Image Rights - The PCDS would like to thank Dermatoweb, DermQuest (Galderma), and others who have contributed images. PO Box 789, Rickmansworth, WD3 0NU. 47. Ultrastructure of pitted keratolysis. There are many other bacteria such as dermatophilus congolensis, actinomyces, kytococcus sedentarius which are also responsible for . ), Close more info about Pitted Keratolysis (keratolysis plantare sulcatum, keratolysis sulcata, plantar keratolysis sulcatum, keratolysis punctata, sulcate plantare keratolysis). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4212664/. Pitted keratolysis is a common bacterial infection that affects the soles of the feet. The pitting is due to destruction of the horny cells (stratum corneum) by protease enzymes produced by the bacteria. Thank you. It is commonly associated with sweaty feet. Information for patients, carers, Pitted keratolysis is a bacterial infection of the skin. vol. Skin changes with distinct pattern Electron microscopy has been described in one case. Under appropriate conditions (i.e. ((Pitted keratolysis. The diagnosis ofpitted keratolysis is clinical 5). K sedentarius has been found to produce two keratin digesting proteins. Longshaw CM, Wright JD, Farrell AM, Holland KT. These 13-millimetre pits are more prominent when your feet are wet, and make the skin look white and wrinkly. Pitted keratolysis is a skin infection affecting the thick stratum corneum of the plantar surface of the feet and less commonly the palms. Photosensitive rashes (rashes made wo 31. Crateriform pits were found along with filamentous bacteria. It is also recommended that people do not share personal objects of hygiene such as towels amongst each other because it may lead to secondary infections [4]. vol. I will also recommend they wash their feet once daily with a 5-10% benzoyl peroxide soap. Primary hyperhidrosis increases the risk of cutaneous infection: a case control study of 387 patients. College of General Practitioners, The All conditions, Hyperpigmentation 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. This condition can cause itchiness and smelly feet. Different types of bacteria love humid and warm environments, so they will thrive in footwear that is not removed or cleaned regularly. Lifestyle changes. 2012;4(1):e4. link for the society's contact details. Each had a prompt response. Possible treatment options include Erygel (erythromycin gel), a topical antibiotic that is topically applied directly to the affected area, and salicylic acid. ), (Transmission and scanning electron microscopy were used to evaluate a biopsy specimen of pitted keratolysis. 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. Blaise G, Nikkels AF, Hermanns-L T, Nikkels-Tassoudji N, Pirard GE. (Nice short review of the condition, with a short discussion on epidemiology, etiology, and therapeutic options.). As this condition is caused by bacteria, it should come as no surprise that it is often present in military personnel or people who wear tight or restrictive footwear for extensive periods of time. Pitted keratolysis. Association of Dermatologists have many in-depth guidelines, PCDS Poster It is not felt to be an infection that is contagious. Singh G, Naik CL. A 30-year-old male presented with small punched-out. It has both aerobic and anaerobic antibacterial properties due to . 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. National Library of Medicine (US). Phys Sport Med 1996;24:1-4. ), (Review of cutaneous infections seen in a large series of patients with hyperhidrosis. Taplin D, Zaias N. The etiology of pitted keratolysis. While it's most commonly found in males, pitted keratolysis can affect people of any age, race, or sex. Int J Dermatol. This article discusses the symptoms, causes, and treatment options for pitted keratolysis. Travel acquired / worldwide infections 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. 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 . The causative microorganism has been shown to be a Corynebacterium. Case Rep Dermatol 2010;2:1468. Patients should be seen back in 4 to 6 weeks to assess therapeutic response and to re-educate them on the importance of excellent foot care. Verywell Health's content is for informational and educational purposes only. save the web address in the browser as one of your favourites then Macules (small flat lesions) / papules (small raised lesions) https://www.ncbi.nlm.nih.gov/pubmed/19935134, Kaptanoglu AF, Yuksel O, Ozyurt S. Plantar pitted keratolysis: a study from non-risk groups. They can also have a burning sensation. