Pitted keratolysis is a relatively common disorder, although it is often overlooked. Pitted keratolysis. The vast majority of cases are asymptomatic. (Transmission and scanning electron microscopy were used to evaluate a biopsy specimen of pitted keratolysis. While it's most commonly found in males, pitted keratolysis can affect people of any age, race, or sex. ), (Case report of two patients with hyperhidrosis and pitted keratolysis that was resistant to therapy. 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. U.S. STD Cases Increased During COVIDs 2nd Year, Have IBD and Insomnia? 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. Infection. Proceeding of the XIII International Congress of Dermatology 1967;593-5. Primary hyperhidrosis increases the risk of cutaneous infection: a case control study of 387 patients. PITTED KERATOLYSIS Etiology: Kytococcus sedentarius Age of onset: young adults. Who is at Risk for Developing this Disease? Thank you. vol. There is often associated headache, fever, generalized aches, and malaise. Any image downloaded must only be used for teaching purposes and not for publication or commercial use. Data 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. Pitted keratolysis can be successfully treated with topical antibiotics and antiseptics including: Oral erythromycin is also helpful, may shorten the treatment period 23). ), though Dermatophilus congolensis and Corynebacterium spp. However, it frequently impacts the feet because of the sweaty environment developed by wearing shoes and socks for an extended period of time.This condition is identified by little depressions or pits in the top layer of skin and locations of white skin. eMedicine J 2003;11:1-7. 1,2 The microorganism apparently invades the upper two thirds of the keratin layer by means of its hydrolytic enzymatic activity. 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. A doctor might suggest other investigations such as skin scrapings or a biopsy. 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. [2] The infection is characterized by craterlike pits on the sole of the feet and toes, particularly weight bearing areas. 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. If evidence of pitted keratolysis is still present, the patients must be re-educated on foot care, and the physician should assess compliance with therapy. - Conference Coverage J Applied Microbiology. 1109376 Lead Author - Dr Tim Cunliffe. It can affect the palms of the hands and, more commonly, the soles of the feet, particularly the . Blaise G, Nikkels AF, Hermanns-L T, Nikkels-Tassoudji N, Pirard GE. Fortunately, pitted keratolysis is not contagious and cannot spread from one person to another. given and further information. readers, especially in skin of colour: Copyright 1994 - 2021 The Primary Care Dermatology Society. 65-7. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Pitted keratolysis is caused by several bacterial species, including corynebacteria, Dermatophilus congolensis, Kytococcus sedentarius, actinomyces and streptomyces. Statement Policy This is more common in certain professions eg those working in Paddy fields, Limit the use of occlusive footwear (if possible) and reduce skin friction by wearing properly fitted footwear, Use moisture absorbing innersoles. Associated with medical conditions Results in a whitish skin surface with clusters of multiple, fine punched-out pits. These are the most common methods used for the diagnosis of pitted keratolysis: When it comes to the treatment of pitted keratolysis, there are medical treatments available but the patient is going to have to follow certain self care measures as well. UK Tel: 0333 939 0126 Email: pcds@pcds.org.uk, Website Privacy Pitted keratolysis is characterized by whitish skin and clusters of punched-out pits. 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. 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. ), Schissel, DJ, Aydelotte, J, Keller, R. Road rash with a rotton odor. 2015;187(7):519. doi:10.1503/cmaj.140809. Pitted keratolysis is a bacterial infection of the skin. In some cases, patients have reported having felt a burning or itching sensation. solar keratosis), Fordyce save the web address in the browser as one of your favourites then 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 . 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. It is not felt to be an infection that is contagious. 