J Eur Acad Dermatol Venereol. Arch Dermatol 1980;116:1104. Those conditions include: Effective treatment options are available for people with pitted keratolysis. Sometimes, bacterial colonies can also be seen through the dermatoscope. After 2 months the pitted keratolysis was cleared in all four. Pitted keratolysis is a descriptive term for a superficial bacterial skin infection that affects the soles of the feet, and less often, the palms of the hands 1). Acne vulgaris 5. Eczema - atopic (including facial ecz 16. 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. Small indentations, or "pits," appear in areas where the condition has settled, and you may have itching or. Pits might cluster up at weight-bearing areas such as your heel and eventually result in a crater-like lesion. Pits often join together (coalesce) to form larger, crater-like lesion. The differential diagnosis is narrow. Dermatol Ther. 55(Case series of four patients treated with mupirocin ointment. Socks that absorb excessive humidity are recommended, especially if you know that you sweat a lot. 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. Intertrigo (inflammation in body fold 21. Pitted keratolysis. J Eur Acad Dermatol Venereol 2013;27:11206. Have at least two pairs and rotate every day to let the other pair dry, Wash feet with soap or an antiseptic twice daily, Topical antibiotics, when used with the above measures, are often effective within 3-4 weeks, Use twice-daily applications of clindamycin, erythromycin, orFucidin cream, Oral clarithromycin / erythromycin have been reported as effective, Other options for very persistent sweating can be found in the related chapter. What causes small holes in skin? ), (Review of 53 patients with pitted keratolysis. 47 men, 6 women. Men outnumber women in some series by 7 to 1. Kytococcus sedentarius the organism associated with pitted keratolysis, produces two Keratin degrading enzymes. Pitted keratolysis is characterized by whitish skin and clusters of punched-out pits. 61. Research shows that pitted keratolysis is more likely to occur in men. Other rare areas pitted keratolysis may develop include between the toes, in the spaces between the fingers, and around the nails. There is often associated headache, fever, generalized aches, and malaise. Your doctor will look at your soles or palms to diagnose this condition.. Vascular Pitted keratolysis is curable, and when a person seeks treatment, they will have to do a course of antibiotics that lasts between one to eight weeks, depending on the severity of the disease. de Almeida HL Jr, Siqueira RN, Meireles Rda S, Rampon G, de Castro LA, Silva RM. Your doctor might do a clinical exam as well as evaluate your medical history to get to the diagnosis. Intertrigo (inflammation in body fold 17. What are the side effects of the treatment? Eczema - discoid eczema 11. Scalp This site uses cookies for login, checkout and stats. Hyperhidrosis is found in approximately 70% of cases. Drug rashes 10. Treatment Options Treatment options are summarized in Table I. That means you cannot get it from another person or transmit it to others. Palms are rarely infected. The lesions tend to be multiple, superficial rounded depressions, 0.5 to 7 mm in diameter, affecting mainly weight-bearing areas of the soles. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. 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. Is pitted keratolysis contagious? The main differential diagnosis includes tinea pedis, verrucae, punctate palmoplantar keratoderma and palmoplantar hypokeratoses. ), Walling, HW. Athletes and military personnel tend to . Tunnel-like spaces and pits were seen with associated bacteria. 884-90. Do not share footwear or socks with other people, as you might borrow their infections and suffer from other complications. Itch (pruritus) 18. J Eur Acad Dermatol Venereol 2013;27:11206. Blaise G, Nikkels AF, Hermanns-L T, et al. Fordyce's granules), Adult 282-5. Can pitted Keratolysis go away by itself? Aust J Dermatol 1985;26:29-35. Either the forefoot or the heel or both become white with clusters of punched-out pits. They proliferate and produce protease enzymes that cause destruction of the stratum corneum to create pits/craters. right and good speakers. In some cases, patients have reported having felt a burning or itching sensation. Are immunocompromised due to chemotherapy or other reasons. Yes. Treatment options are summarized in Table I. If you would like to donate, please use this 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. 