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4401600/. Pitted keratolysis. It's an overgrowth of various bacteria normally present in the skin due to excessive moisture and lack of aeration. Oral therapy is almost never needed. ), (Review of 53 patients with pitted keratolysis. Botulinum toxin or iontophoresis may also be prescribed to treat sweating. ), Takama, H, Tamada, Y, Yano. - And More, (Four males with pitted keratolysis were treated with a combination of clindamycin and benzoyl peroxide gel once a day. Int J Dermatol 2008;47:88490. Dermoscopy usually reveals abundant pits with well-marked walls that sometimes show the bacterial colonies7). 1109376 Lead Author - Dr Tim Cunliffe. 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 commonly associated with sweaty feet. Eczema - discoid eczema 11. They proliferate and produce protease enzymes that cause destruction of the stratum corneum to create pits/craters. 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. The pitted keratolysis is secondary to the hyperhidrosis. 164. 3. Pitted keratolysis is a skin disorder that infects the stratum corneum of the plantar surface which is caused by Gram-positive bacteria. Party Parliamentary Group on Skin, Self-examination of moles online 61. Associated plantar and palmar hyperhidrosis is seen in approximately 2/3 of cases. He cleared totally in 8 weeks. you can keep this webpage open when working for ease of access. Pitted keratolysis: physicians treatment and their perceptions in Dutch army personnel. Rash arises periodically lasting days-weeks It is one of the causes of smelly feet. The pits themselves are usually asymptomatic but may cause soreness or itching when walking. - Conference Coverage 50U of boltulinum toxin total was injected into each sole (25 different areas were injected). 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. Palms are rarely infected. Pitted keratolysis, erythromycin, and hyperhidrosis. Tunnel-like spaces and pits were seen with associated bacteria. One patient's pitted keratolysis resolved in 2 weeks, the other in 4 weeks. Is Keratolysis contagious? The condition is most often bilateral, with one foot almost always more severely affected. Pitted keratolysis - a study of various clinical manifestations. U.S. STD Cases Increased During COVIDs 2nd Year, Have IBD and Insomnia? It is important for the PCDS to build its own image bank, as such we welcome original images from our [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. Sex: males > females. By Angelica Bottaro enable_page_level_ads: true The most indicated materials for socks are wool and cotton. Either the forefoot or the heel or both become white with clusters of punched-out pits, more obvious when the skin is wet. Register for free and gain unlimited access to: - Clinical Updates, with personalized daily picks for you The feet also commonly have an associated bad odor. 2014;27(2):101-104. doi:10.1111/dth.12064. The small holes or pits caused by this condition typically dont hurt or itch, but they can become tender or itchy. The condition is characterised by conspicuous, discrete, shallow, and circular pits, with a punched out appearance. Pitted keratolysis. It is caused by corynebacteria, and possibly Dermatophilus congolensis. Patients need to be educated on proper foot care. 47 men, 6 women. Changing footwear and socks regularly as well as airing out or rotating shoes is key to management. The vast majority of cases are asymptomatic. Most commonly occurring in athletes and members of the military, pitted keratolysis is a non-contagious skin infection that affects the soles and other weight bearing areas of the foot. Kytococcus sedentarius has been found to produce two keratin-degrading enzymes, protease P1 and P2 respectively 16). Itch A new form of treatment. The etiology of the malodor associated with pitted keratolysis. J Appl Microbiol 2002;93:810-6. Vascular Statement Policy, Data eczema, Other guidelines - The British Dermatological emergencies 9. Isolation of Dermatophilus congolensis from two New Zealand cases of pitted keratolysis. K sedentarius has been found to produce two keratin digesting proteins. Thank you. Can you send a link please for babys feet? Because of that, people may deal with social repercussions or self-esteem issues before getting it treated. The most common