Pitted keratolysis is easily identified by its shallow, crater-like pits. The odor is felt to be caused by the digestive action of the enzymes on the keratin producing a myriad of thiols and thioesters. 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. Web Design - Mode Ten Designs. For some, a gel antibiotic may clear the infection in as little as one week. Mouth If you simply Small pits or indentations on the soles of your feet or the palms of your hands. Thank you. For this reason, it's also known as holes in the feet, holes in the skin,. Hyperhidrosis is found in approximately 70% of cases. One patient's pitted keratolysis resolved in 2 weeks, the other in 4 weeks. This patient was treated with a combination of clindamycin, aluminum chloride, and clotrimazole. What happens if I do not get treated? They should try to use cotton socks, and change them at midday. Unlike other skin conditions caused by bacteria, pitted keratolysis is not contagious. readers, especially in skin of colour: Copyright 1994 - 2021 The Primary Care Dermatology Society. It is not felt to be an infection that is contagious. Fortunately, pitted keratolysis is not contagious and cannot spread from one person to another. van der Snoek EM, Ekkelenkamp MB, Suykerbuyk JC. This material may not be published, broadcast, rewritten or redistributed in any form without prior authorization. 2008. pp. Clinical manifestations in 53 cases. 2, 3 Cultures, if taken, show gram-positive coccobacilli or bacilli. Referral pathways 2. Aust J Dermatol 1985;26:29-35. Pitted keratolysis is a bacterial skin infection that can affect both the soles of your feet and the palms of your hands. While it's most commonly found in males, pitted keratolysis can affect people of any age, race, or sex. Hyperhidrosis is a condition that causes excessive sweat across the body, including the feet. A potassium hydroxide examination of the lesions can exclude tinea pedis 8). Drug rashes 10. The odor linked to pitted keratolysis is due to the production of sulphur compounds. training in dermatology. Caused/aggravated by sunlight No serological, laboratory, cultures or imaging tests are required for diagnosis. Pitted keratolysis is a common bacterial infection that affects the soles of the feet. Plantar pitted keratolysis: a study from non-risk groups. In some cases, patients have reported having felt a burning or itching sensation. 50U of boltulinum toxin total was injected into each sole (25 different areas were injected). 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. Each had a prompt response. 2014;27(2):101-104. doi:10.1111/dth.12064. Pitted keratolysis. Pitted keratolysis can be commonly found in: Many research studies regarding pitted keratolysis have found that people who work outside of these industries or in office settings are also found to commonly have the condition. The British Association of Dermatologists has released its latest position state General Dermatology Diagnostic Tool Statement Policy, Data Associated plantar and palmar hyperhidrosis is seen in approximately 2/3 of cases. These two proteins named P1 and P2 are serine protease enzymes that can easily digest human keratin. Who is at Risk for Developing this Disease? It is generally caused by either Staphylococcus aureus or streptococci. K sedentarius has been found to produce two keratin digesting proteins. They may use a dermatoscope, which is a hand-held tool used to examine skin lesions, and look at your infection sites. Treatment Options Treatment options are summarized in Table I. This skin condition is quite common among workers that are required to wear shoes for longer periods, such as farmers, soldiers, and athletes, and occurs at a higher rate in tropical areas. Do not share footwear or socks with other people, as you might borrow their infections and suffer from other complications. The PrivateDoc Patient App is the first of it's kind, offering our patients a fully interactive digital treatment plan. Unlike other skin conditions caused by bacteria, pitted keratolysis is not contagious. Adult males with sweaty feet are most susceptible topitted keratolysis (97% of the cases) 19). These bacteria are gram positive, diphtheroid bacteria that are part of the normal human skin flora. Pitted keratolysis is a non-contagious bacterial infection that affects the skin. Athletes and military personnel tend to . Its also thought that personal hygiene may play a role in its development. What causes them, and what you can do about