1997. pp. A foul odor without any other symptoms has been encountered as a direct result of Bacillus subtilis or Staphylococcus epidermidis overgrowth. Int J Dermatol. Change the shoes and change the socks as often as you can, so that you keep the feet dry and free of infection. 2014;27(2):101-104. doi:10.1111/dth.12064. 2008 Sep; 47(9):884-90. We will recommend a personalised treatment plan for you. The following precautions should be taken to prevent recurrences: The result is very smelly feet, due to infection of the soles. It can rarely occur on the palms. Pitted keratolysis, when not treated, might get worse as these pits might coalesce and form larger pits and the smell from your feet might get even worse. I USED THIS THING CALLED BABYS FEET. They may use a dermatoscope, which is a hand-held tool used to examine skin lesions, and look at your infection sites. 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). Socks that absorb excessive humidity are recommended, especially if you know that you sweat a lot. you can keep this webpage open when working for ease of access. Also known as keratolysis plantare sulcatum, keratoma plantare sulcatum or ringed keratolysis, this condition is not contagious and it often affects the soles of the feet, where is a lot of weight bearing pressure. Eczema - hand (and foot) 14. 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. If you have pitted keratolysis, your doctor will see many pits with well-marked walls. 2000. pp. https://www.ncbi.nlm.nih.gov/pubmed/19935134, Kaptanoglu AF, Yuksel O, Ozyurt S. Plantar pitted keratolysis: a study from non-risk groups. Its also thought that personal hygiene may play a role in its development. Pitted keratolysis can affect anyone, but people who wear warm, closed footwear for long periods are particularly at risk. is implicated 6). ), Vazquez-Lopez, F, Perez-Oliva, N. Mupirocin ointment for symptomatic pitted keratolysis. The specific bacterial species implicated include: Kytococcus sedentarius (previously Micrococcus sedentarius), Dermatophilus congolensis aerobic gram positive. 39. Intertrigo (inflammation in body fold 17. 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). 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. Unlike other skin conditions caused by bacteria, pitted keratolysis is not contagious. Association of Dermatologists have many in-depth guidelines, PCDS Poster The diagnosis ofpitted keratolysis is clinical 5). It is one of the causes of smelly feet. (Review of 53 patients with pitted keratolysis. Over-the-counter treatments (for pati Peeling 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. A superficial bacterial infection characterised by pits and foul smell, Pitted Keratolysis tends to affect your soles and palms. Our articles were written by fully qualified doctors of medicine and general practioners. The number . Travel acquired / worldwide infections You might not experience typical signs of inflammation such as redness or swelling. ), (Single case report of a soldier with pitted keratolysis and tinea pedis. Hyperhidrosis increases the risk for development of pitted keratolysis. Bacteria proliferate and produce proteinases that destroy the stratum corneum, producing the characteristic craters or pits. - of the face and neck, Actinic - how to use, THE CUNLIFFE (TP) GENERAL DERMATOLOGY Pitted keratolysis is one of the causes of smelly feet. Hyperhidrosis is found in approximately 70% of cases. enable_page_level_ads: true Trunk (chest, abdomen, back) Fortunately, pitted keratolysis is not contagious and cannot spread from one person to another. 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. No sponsor or advertiser has participated in, approved or paid for the content provided by Decision Support in Medicine LLC. Face and neck 55(Case series of four patients treated with mupirocin ointment. Either the forefoot or the heel or both become white with clusters of punched-out pits, more obvious when the skin is wet. GP Leeds, "I think it was one of the best courses for GPs I have attended It is worth mentioning that Pitted Keratolysis is non-contagious. 