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. Pitted keratolysis is a common bacterial infection that affects the soles of the feet. It is commonly associated with sweaty feet. Pitted keratolysis is a skin disorder that infects the stratum corneum of the plantar surface which is caused by Gram-positive bacteria. link for the society's contact details. Pitted keratolysis is common among athletes and individuals in professions with greater use of occlusive footwear 2). Many experiments were performed to determine the optimal pH, temperature and other factors on enzyme activity level. Travel acquired / worldwide infections Please use the attached consent form when obtaining images, and download and Pitted keratolysis. Pitted keratolysis. Pitted keratolysis is caused by a range of bacterial species. 65-7. PonyWang / Getty Images Major type (classical type): Bacteria appear to be dimorphic in nature. London. Roxithromycin. Image Rights - The PCDS would like to thank Dermatoweb, DermQuest (Galderma), and others who have contributed images. number of pharmaceutical companies. Pitted keratolysis. 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. All rights reserved. Corynebacterium-associated skin infections. ), Vazquez-Lopez, F, Perez-Oliva, N. Mupirocin ointment for symptomatic pitted keratolysis. Pitted keratolysis and tinea pedis was seen at significantly higher rates in patients with hyperhidrosis. 67.11).Ringed erythematous lesions that coalesce can be seen on . link, declaration of 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. images for use on the website. (adsbygoogle = window.adsbygoogle || []).push({}); (adsbygoogle = window.adsbygoogle || []).push({ Feet When it comes to topical treatments, fusidic acid cream delivers the best results for 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. The small holes or pits caused by this condition typically dont hurt or itch, but they can become tender or itchy. 2012;4(1):e4. Lockwood LL, Gehrke S, Navarini AA. Chlorhexidine Scrub, ZnO Nanoparticles Socks and the Combination for Treatment of Pitted Keratolysis (PK_treatment) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. For some, a gel antibiotic may clear the infection in as little as one week. Pitted keratolysis will typically go away after one to eight weeks of treatment. 1109376 Lead Author - Dr Tim Cunliffe. The most indicated materials for socks are wool and cotton. Fortunately, pitted keratolysis is not contagious and cannot spread from one person to another. Pitted keratolysis and tinea pedis was seen at significantly higher rates in patients with hyperhidrosis. Pitted keratolysis is not a contagious disease. Pitted keratolysis is a skin condition affecting the soles of the feet and, less commonly, the palms of the hands. PITTED KERATOLYSIS Etiology: Kytococcus sedentarius Age of onset: young adults. A superficial bacterial infection characterised by pits and foul smell, Pitted Keratolysis tends to affect your soles and palms. Distribution: plantar feet, web spaces of feet Predisposition: hyperhidrosis and Occlusive footwear Clinical findings: defects in thickly keratinized skin with eroded pits of variable depth Usually asymptomatic. ), though Dermatophilus congolensis and Corynebacterium spp. All named individuals and organisations maintain copyright for the relevant images. Hyperhidrosis should be treated, and consideration of changing to another topical agent should be considered. Pitted keratolysis is a bacterial infection of the skin. Thank you, {{form.email}}, for signing up. Pitted keratolysis is a bacterial skin infection that can affect both the soles of your feet and the palms of your hands. Bullae (blisters) / vesicles (tiny blisters) (Nice review of Cornebacterium skin infections, including pitted keratolysis, erythrasma, and trichomycosis. Factors that lead to the development of pitted keratolysis include: Pitted keratolysis will quickly recur unless the feet are kept dry. Genitalia, Diagnosis based on morphology White / pale areas (Do not recommend this in patients with diabetes or neuropathy they may burn the skin). Pitted keratolysis can be successfully treated with topical antibiotics and antiseptics including: Oral erythromycin is also helpful, may shorten the treatment period 23). Pitted keratolysis. [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. Pruritis ani 25. Topical antibiotics are the first line of medical treatment22). Associated with medical conditions Taplin D, Zaias N. The etiology of pitted keratolysis. Different types of bacteria love humid and warm environments, so they will thrive in footwear that is not removed or cleaned regularly. Please login or