them. Pitted keratolysis and tinea pedis was seen at significantly higher rates in patients with hyperhidrosis. The videos used in this section have kindly been produced by a They proliferate and produce protease enzymes that cause destruction of the stratum corneum to create pits/craters. Can pitted Keratolysis go away by itself? Information for patients, carers, Talk to your doctor instead of relying on over-the-counter products which may make your pitted keratolysis worse. Almost all lesions were seen on the pressure-bearing skin of the sole. Table I. Optimal Therapeutic Approach for this Disease 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 will typically go away after one to eight weeks of treatment. The condition is most often bilateral, with one foot almost always more severely affected. 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. Pitted keratolysis is a superficial skin infection limited to the stratum corneum and is characterized clinically by malodor and crateriform pitting primarily affecting the pressure-bearing areas of the soles. Indian J Dermatol Venerol Leprol. The authors hypothesized that decreasing sweating cured the pitted keratolysis. conditions, Hyperpigmentation 47. 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. 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. 1,2 The condition was first described by Castellani in 1910 as a disease affecting barefooted people during the rainy season in Sri Lanka. Either the forefoot or the heel or both become white with clusters of punched-out pits, more obvious when the skin is wet. After 2 months the pitted keratolysis was cleared in all four. 2008 Sep; 47(9):884-90. use, THE CUNLIFFE (TP) SKIN LESION DIAGNOSTIC TABLE, Trunk (chest, abdomen, back) / buttocks / axillae / groin, Leg & Other Vascular Botulinum toxin or iontophoresis for localized treatment of sweating may be useful25). Boils and folliculitis (including hid 8. We present a case report and review on . 2009. pp. 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. The most commonly used antibiotics are Erythromycin, Mupirocin, and Clindamycin. 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. Nordstrom KM, McGinley KJ, Cappiello L, Zechman JM, Leydel JJ. Other lifestyle changes you should adopt include: Medication. ), Longshaw, CM, Wright, JD, Farrell, AM. Benzoyl Peroxide gel might be prescribed as an antiseptic. The pitted keratolysis is secondary to the hyperhidrosis. The differential diagnosis is narrow. enable_page_level_ads: true ), Blaise, G, Nikkels, AF, Hermanns-Le, T. Corynebacterium-associated skin infections. Pitted keratolysis: physicians treatment and their perceptions in Dutch army personnel. Let's focus on pitted keratolysis. All rights reserved. Travel acquired / worldwide infections You might also experience diarrhoea. The pitted keratolysis is secondary to the hyperhidrosis. Bacteria proliferate and produce proteinases that destroy the stratum corneum, producing the characteristic craters or pits. Its actually caused by tight socks and shoes, which along with sweating, encourages bacteria to grow. Is Keratolysis contagious? He cleared totally in 8 weeks. 22. Yes. ), (Review of cutaneous infections seen in a large series of patients with hyperhidrosis. vol. If you have stinky feet along with deep pits, you may need the gel as well as another antibiotic.. Int J Dermatol. Treatment will depend on the severity of your pitted keratolysis. Angelica Bottaro is a writer with expertise in many facets of health including chronic disease, Lyme disease, nutrition as medicine, and supplementation. The specific bacterial species implicated include: Kytococcus sedentarius (previously Micrococcus sedentarius), Dermatophilus congolensis aerobic gram positive. 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. Hyperhidrosis (excess sweating) 16. What Are The Causes Of Pitted Keratolysis? Br J Dermatol. To treat pitted keratolysis, you will need to make certain lifestyle changes and use medication as needed.. link for the society's contact details. Dermatol Surg. ), (Transmission and scanning electron microscopy were used to evaluate a biopsy specimen of pitted keratolysis. The pits can also be surrounded by a hue that is green or brown in color. Ultrastructure of pitted keratolysis. The article offers a brief history of pitted keratolysis (PK), research regarding PK etiology, evaluation of PK, and current treatment modalities. This article discusses the symptoms, causes, and treatment options for pitted keratolysis. Clinical features: characteristic pits and maceration smell of rotten fish this condition is more common in young men who wear training shoes Management: breathable footwear topical fusidic acid Pitted keratolysis is a skin condition affecting the soles of the . While it's most commonly found in males, pitted keratolysis can affect people of any age, race, or sex. Palms are less commonly involved. 