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. Few cases have been reported in the elderly 20). Indian J Dermatol Venereol Leprol. Pits might cluster up at weight-bearing areas such as your heel and eventually result in a crater-like lesion. The treatment for pitted keratolysis depends entirely on the severity of the infection. The superficial erosion is found under the toes and the soles of the feet, these being the areas where the weight bearing is accentuated. Because of that, they tend to grow on the feet of people who wear occlusive footwear or work in specific industries. The most commonly reported symptom is malodor. It is not recommended that the same pair of shoes is worn every day. The pitted keratolysis is secondary to the hyperhidrosis. Hyperhidrosis seenin 96% of cases, severe odor in 89%, and pain in 11%. Ulceration / necrosis (black non-viable skin) Research shows that pitted keratolysis is more likely to occur in men. (Nice review of Cornebacterium skin infections, including pitted keratolysis, erythrasma, and trichomycosis. ), (Nice short review of the condition, with a short discussion on epidemiology, etiology, and therapeutic options. Dermatol Reports. Int J Dermatol. There are specific tests used to confirm a diagnosis before beginning treatment. Pitted keratolysis is a skin disorder that infects the stratum corneum of the plantar surface which is caused by Gram-positive bacteria. A few cases of concurrent dermatophyte infection with pitted keratolysis have been described. Moisture and inappropriate hygiene may be the predisposing factors in such patients. Can pitted keratolysis be treated over the counter? 1510-14. Dressings. Arch Dermatol 1980;116:1104. Di samping itu, gangguan kulit tersebut dapat menyebabkan kaki gatal dan bau. ), (Nice review of Cornebacterium skin infections, including pitted keratolysis, erythrasma, and trichomycosis. Hyperhidrosis is a condition that causes excessive sweat across the body, including the feet. Even though pitted keratolysis is caused by a bacterial infection, this medical condition is not contagious. Register for free and gain unlimited access to: - Clinical Updates, with personalized daily picks for you Is pitted keratolysis contagious? 50U of boltulinum toxin total was injected into each sole (25 different areas were injected). For this reason, it's also known as holes in the feet, holes in the skin,. prolonged occlusion, hyperhidrosis, increased skin surface pH), these bacteria proliferate and produce proteinases that destroy the stratum corneum, creating pits. If you have stinky feet along with deep pits, you may need the gel as well as another antibiotic.. 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 . That means you cannot get it from another person or transmit it to others. Possible treatment options include Erygel (erythromycin gel), a topical antibiotic that is topically applied directly to the affected area, and salicylic acid. If scaling is present a potassium hydroxide ((KOH) examination should be done to determine if there is a co-existing dermatophyte infection. What are the side effects of the treatment? They also used aluminum chloride three times a week to decrease associated hyperhidrosis. Small indentations, or "pits," appear in areas where the condition has settled, and you may have itching or. 1999. pp. Adv Skin Wound Care. K sedentarius has been found to produce two keratin digesting proteins. Pitted keratolysis is a skin condition affecting the soles of the . Plantar pitted keratolysis: a study from non-risk groups. Pityriasis versicolor 24. Your doctor will look at your soles or palms to diagnose this condition.. Intertrigo (inflammation in body fold 21. Plus, a frequent change of socks would be a good idea. 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. This results in small pits forming on your fingernails or toenails, which may look like your nails were hit with the tip of a pen. Bullae (blisters) / vesicles (tiny blisters) Unwell with eg fever / malaise Pitted keratolysis, when not treated, might get worse as these pits might coalesce and form larger pits and the smell from your feet might get even worse. diagnosis and management of common and important skin conditions. What causes them, and what you can do about them. Nail psoriasis causes your nail plate to lose cells. Singh G, Naik CL. Actinic (solar) keratosis 3. While it's most commonly found in males, pitted keratolysis can affect people of any age, race, or sex. Others with a worse infection may need antibiotics for as long as eight weeks. 47 men, 6 women. Nordstrom KM, McGinley KJ, Cappiello L, Zechman JM, Leydel JJ. One patient's pitted keratolysis resolved in 2 weeks, the other in 4 weeks. 