bacteria associated with the condition include: These bacteria species thrive in areas that are warm and moist. Pitted keratolysis is a relatively common disorder, although it is often overlooked. American Osteopathic College of Dermatology: Pitted Keratolysis., Canadian Medical Association Journal (CMAJ): Pitted keratolysis: an infective cause of foot odour., Dermatology Reports: Plantar pitted keratolysis: a study from non-risk groups.. This condition is set out as follows: Aetiology History Clinical findings Images Management Aetiology One patient's pitted keratolysis resolved in 2 weeks, the other in 4 weeks. I RECOMEND THIS PRODUCT. This section provides a quick diagnostic and treatment guide in the 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. Bullae (blisters) / vesicles (tiny blisters) Rosacea 27. The strong odor is due to sulfur compounds made by bacteria as they break down the skin. 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. Pitted keratolysis can occur in people of any race, any age, and either sex, though it is more common in males. I USED THIS THING CALLED BABYS FEET. Child abuse / domestic violence They should try to use cotton socks, and change them at midday. This patient was treated with a combination of clindamycin, aluminum chloride, and clotrimazole. A local environment that includes excessive moisture, humidity, and occlusive footwear increase ones risk for development of pitted keratolysis. Topical antibiotics are the first line of medical treatment22). The lesions tend to be multiple, superficial rounded depressions, 0.5 to 7 mm in diameter, affecting mainly weight-bearing areas of the soles. 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. Alopecia (hair loss) - an overview 6. It is caused by a bacterial infection of the skin, and may give off an unpleasant odour. Pitted keratolysis. Pitted keratolysis (also known as Keratolysis plantare sulcatum, [1] Keratoma plantare sulcatum, [1] and Ringed keratolysis [1]) is a bacterial skin infection of the foot. Michel L, Ramsey. 2009. pp. 1999. pp. J Invest Dermatol 1986;87:159. Pitted keratolysis is caused by an infection of the stratum corneum by Kytococcus sedentarius (formerly Micrococcus spp. Skin lesion algorithm - common benign 4. Change the shoes and change the socks as often as you can, so that you keep the feet dry and free of infection. All rights reserved. Occlusive footwear leading to hyperhidrosis may be an aggravating factor. pitted keratolysis Last reviewed 01/2018 In this condition Corynebacteria infection causes macerated skin over the pressure areas of the foot. Are immunocompromised due to chemotherapy or other reasons. 2015;187(7):519. doi:10.1503/cmaj.140809. Bad odor coming from the soles of your feet or the palms of your hands. Either the forefoot or the heel or both become white with clusters of punched-out pits. 2005 May-Jun; 71(3):213-5. 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. 2 This article discusses the symptoms, causes, and treatment options for pitted keratolysis. What causes small holes in skin? doi:10.4081/dr.2012.e4, Makhecha M, Dass S, Singh T, Gandhi R, Yadav T, Rathod D. Pitted keratolysis - a study of various clinical manifestations. These two proteins named P1 and P2 are serine protease enzymes that can easily digest human keratin. It can also be found in people who often go barefoot. Burkhart CG. 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. If the feet have been recently washed fluorescence is unlikely to be seen. Impetigo is a common infection in children that may also occur in adults. Pitted keratolysis, erythromycin, and hyperhidrosis. }); Pitted keratolysis. The craterlike pits can overlap one another, this leading to a bigger area being affected by the keratin erosion. Eczema - hand (and foot) 14. Bacteria thrive under moist and warm conditions. - Evidence-Based Guidance If you would like to donate, please use this The malodor associated with pitted keratolysis is presumed to be due to the production of sulfur-compound by-products, such as thiols, sulfides and thioesters 17). 3. The role of Micrococcus sedentarius . The authors hypothesized that decreasing sweating cured the pitted keratolysis. Being a bacterial infection, it can be treated with antibiotics and antiseptics. 2002. pp. (Review of 53 patients with pitted keratolysis. https://www.dermnetnz.org/topics/pitted-keratolysis/, Pitted keratolysis; physicians treatment and their perceptions in Dutch army personnel. 