register first to view this content. That said, it is usually simple to treat once you get a proper diagnosis. Do not share footwear or towels with others. This condition is set out as follows: Aetiology History Clinical findings Images Management Aetiology Ultrastructure of pitted keratolysis. Longshaw CM, Wright JD, Farrell AM, Holland KT. Dont miss out on todays top content on Dermatology Advisor. Pitted keratolysis, erythromycin, and hyperhidrosis. Bacteria proliferate and produce proteinases that destroy the stratum corneum, producing the characteristic craters or pits. email the declaration of consent form with the images to pcds@pcds.org.uk. Can you get pitted keratolysis somewhere other than the feet? Multiple bacteria are implicated in this skin disease, such as Corynebacterium, Kytococcus sedentarius, Dermatophilus congolensis, and Streptomyces. That said, the foot odor that develops because of the infection can be strong and foul. Urticaria and angioedema 30. In adolescents and adults, tinea pedis must be differentiated from bacterial infection, erythrasma, plaque or pustular psoriasis, and . Burkhart CG. ), (Transmission and scanning electron microscopy were used to evaluate a biopsy specimen of pitted keratolysis. Pityriasis versicolor 24. Pitted keratolysis merupakan suatu infeksi bakteri pada kulit yang menyebabkan terbentuknya lubang-lubang kecil di lapisan atas kulit. Singh G, Naik CL. - Full-Length Features The causative microorganism has been shown to be a Corynebacterium. Prognosis is excellent, and lesions usually resolve in three to four weeks 27). Some research suggests that pitted keratolysis is most commonly found in people who work in specific industries where people often have wet feet or have to wear occlusive footwear. Yes. 564-6. He cleared totally in 8 weeks. 2008. pp. Is pitted keratolysis serious? It is not felt to be an infection that is contagious. vol. Face and neck Pitted keratolysis is caused by an infection of the stratum corneum by Kytococcus sedentarius (formerly Micrococcus spp. Fortunately, pitted keratolysis is not contagious and cannot spread from one person to another. Nail Psoriasis vs. Fungus: What Are the Differences? 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). All rights reserved. Table I. Optimal Therapeutic Approach for this Disease After the treatment has started, you might start to feel better but if your condition does not improve even after taking your medications, you should consult your doctor. Pitted keratolysis: physicians treatment and their perceptions in Dutch army personnel. Weather also plays an important role in this condition, such as warm environments with high humidity increase the chances of developing pitted keratolysis. Mouth 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 feet need to be cleaned with antibacterial soap or a cleaner with antiseptic properties. Pitted keratolysis is a skin disorder thats caused by bacteria. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4212664, Occlusive footwear, such as rubber boots or vinyl shoes, Excessive sweating of hands and feet (hyperhidrosis), Thickened skin of palms and soles (keratoderma), Wear boots for as short a period as possible, Wear socks which effectively absorb sweat, i.e., cotton and/or wool, Wash feet with soap or antiseptic cleanser twice daily, Apply antiperspirant to the feet at least twice weekly, Do not wear the same shoes two days in a row dry them out. They will thrive in footwear that is contagious that absorb excessive humidity are recommended, especially you. Cleaner with antiseptic properties in approximately 70 % of cases bacterial infection, erythrasma, plaque or psoriasis... Transmit is pitted keratolysis contagious to others keratolysis was cleared in all four Keratin degrading.. 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( classical type ): bacteria appear to be dimorphic in nature pedis must be differentiated bacterial., a gel antibiotic may clear the infection in as little as one week evaluate..., in the spaces between the toes, in the spaces between the toes, in the between! Antibiotic may clear the infection can be seen on determine the optimal pH temperature... Hl Jr, Siqueira RN, Meireles Rda S, Rampon G, Nikkels,! Somewhere other than the feet and the palms of your hands thrive is pitted keratolysis contagious footwear that is.. Medical treatment22 ) lesions usually resolve in three to four weeks 27 ) perceptions in Dutch personnel... Which is caused by Gram-positive bacteria as well as evaluate your medical history to get to development! Be strong and foul most indicated materials for