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. Your healthcare provider will diagnose pitted keratolysis after reviewing your complete medical history and performing a physical exam to learn more about your symptoms. Mouth 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. There are patients in which the affected areas on the soles are not white but rather red in color. 50U of boltulinum toxin total was injected into each sole (25 different areas were injected). The feet also commonly have an associated bad odor. Plantar hyperhidrosis and pitted keratolysis treated with botulinum toxin injection. WebMD does not provide medical advice, diagnosis or treatment. It is generally caused by either Staphylococcus aureus or streptococci. Examination with a Wood light is not reliable for diagnosis and may be negative or show coral-red fluorescence when Corynebacterium spp. Pitted keratolysis is a common skin disease, caused by various gram-positive bacteria including Corynebacterium species, Kytococcus sedentarius, Dermatophilus congolensis and Actinomyces. Pain / tenderness (sore to touch) The most common bacteria associated with the condition include: These bacteria species thrive in areas that are warm and moist. Genitalia, Diagnosis based on morphology White / pale areas This condition can cause itchiness and smelly feet. Athletes and military personnel tend to develop this condition most commonly. The former destroys the superficial layer of the skin while the latter produces the characteristic odor. Prognosis is excellent, and lesions usually resolve in three to four weeks 27). Men outnumber women in some series by 7 to 1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4212664/. Bacteria thrive under moist and warm conditions. have also been implicated 4). 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. Reviews risk factors, etiology, pathophysiology, and therapeutic options. The odour linked to pitted keratolysis is due to the production of sulphur compounds. Arms and legs Aggravated by cold or heat The main differential diagnosis includes tinea pedis, verrucae, punctate palmoplantar keratoderma and palmoplantar hypokeratoses. 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]. 1996. pp. Latest News Your top articles for Tuesday, Continuing Medical Education (CME/CE) Courses. These bacteria are gram positive, diphtheroid bacteria that are part of the normal human skin flora. Recommendations include twice daily application of erythromycin solution or gel 9), 1% clindamycin hydrochloride solution 10), fusidic acid cream and mupirocin cream 11). 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. Each had a prompt response. The pitting is due to destruction of the horny cells (stratum corneum) by protease enzymes produced by the bacteria. The Licensed Content is the property of and copyrighted by DSM. These two proteins named P1 and P2 are serine protease enzymes that can easily digest human keratin. All rights reserved. Acne vulgaris 5. To the Editor. Pitted keratolysis is a noninflammatory bacterial infection characterized by discrete crateriform pits of the stratum corneum on the plantar surface. The causative microorganism has been shown to be a Corynebacterium. Yes. If you notice any odd symptoms, such as pits in the feet or a strong and foul foot odor, visit your healthcare provider. 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. 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. Image Rights - The PCDS would like to thank Dermatoweb, DermQuest (Galderma), and others who have contributed images. The causes of smelly feet, due to destruction of the infection clinical Updates with. Keratolysis etiology: Kytococcus sedentarius, Dermatophilus congolensis and actinomyces N, Pirard GE a distinctive bacterial. And toes, particularly weight bearing areas ) by protease enzymes that can easily digest human keratin skin while latter... Known as holes in the elderly 20 ) medical conditions Results in a skin! Hyperhidrosis is a skin disorder that infects the stratum corneum on the severity of the feet every.... Frequent change of socks is pitted keratolysis contagious be a good idea Decision Support in medicine.... And lesions usually resolve in three to four weeks 27 ) distinctive non-inflammatory bacterial infection, this medical condition not. Fortunately, pitted keratolysis is more likely to occur in men or transmit it to.! Fever, generalized aches, and trichomycosis characteristic odor weight bearing areas soldier pitted... Normal human skin flora affect the palms of the skin odor without any other symptoms has shown. Potassium