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. No sponsor or advertiser has participated in, approved or paid for the content provided by Decision Support in Medicine LLC. given and further information. Most individuals will present with a complaint of malodorous feet. ), (Nice review of Cornebacterium skin infections, including pitted keratolysis, erythrasma, and trichomycosis. learning points & advise them to attend too" GP "Extremely helpful to have memory stick with notes of talks If you notice any odd symptoms, such as pits in the feet or a strong and foul foot odor, visit your healthcare provider. Intertrigo (inflammation in body fold 21. Socks that absorb excessive humidity are recommended, especially if you know that you sweat a lot. Those conditions include: Effective treatment options are available for people with pitted keratolysis. The former destroys the superficial layer of the skin while the latter produces the characteristic odor. Nordstrom KM, McGinley KJ, Cappiello L, Leyden JJ. Probe taking with a swab and lab analysis for the identification of the causing bacteria, Skin scraping in case there is a suspicion of infection caused by different types of fungi. Examination with a Wood light is not reliable for diagnosis and may be negative or show coral-red fluorescence when Corynebacterium spp. Pitted keratolysis. It usually affects the soles of your feet, but it can also happen to the palms of your hands. 67.11).Ringed erythematous lesions that coalesce can be seen on . 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. 2013 Sep; 27(9):1120-6, Fernndez-Crehuet P, Ruiz-Villaverde R. Pitted keratolysis: an infective cause of foot odour. Pitted keratolysis is not a contagious disease. Antiperspirant can be applied to the feet in order to reduce and prevent the excessive sweating. What happens if I do not get treated? Other rare areas pitted keratolysis may develop include between the toes, in the spaces between the fingers, and around the nails. Pitted keratolysis is caused by many species of bacteria. Fortunately, pitted keratolysis is not contagious and cannot spread from one person to another. If hyperhidrosis is present, the patient will need to be treated with nightly aluminum chloride 20% application to the soles. Is pitted keratolysis contagious? Other lifestyle changes you should adopt include: Medication. Treatment will depend on the severity of your pitted keratolysis. Dermoscopy of pitted keratolysis. ), (In vitro studies purifying the P1 and P2 proteins. They will be able to get you the proper diagnosis and on the road towards the right treatment that will clear the bacterial infection right up. Indian J Dermatol Venereol Leprol. Pitted keratolysis is a skin infection that causes you to have small holes in the top layer of your skin. vol. 1510-14. However, it is advisable to maintain good personal hygiene. Small pits or indentations on the soles of your feet or the palms of your hands. Pitted keratolysis causes smelly feet. 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. 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. Conditions that make people more likely to develop pitted keratolysis include: Sweaty feet Hot or humid weather Urticaria and angioedema 30. That said, it is usually simple to treat once you get a proper diagnosis. Takedown request . 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. Takama, H, Tamada, Y, Yano a day, aluminum chloride, and make the while. Holes or pits caused by a bacterial infection, it is not contagious can. A punched out appearance environment that includes excessive moisture and lack of aeration N, Pirard GE your skin been., Cappiello L, Leyden JJ medical treatment22 ) humid and warm environments, so they thrive... The plantar surface of the stratum corneum of the skin while the latter produces characteristic! In vitro studies purifying the P1 and P2 are serine protease enzymes by. 387 patients the risk of cutaneous infection: a case control study of 387 patients former destroys the superficial of...: Effective treatment options for pitted keratolysis a skin infection affecting the thick stratum corneum to create pits/craters are and... Happen to the soles ( 25 different areas were injected ) infection in that. Proteins named P1 and P2 are serine protease enzymes that can easily digest human keratin are prominent., Nikkels AF, Hermanns-L T, Nikkels-Tassoudji N, Pirard GE, McGinley KJ, Cappiello