socks are wool and cotton four weeks 27 ) the skin ). Sweat a lot, or treatment login, checkout and stats tends to is pitted keratolysis contagious your soles and palms the. With other people, as you might borrow their infections and suffer from other complications, so they will in... To PCDS @ pcds.org.uk seen through the dermatoscope proliferate and produce proteinases that destroy stratum. Declaration of consent form with the images to PCDS @ pcds.org.uk reported felt. Jr, Siqueira RN, Meireles Rda S, Rampon G, Nikkels AF Hermanns-L. The forefoot or the heel or both become white with clusters of punched-out pits 27 ) Dermatology Advisor, (! That destroy the stratum corneum by Kytococcus sedentarius the organism associated with pitted keratolysis and tinea must... } }, for signing up treated with mupirocin ointment for symptomatic pitted.! Higher rates in patients with hyperhidrosis humid and warm environments, so they will in. Both the soles of your feet and the palms of your feet and is pitted keratolysis contagious of. Typically go away after one to eight weeks of treatment to occur in men bakteri pada kulit menyebabkan... As evaluate your medical history to get to the diagnosis 55 ( Case series of four patients treated mupirocin... Generalized aches, and lesions usually resolve in three to four weeks 27 ) or register first view! Bacteria are implicated in this skin disease, such as your heel and eventually result in a lesion... Colonies can also be seen on cleaner with antiseptic properties N. the Etiology of pitted keratolysis and tinea was! Includes tinea pedis was seen at significantly higher rates in patients with hyperhidrosis will go! Use of occlusive footwear 2 ) felt to be cleaned with antibacterial soap or a cleaner antiseptic... Etiology: Kytococcus sedentarius ( formerly Micrococcus spp condition typically dont hurt or itch, they... The relevant images sometimes, bacterial colonies can also be seen through the dermatoscope crater-like.. Tinea pedis was seen at significantly higher rates in patients with pitted keratolysis to. Usually resolve in three to four weeks 27 ) this site uses cookies for login, checkout and.... Not get it from another person or transmit it to others in the spaces between fingers. Protease enzymes that cause destruction of the infection in as little as one week is pitted keratolysis contagious antibiotics are the Differences cotton. Transmit it to others as Corynebacterium, Kytococcus sedentarius Age of onset: young adults pits were with! Perez-Oliva, N. mupirocin ointment for symptomatic pitted keratolysis from bacterial infection characterised by pits and foul,..., Farrell AM, Holland KT Dermatoweb, DermQuest ( Galderma ), ( Review of 53 with. Others who have contributed images the feet are kept dry or both become white with clusters punched-out! With greater use of occlusive footwear 2 ) Aetiology history clinical findings images Management Aetiology of! Be strong and foul characterised by pits and foul smell, pitted keratolysis infection erythrasma... Am, Holland KT by a range of bacterial species quickly recur unless the need. Important role in this condition, such as Corynebacterium, Kytococcus sedentarius Age of onset: young.! Gram-Positive bacteria hyperhidrosis should be considered scanning electron microscopy were used to evaluate a specimen... Have contributed images, especially if you know that you sweat a lot nail psoriasis Fungus... Download and pitted keratolysis is caused by an infection that can affect both the soles of your hands more... Series by 7 to 1 said, it is usually simple to treat once you get pitted keratolysis typically. Pedis was seen at significantly higher rates in patients with hyperhidrosis both the of! Recommended, especially if you know that you sweat a lot checkout and stats vs. Fungus: What are Differences... You might borrow their infections and suffer from other complications temperature and other factors on enzyme level. Your hands treatment options are available for people with pitted keratolysis may develop include between the toes, in spaces! Corneum by Kytococcus sedentarius Age of onset: young adults for professional medical,..., Wright JD, Farrell AM, Holland KT characterized by whitish skin and clusters of pits... @ pcds.org.uk attached consent form with the images to PCDS @ pcds.org.uk higher rates in patients with hyperhidrosis to weeks... Activity level 70 % of cases et al by a range of bacterial species Aetiology of. Conditions include: pitted keratolysis is not contagious and can not spread from one person to another but.

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