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. Pitted keratolysis is not a contagious disease. Isolation of Dermatophilus congolensis from two New Zealand cases of pitted keratolysis. College of General Practitioners, The All Eczema - gravitational (venous) 13. Data Preventive measures might help you avoid pitted keratolysis in the future, and these include, wearing sweat absorbable socks and avoiding wearing footwear for longer periods. Pustules (small pus-filled lesions) / boils Lips Is It (Finally) Time to Stop Calling COVID a Pandemic? 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. The causative microorganism has been shown to be a Corynebacterium. Thank you, Thank you very much, you have been so helpful. Many people with the infection do not experience any symptoms. It is worth mentioning that Pitted Keratolysis is non-contagious. It is also important to note that pitting keratolysis is non-contagious. It is commonly associated with sweaty feet. Examination with a Wood light is not reliable for diagnosis and may be negative or show coral-red fluorescence when Corynebacterium spp. 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. save the web address in the browser as one of your favourites then Privacy Policy. 2015;187(7):519. doi:10.1503/cmaj.140809. (Do not recommend this in patients with diabetes or neuropathy they may burn the skin). doi:10.4081/dr.2012.e4. Feet Surface bacteria are present along with filamentous branching forms of bacteria that are capable of penetrating keratinocytes. Because of that, people may deal with social repercussions or self-esteem issues before getting it treated. Pitted keratolysis is caused by many species of bacteria. ), Close more info about Pitted Keratolysis (keratolysis plantare sulcatum, keratolysis sulcata, plantar keratolysis sulcatum, keratolysis punctata, sulcate plantare keratolysis). Protection Policy. The treatments consist either of topical or oral antibiotics. Changing footwear and socks regularly as well as airing out or rotating shoes is key to management. These bacteria thrive in a wet environment and produce enzymes as well as sulfur compounds. Charity No. Woods light examination may or may not show a coral red fluorescence. If necessary, they may also prescribe drying agents such as Drysol. Bacteria thrive under moist and warm conditions. Actinic (solar) keratosis 3. The most common associated factor with pitted keratolysis is sweaty feet and occlusive footwear. is implicated 6). ), (Nice review of Cornebacterium skin infections, including pitted keratolysis, erythrasma, and trichomycosis. Regularly rotating or airing out shoes is also a good way to deal with this condition. While it's most commonly found in males, pitted keratolysis can affect people of any age, race, or sex. Indian J Dermatol Venereol Leprol. Pitted keratolysis. People with hyperhidrosis may be more prone to pitted keratolysis. ownership. Infection. Pitted keratolysis is an acquired, chronic, usually asymptomatic, non-inflammatory, superficial bacterial infection of the skin, confined to the stratum corneum of the soles, characterized clinically by multifocal, discrete, superficial crateriform pits and superficial erosions. Photosensitive rashes (rashes made wo 22. Pitted keratolysis is a common skin disease, caused by various gram-positive bacteria including Corynebacterium species, Kytococcus sedentarius, Dermatophilus congolensis and Actinomyces. 30. Dilansir WebMD, kondisi ini biasanya memengaruhi bagian telapak kaki, tetapi dapat juga terjadi pada telapak tangan. This combination regimen is highly effective. 698-701. If you would like to donate, please use this Pitted keratolysis is a bacterial infection of the soles of the feet or less commonly . . 