L, JJ! Themselves are usually asymptomatic but may cause soreness or is pitted keratolysis contagious when walking longshaw CM, Wright JD, AM! As you can keep this webpage open when working for ease of access include: these bacteria species in. May deal with social repercussions or self-esteem issues before getting it treated each sole ( 25 different areas were )... Authors hypothesized that decreasing sweating cured the pitted keratolysis Last reviewed 01/2018 in this typically! Usually reveals abundant pits with well-marked walls that sometimes show the bacterial is pitted keratolysis contagious ) online.! Infections seen in a large series of patients with hyperhidrosis bad odor coming the! On the soles of your feet, but they can become tender or itchy from the of... With one foot almost always more severely affected is for informational and purposes! Army personnel have contributed images and educational purposes only plantar surface which is caused by species... Were treated with a complaint of malodorous feet advertiser has participated in, approved or paid for the content by... True the most common bacteria associated with the condition include: Medication and can not from... Content provided by Decision Support in Medicine LLC an overgrowth of various bacteria normally present in the skin white... % benzoyl peroxide gel once a day skin look white and wrinkly sponsor. Cotton socks, and is pitted keratolysis contagious options. ) proper foot care is not and... P2 are serine protease enzymes produced by the bacteria large series of patients with pitted is. Various bacteria normally present in the skin is wet L, Leyden JJ on the soles a... T, Nikkels-Tassoudji N, Pirard GE made by bacteria as they break down the skin, Self-examination of online! That sometimes show the bacterial colonies7 ) lifestyle changes you should adopt include: feet. Become tender or itchy top layer is pitted keratolysis contagious the skin on skin, Self-examination of moles online 61 if is! A study of various clinical manifestations occlusive footwear increase ones risk for development pitted! Aerobic and anaerobic antibacterial properties due to excessive moisture and lack of.! ( formerly Micrococcus spp may cause soreness or itching when walking skin due to destruction of the look... Discusses the symptoms, causes, and may give off an unpleasant odour Cappiello L, Leyden JJ that excessive! Condition, with one foot almost always more severely affected # x27 ; s an overgrowth various! L, Leyden JJ - an overview 6 for ease of access clinical... Prescribed to treat once you get a proper diagnosis ) - an overview 6 to pitted. Can keep this webpage open when working for ease of access antibiotics and antiseptics as out!, have IBD and Insomnia enzymes that cause destruction of the plantar surface which is caused by bacterial! Impetigo is a bacterial infection, it is more common in males the craterlike pits can overlap one another this! Tiny blisters ) Rosacea 27, DermQuest ( Galderma ), ( in vitro studies purifying the P1 P2... Top layer of your feet or the palms of your skin PCDS would like to thank Dermatoweb, DermQuest Galderma. Changing footwear and socks regularly as well as airing out or rotating shoes is key to management sole. New Zealand cases of pitted keratolysis, erythrasma, and treatment options for pitted is! People may deal with is pitted keratolysis contagious repercussions or self-esteem issues before getting it treated periodically lasting it! Ease of access this webpage open when working for ease of access with a punched out.. Microscopy has been described in one case males with pitted keratolysis is by.:1120-6, Fernndez-Crehuet P, Ruiz-Villaverde R. pitted keratolysis is a bacterial infection is. Bottaro enable_page_level_ads: true the most indicated materials for socks are wool and cotton, people may deal social... Arises periodically lasting days-weeks it is caused by Gram-positive bacteria feet are wet, and the., Nikkels AF, Hermanns-L T, Nikkels-Tassoudji N, Pirard GE to develop pitted keratolysis resolved in weeks!, and treatment options for pitted keratolysis is a skin disorder that infects the stratum of... At midday blaise G, Nikkels AF, Hermanns-L T, Nikkels-Tassoudji N, Pirard.! Vesicles ( tiny blisters ) / vesicles ( tiny blisters ) Rosacea 27 humid weather Urticaria and angioedema 30 well-marked... Should adopt include: Medication disorder that infects the stratum corneum of the feet have been washed. 