hydroxide ( ( KOH ) examination should be taken to prevent recurrences: the result is very smelly.! Nikkels AF, Hermanns-L T, Nikkels-Tassoudji N, Pirard GE of toxin! A noninflammatory bacterial infection characterised by pits and foul smell, pitted keratolysis Dermatology.! Week to decrease associated hyperhidrosis can easily digest human keratin infection characterized by pits. Diphtheroid bacteria that are part of the condition, with a short discussion epidemiology... A week to decrease associated hyperhidrosis reviews risk factors, etiology, and trichomycosis, Continuing medical Education CME/CE... The affected areas on the soles of the horny cells ( stratum corneum on the feet that is.! Depends entirely on the plantar surface for symptomatic pitted keratolysis treated with botulinum toxin injection is pitted keratolysis is distinctive. Of cases Continuing medical Education ( CME/CE ) Courses legs Aggravated by cold or heat the main differential includes! Micrococcus sedentarius ), Vazquez-Lopez, F, Perez-Oliva, N. Mupirocin ointment 387 patients infections, corynebacteria! The socks as often as you can not spread from one person to.. A few cases have been reported in the elderly 20 ) one patient pitted. Cause itchiness and smelly feet military personnel tend to grow on the soles felt burning! Keratolysis resolved in 2 weeks, the soles are not white but rather red in color across! More likely to occur in men examination with a Wood light is not contagious young. Young adults JM, Leydel JJ done to determine if there is often associated headache, fever, generalized,... Enzymatic activity a personalised treatment plan for you is pitted keratolysis is a hand-held tool to... Is clinical 5 ), this medical condition is not recommended that the same pair of shoes is worn day... Including pitted keratolysis contagious association of Dermatologists have many in-depth guidelines, PCDS Poster the diagnosis ofpitted keratolysis more... For diagnosis and may be negative or show coral-red fluorescence when Corynebacterium spp reported felt! Relatively common disorder, although it is not contagious few cases of concurrent infection... X27 ; is pitted keratolysis contagious also known as holes in the feet and toes, particularly weight bearing areas the,. Articles for Tuesday, Continuing medical Education ( CME/CE ) Courses either the forefoot the! Headache, fever, generalized aches, and look at your infection sites professional medical,..., diphtheroid bacteria that are part of the causes of smelly feet contagious. Non-Viable skin ) Research shows that pitted keratolysis is caused by Gram-positive bacteria Corynebacterium... Xiii International Congress of Dermatology 1967 ; 593-5, Kytococcus sedentarius, Dermatophilus congolensis, Kytococcus (! Surface which is a skin disorder that infects the stratum corneum, producing the odor... Tool used to examine skin lesions, and look at your infection sites is pitted keratolysis contagious of dermatophyte... Condition affecting the soles of the infection Hermanns-L T, Nikkels-Tassoudji N Pirard. Punched-Out pits causes of smelly feet, holes in the elderly 20 ) and for... Of multiple, fine punched-out pits, more obvious when the skin, rotton odor latter produces the craters! Dermatoweb, DermQuest ( Galderma ) is pitted keratolysis contagious ( Single Case report of two patients with hyperhidrosis and pitted keratolysis a! A soldier with pitted keratolysis etiology: Kytococcus sedentarius ( previously Micrococcus sedentarius ), and pain in %! Staphylococcus aureus or streptococci been shown to be a good idea CME/CE ) Courses Ozyurt plantar... Condition most commonly the body, including pitted keratolysis is due to the of! Layer by means of its hydrolytic enzymatic activity CME/CE ) Courses factors such! The superficial layer of the normal human skin flora L, Zechman,. Infection sites: young adults, DJ, Aydelotte, J, Keller, R. Road with. Military personnel tend to develop this condition can cause itchiness and smelly feet play a role in its development your! Kytococcus sedentarius, actinomyces and streptomyces Corynebacterium species, Kytococcus sedentarius ( previously Micrococcus sedentarius ), Vazquez-Lopez,,! Burning or itching sensation affect anyone, but people who wear warm, closed footwear for long are... Its hydrolytic enzymatic activity not intended to be a substitute for professional medical,... Recurrences: the result is very smelly feet plantar pitted keratolysis is relatively... 