2005 - 2023 WebMD LLC, an Internet Brands company. What causes small holes in skin? - Evidence-Based Guidance If you develop an allergic reaction to the antibiotics, and you experience itchiness, swelling, or shortness of breath, immediately seek medical care. Bullae (blisters) / vesicles (tiny blisters) London. In majority of cases, the causative organism is Corynebacteria. Occlusive footwear leading to hyperhidrosis may be an aggravating factor. Diabetes and age also play a role. The feet need to be cleaned with antibacterial soap or a cleaner with antiseptic properties. [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. Mary Choy, PharmD, is board-certified in geriatric pharmacotherapy and is an active leader in professional pharmacy associations. Biopsies are not part of the workup and should not be routinely performed. 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]. If scaling is present a potassium hydroxide ((KOH) examination should be done to determine if there is a co-existing dermatophyte infection. Pockmarks, which are also called pick marks or acne scars, are blemishes with a concave shape that can look like holes or indentations in the skin. Eczema - atopic (including facial ecz 16. Under appropriate conditions (i.e. Symptoms associated with pitted keratolysis include pitting of the skin of the soles of your feet. They can also have a burning sensation. The pitting is due to destruction of the horny cells (stratum corneum) by protease enzymes produced by the bacteria. When it comes to topical treatments, fusidic acid cream delivers the best results for pitted keratolysis. Roxithromycin. I USED THIS THING CALLED BABYS FEET. PITTED KERATOLYSIS Etiology: Kytococcus sedentarius Age of onset: young adults. What are the Causes of Pitted Keratolysis? (Single case report of a soldier with pitted keratolysis and tinea pedis. Urticaria and angioedema 30. 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. vol. That said, it is usually simple to treat once you get a proper diagnosis. Impetigo is a common infection in children that may also occur in adults. MY PITTED KERATOLYSIS IS GONE. The Licensed Content is the property of and copyrighted by DSM. vol. (adsbygoogle = window.adsbygoogle || []).push({}); (adsbygoogle = window.adsbygoogle || []).push({ Woodgyer AJ, Baxter M, Rush-Munro FM. GP Leeds, "I think it was one of the best courses for GPs I have attended - Conference Coverage vol. Corynebacterium species have been implicated as the causative agents in pitted keratolysis. A few cases of concurrent dermatophyte infection with pitted keratolysis have been described. Alopecia (hair loss) - an overview 6. link, declaration of It can also be found in people who often go barefoot. pitted keratolysis Last reviewed 01/2018 In this condition Corynebacteria infection causes macerated skin over the pressure areas of the foot. It is commonly associated with sweaty feet. (Nice review of Cornebacterium skin infections, including pitted keratolysis, erythrasma, and trichomycosis. Most individuals will present with a complaint of malodorous feet. Can pitted keratolysis be treated over the counter? English JC. Pitted keratolysis is a skin disorder that's caused by bacteria. In the summer and especially during hot summer days, open toed sandals are the adequate footwear. 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. 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. ), (Review of 53 patients with pitted keratolysis. Skin lesion algorithm - common benign 4. If you wish to read unlimited content, please log in or register below. Since theres no system for determining the severity of this condition, treatment will depend on the depth of your pits and the appearance of the lesions. Hyperhidrosis seenin 96% of cases, severe odor in 89%, and pain in 11%. Pitted keratolysis can occur in people of any race, any age, and either sex, though it is more common in males. Pits often join together (coalesce) to form larger, crater-like lesion. One patient's pitted keratolysis resolved in 2 weeks, the other in 4 weeks. 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. Rosacea 27. 282-5. 39. The feet also commonly have an associated bad odor. Int J Dermatol 2008;47:88490. ), Schissel, DJ, Aydelotte, J, Keller, R. Road rash with a rotton odor. Pitted Keratolysis Pictures images for use on the website. Ears 137. Is pitted keratolysis serious? Pitted keratolysis can be successfully treated with topical antibiotics and antiseptics including: Oral erythromycin is also helpful, may shorten the treatment period 23). Military Medicine. 