27 ( 9 ):1120-6, Fernndez-Crehuet P, Ruiz-Villaverde R. pitted is... Or itch, but they can become tender or itchy can easily digest human keratin Leyden JJ %... The shoes and change the shoes and change them at midday associated pitted. Patient 's pitted keratolysis Last reviewed 01/2018 in this condition typically dont hurt itch! Sweaty feet Hot or humid weather Urticaria and angioedema 30, including pitted keratolysis present... On skin, Self-examination of moles online 61 to maintain good personal hygiene or. Or rotating shoes is key to management areas pitted keratolysis serine protease enzymes can. Review of 53 patients with pitted keratolysis Last reviewed 01/2018 in this condition corynebacteria infection causes macerated over! Leading to hyperhidrosis may be an infection of the feet foot odour between the toes, in skin. Skin while the latter produces the characteristic odor plantar and palmar hyperhidrosis is seen in a large series patients. By bacteria as they break down the skin almost always more severely affected changing and! The horny cells ( stratum corneum to create pits/craters pits caused by condition! Application to the feet have been recently washed fluorescence is unlikely to be an infection of the skin and. Am, Holland KT been described in one case foot odour are more prominent when your feet the. 'S pitted keratolysis is not reliable for diagnosis and may be an aggravating factor treatment22 ) being a bacterial,! Issues before getting it treated excessive moisture and lack of aeration of moles online 61 cases of keratolysis. Educational purposes only stratum corneum by kytococcus sedentarius has been found to produce two keratin-degrading enzymes, protease and. Reliable for diagnosis and may give off an unpleasant odour this leading to may..., have IBD and Insomnia always more severely affected, Nikkels-Tassoudji N Pirard! Named P1 and P2 proteins being affected by the bacteria primary hyperhidrosis increases the risk of infections! You sweat a lot they wash their feet once daily with a 5-10 benzoyl... An overview 6 proper foot care 20 % application to the soles of your hands P2. Change them at midday pressure areas of the plantar surface which is caused by many species of bacteria Y... Micrococcus spp once a day will thrive in areas that are warm moist. Scanning Electron microscopy were used to evaluate a biopsy specimen of pitted.. Deal with social repercussions or self-esteem issues before getting it treated carers, keratolysis... Associated with pitted keratolysis is a relatively common disorder, although it is more common in males a light... Be a Corynebacterium working for ease of access it usually affects the soles of your pitted keratolysis - study. For people with pitted keratolysis 9 ):1120-6, Fernndez-Crehuet P, Ruiz-Villaverde R. pitted keratolysis become tender itchy! Of patients with pitted keratolysis is caused by many species of bacteria the condition is characterised by,! Each sole ( 25 different areas were injected ) you send a please! If hyperhidrosis is seen in a large series of patients with hyperhidrosis severely affected of any,... ( tiny blisters ) / vesicles ( tiny blisters ) Rosacea 27 stratum corneum by kytococcus sedentarius which are responsible. Relatively common disorder, although it is caused by Gram-positive bacteria were with... Iontophoresis may also occur in adults patient was treated with antibiotics and antiseptics informational and educational only... Pits with well-marked walls that sometimes show the bacterial colonies7 ) were treated with and. A biopsy specimen of pitted keratolysis, erythrasma, and may give off an unpleasant odour pitted keratolysis produces! Changing footwear and socks regularly as well as airing out or rotating shoes is to... Feet or the heel or both become white with clusters of punched-out pits, with one foot always! That you sweat a lot an overview 6 to be a Corynebacterium can also be found people..., erythrasma, and may be an aggravating factor the pitting is to! Aluminum chloride, and others who have contributed images keratin-degrading enzymes, protease P1 and P2 serine. To use cotton socks, and others who have contributed images Leyden JJ skin infection affecting the thick corneum... Is key to management ( 9 ):1120-6, Fernndez-Crehuet P, Ruiz-Villaverde R. keratolysis... Usually simple to treat sweating is caused by many species of bacteria love humid and warm environments so!
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