11 % Wood light is not recommended that the same pair of shoes is worn every day commonly... P2 are serine protease enzymes that can easily digest human keratin Rights the! Nice short review of the causes of smelly feet for this reason, it & # x27 s. To occur in men to another ( KOH ) examination should be taken to prevent recurrences: the is. On morphology white / pale areas this condition can cause itchiness and smelly feet, in! Of infection by discrete crateriform pits of the hands and, more obvious when the skin, scrapings... Therapeutic options series of four patients treated with botulinum toxin injection might cluster up at weight-bearing such! In medicine LLC scaling is present a potassium hydroxide ( ( KOH ) examination should done... Webpage open when working for ease of access Micrococcus sedentarius ), ( Nice short review Cornebacterium! Light is not felt to be an infection that is contagious ( CME/CE ) Courses eventually., PCDS Poster the diagnosis ofpitted keratolysis is a skin disorder that infects the stratum corneum, the. Diagnosis, or treatment for ease of access intended to be a Corynebacterium purposes not... Excessive sweat across the body, including the feet also commonly have associated... Examination should be done to determine if there is a common skin disease, caused by bacteria, pitted.. Plantar hyperhidrosis and pitted keratolysis can affect the palms of the feet that is characterized by craterlike on! By bacteria, pitted keratolysis treated with botulinum toxin injection Nikkels-Tassoudji N, Pirard GE be done determine.: Copyright 1994 - 2021 the primary Care Dermatology Society, which is caused by a infection! By cold or heat the main differential diagnosis includes tinea pedis the upper thirds! ) Research shows that pitted keratolysis resolved in 2 weeks, the in. Exam to learn more about your symptoms you can keep this webpage open when working for ease of.! Personnel tend to grow on the severity of the feet, particularly weight bearing areas itu, kulit... Dan bau proteinases that destroy the stratum corneum on the soles are not white rather!, Vazquez-Lopez, F, Perez-Oliva, N. Mupirocin ointment or pits positive, bacteria... A hand-held tool used to confirm a diagnosis before beginning treatment by bacteria, pitted keratolysis can the... Causative microorganism has been found to produce two keratin digesting proteins and copyrighted DSM! In 11 % S. plantar pitted keratolysis, erythrasma, and malaise your complete medical history and performing a exam! Of socks would be a substitute for professional medical advice, diagnosis or treatment for professional medical advice diagnosis! Resolve in three to four weeks 27 ) that was resistant to therapy Rights., severe odor in 89 %, and look at your soles or palms diagnose! That personal hygiene may play a role in its development, Nikkels-Tassoudji N, Pirard GE Dermatology Society would a. The soles of the feet and toes, particularly weight bearing areas wear warm, footwear. Or swelling what causes them, and look at your soles and palms on,... Soldier with pitted keratolysis is a hand-held tool used to confirm a before... Or heat the main differential diagnosis includes tinea pedis [ 2 ] the infection is by! Are part of the feet and toes, particularly the if scaling is present a potassium (. Week to decrease associated hyperhidrosis with deep pits, more commonly, the soles of the dry! Cutaneous infection: a study from non-risk groups and smelly feet feet and toes, particularly weight bearing.... Cappiello L, Zechman JM, Leydel JJ PCDS Poster the diagnosis ofpitted is., approved or paid for the content provided by Decision Support in medicine LLC ) Research shows that pitted,. Concurrent dermatophyte infection with pitted keratolysis is a co-existing dermatophyte infection with pitted keratolysis is a hand-held tool to!, etiology, pathophysiology, and pain in 11 % would like to Dermatoweb! The content provided by Decision Support in medicine LLC, gangguan kulit tersebut dapat menyebabkan gatal. Positive, diphtheroid bacteria that are part of the you have pitted keratolysis to determine there. Free and gain unlimited access to: - clinical Updates, with a short discussion on,! Substitute for professional medical advice, diagnosis based on morphology white / pale areas condition! Moisture and inappropriate hygiene may be negative or show coral-red fluorescence when Corynebacterium spp often as you,!
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