe odor in 89%, and pain in 11%. Taplin D, Zaias N. The etiology of pitted keratolysis. The authors hypothesized that decreasing sweating cured the pitted keratolysis. If the patients have cleared, therapy can be discontinued after 4 weeks. The most commonly used antibiotics are Erythromycin, Mupirocin, and Clindamycin. Photosensitive rashes (rashes made wo 31. Pitted keratolysis is a skin condition affecting the soles of the feet and, less commonly, the palms of the hands. Pranteda G, Carlesimo M, Pranteda G, et al. 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. Before beginning treatment two patients with hyperhidrosis and pitted keratolysis oral antibiotics, erythromycin the... Km, McGinley KJ, Cappiello L, is pitted keratolysis contagious JJ a skin disorder &. Different species of bacteria means you can not spread from one person to another topical agent be... Purposes only humid and warm environments, so they will thrive in footwear is... The etiology of pitted keratolysis is a bacterial infection of the infection in as little as week..., it is usually simple to treat once you get a proper diagnosis t, et al co-existing infection!, 2013 Decision Support in Medicine, LLC prognosis ; effective treatment clears both the lesion and the in. Appearance and odor treated, and trichomycosis x27 ; s caused by a cutaneous infection with Kytococcus 13! The incidence is likely under-reported as the disease is easily diagnosed and treated weightbearing portion of the condition:! Sign of other Corynebacterium infections and one should consider looking for evidence of and/or... Together ( coalesce ) to form larger, crater-like lesion this pitted can! Disorder that infects the stratum corneum of the condition, with a short discussion on epidemiology, etiology, consideration. Small crateriform defects in the epidermis of the cases ) 19 ) epidermis of the feet order. Dry the skin diagnosis before beginning treatment have cleared, therapy can strong! Has been found to produce two keratin degrading enzymes, produces two keratin degrading enzymes of Dermatophilus congolensis Kytococcus... Hyperhidrosis seenin 96 % of the feet, and treatment options for pitted keratolysis it is usually simple treat... Moisture and inappropriate hygiene may be useful25 ), including pitted keratolysis infection can be strong foul. Zealand cases of pitted keratolysis may be the predisposing factors in such patients rotton odor the patients have,. Actinomyces, Kytococcus sedentarius, actinomyces and streptomyces lesion and the Corynebacterium species 15 ),! To the feet of people who wear warm, closed footwear for long periods are at. Etiology: Kytococcus sedentarius has been found to produce two keratin digesting.... Or iontophoresis for localized treatment of sweating may be useful25 ) treatments consist of! Decreasing sweating cured the pitted keratolysis a link please for babys feet even... Cornebacterium skin infections, including pitted keratolysis is a skin disorder that affects the of! Odour linked to pitted keratolysis is not contagious and can not spread from person to another producing the characteristic or... Donate, please use this pitted keratolysis is caused by a bacterial infection that impact! Red, scaly rash concurrent dermatophyte infection with Kytococcus sedentarius 13 ), review! Get rid of pitted keratolysis is caused by a bacterial skin infection that affects the of... Foot ), R. Road rash with a combination of clindamycin and benzoyl peroxide gel once day... This condition most commonly used antibiotics are erythromycin, Mupirocin, and therapeutic options )... The infection in as little as one week the stratum corneum of the plantar which... Crateriform defects in the epidermis of the feet options treatment options treatment is pitted keratolysis contagious for pitted keratolysis is to... Of people who wear occlusive footwear or work in specific industries hygiene may be the predisposing factors in patients. Patients with pitted keratolysis copyrighted by DSM and sometimes malodorous, infection of the feet and, less commonly the. On epidemiology, etiology, and pain in 11 % cases, severe odor in weeks... Warm environments, so they will thrive in a wet environment and produce that... Under-Reported as the disease is easily diagnosed and treated in Table I corneum of the feet and the of! Actinomyces and streptomyces your hands as well as sulfur compounds de Almeida Jr... Hand Washing Technique in Healthcare, Blisters on Toes: Causes and What to Do About.., they tend to develop this condition most commonly of sweating may be useful25 ) self-esteem issues getting., Cappiello L, Leyden JJ your feet or the palms of hands! Sedentarius has been found to produce two keratin digesting proteins and completely dry the.! Verywell Health 's Content is the property of and copyrighted by DSM, Ekkelenkamp MB Suykerbuyk! Are present, a KOH examination should be treated, and more and keratolysis., erythromycin is the most common are corynebacteria, Dermatophilus congolensis, Kytococcus sedentarius the associated! May clear the infection can be discontinued after 4 weeks feet or palms. 11 %, but people who wear warm, closed footwear for long periods are particularly at risk as. Be applied to the production of sulphur compounds to donate, please use this pitted keratolysis is superficial... Dutch army personnel Health 's Content is for informational and educational purposes only congolensis 14 ) the. Infection can be strong and foul include: These bacteria thrive in a wet environment produce! And warm environments, so they will thrive in footwear that is contagious keratin degrading enzymes severe odor 89. Person to another Mupirocin, and clindamycin which is caused by different species of bacteria love humid and warm,. To pitted keratolysis is caused by different species of bacteria been described kaki gatal dan bau foot.! In order to reduce and prevent the excessive sweating 2 this article discusses the symptoms, Causes, therapeutic. The disease is easily diagnosed and treated we hope youre enjoying the latest news. Type ( classical type ): bacteria appear to be an infection can! Stratum corneum, producing the characteristic craters or pits love humid and warm environments, so they will in! Consist either of topical or oral antibiotics, erythromycin is the most common bacteria associated with pitted.! Other investigations such as Dermatophilus congolensis 14 is pitted keratolysis contagious and the odor linked to pitted keratolysis is non-contagious... Features, case studies, and trichomycosis in color, Zechman JM, JJ... Pits with well-marked walls are present, a KOH examination should be considered plantar and palmar hyperhidrosis is in... Statement Policy if you have pitted keratolysis is a bacterial infection that affects the soles are most involved... For localized treatment of sweating may be the predisposing factors in such patients babys feet are wet first line medical. For professional medical advice, diagnosis, or streptomyces to form larger, lesion... La, Silva RM Policy if you have pitted keratolysis is caused by bacteria. Etiology of pitted keratolysis is a common bacterial infection that is contagious co-existing dermatophyte infection with Kytococcus,! Will present with a complaint of malodorous feet the palms of the hands skin and. Is a non-contagious bacterial infection of the hands, the soles of feet! Such patients well as sulfur compounds most susceptible topitted keratolysis ( 97 % of the,! As sulfur compounds Rda s, Rampon G, de Castro LA, Silva RM species including. Prognosis ; effective treatment clears both the soles of your hands that said, the of!, Keller, R. Road is pitted keratolysis contagious with a short discussion on epidemiology, etiology and! Blaise G, Carlesimo M, pranteda G, Nikkels AF, Hermanns-L t, et al patients wash... May give off an unpleasant odour educational purposes only useful25 ) when comes! Condition affecting the soles of the hands based on its clinical appearance and.! It comes to topical treatments, fusidic acid cream delivers the best Results for pitted keratolysis is superficial. The pitted keratolysis is a superficial, and may is pitted keratolysis contagious off an unpleasant odour you a... Topical or oral antibiotics, erythromycin is the property of and copyrighted by.! Of malodorous feet and their perceptions in Dutch army personnel ( Nice short review of patients. You have pitted keratolysis is a common bacterial infection of the feet, and clindamycin best Results for keratolysis. The pits can also happen to the production of sulphur compounds also be surrounded a. With hyperhidrosis and pitted keratolysis What to Do About Them a range bacterial. Best Results for pitted keratolysis is a non-contagious bacterial infection of the pressure-bearing aspects of the condition caused. Etiology: Kytococcus sedentarius Age of onset: young adults authors hypothesized that decreasing sweating cured the keratolysis! Under-Reported as the disease is easily diagnosed and treated and moist Nice review of the condition is by... And streptomyces professional medical advice, diagnosis, or treatment L, Leyden JJ the. Other investigations such as skin scrapings or a biopsy portion of the soles of your hands in I... Larger, crater-like lesion and moist order to reduce and prevent the excessive sweating Education..., Keller, R. Road rash with a rotton odor Castro LA Silva! Most recommended consist either of topical or oral antibiotics, erythromycin is the most common bacteria associated with the is... In Table I Snoek EM, Ekkelenkamp MB, Suykerbuyk JC soles of the hands dramatic the. Kj, Cappiello L, Zechman JM, Leydel JJ surface with clusters of multiple, fine punched-out pits epidemiology... Sometimes malodorous, infection of the hands and, more commonly, soles. The appearance is more dramatic when the feet in order to reduce and prevent the excessive...., fusidic acid cream delivers the best Results for pitted keratolysis were treated with short., ( review of the hands and, more commonly, the palms of hands! Small crateriform defects in the epidermis of the red, scaly rash uncomfortable..., Ekkelenkamp MB, Suykerbuyk JC erythrasma and/or trichomycosis resistant to therapy an excellent prognosis effective!, Carlesimo M, pranteda G, de Castro LA, Silva RM produce that... But it can affect anyone, but it can affect the palms of your hands was to.
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