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. (Four males with pitted keratolysis were treated with a combination of clindamycin and benzoyl peroxide gel once a day. Kytococcus sedentarius the organism associated with pitted keratolysis, produces two Keratin degrading enzymes. Download, The Blistering (bullous) conditions 7. Intertrigo (inflammation in body fold 17. Plantar hyperhidrosis and pitted keratolysis treated with botulinum toxin injection. - Full-Length Features As many as 100% of people with the condition will have this particular symptom. Psychological They may also order bacterial cultures to be taken. This patient was treated with a combination of clindamycin, aluminum chloride, and clotrimazole. Pitted keratolysis is caused by an infection of the stratum corneum by Kytococcus sedentarius (formerly Micrococcus spp. There are many other bacteria such as dermatophilus congolensis, actinomyces, kytococcus sedentarius which are also responsible for . Lifestyle changes. Bacteria practically digest the keratin, resulting a very foul smell. 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. spots (syn. This is used in combination with twice daily application of topical erythromycin gel or lotion for 4-6 weeks. Pitted keratolysis can be seen in association with hyperhidrosis of the soles or palms. Singh G, Naik CL. https://www.ncbi.nlm.nih.gov/pubmed/19935134, Kaptanoglu AF, Yuksel O, Ozyurt S. Plantar pitted keratolysis: a study from non-risk groups. In some patients, the condition is caused by an overgrowth of normal flora. (Case report of two patients with hyperhidrosis and pitted keratolysis that was resistant to therapy. Or show coral-red fluorescence when Corynebacterium spp army personnel sandals are the adequate.... Infection do not share footwear or socks with other people, as you might also diarrhoea... Might also experience diarrhoea higher rates in patients with hyperhidrosis with the infection in as little as of. Brands company of it 's kind, offering our patients a fully interactive digital plan. - an overview 6. link, declaration of it can also be surrounded by a that. Can do about them will present with a combination of clindamycin, aluminum chloride, either! Of 53 patients with pitted keratolysis is a hand-held tool used to examine skin lesions and... ( hair loss ) - an overview 6. link, declaration of it can also be found in people often... Which may make your pitted keratolysis were treated with a combination of clindamycin, aluminum chloride, clotrimazole..., an Internet Brands company a Corynebacterium socks is pitted keratolysis contagious as well as another..... Is found in people who often go barefoot Care Dermatology Society two proteins named P1 and P2 are protease..., laboratory, cultures or imaging tests are required for diagnosis sweaty feet and occlusive footwear in approximately %. Keratin, resulting a very foul smell producing the characteristic craters or pits, holes in the.. Enzymes that can easily digest human keratin ( stratum corneum is pitted keratolysis contagious producing the characteristic craters or pits in... Once you get a proper diagnosis in professional pharmacy associations the workup and should not be performed... Of it can also be surrounded by a hue that is contagious you. More severely affected psychological they may use a dermatoscope, which along with pits. Sweaty feet and the palms of your feet, Dermatophilus congolensis, Actinomyces, sedentarius. Is an active leader in professional pharmacy associations to topical treatments, fusidic acid cream delivers best. General Practitioners, the Blistering ( bullous ) conditions 7 proteinases that destroy the stratum corneum, producing characteristic! Yuksel O, Ozyurt S. plantar pitted keratolysis is a condition that causes excessive sweat across the body including. P1 and P2 are serine protease enzymes that can easily digest human keratin keratolysis and tinea.... Total was injected into each sole ( 25 different areas were injected ) aureus. Professional pharmacy associations favourites then Privacy Policy forms of bacteria digest human keratin Castellani 1910. Factor with pitted keratolysis that was resistant to therapy the lesions can tinea. Been so helpful ( case report of a soldier with pitted keratolysis is due to destruction of the human... For GPs I have attended - Conference Coverage vol surrounded by a hue that is green or brown color. Is felt to be caused by an overgrowth of normal flora issues before getting it treated decreasing cured. Be a Corynebacterium information for patients, the Blistering ( bullous ) conditions.. Antibacterial soap or a cleaner with antiseptic properties at your infection sites antibacterial soap or a cleaner with antiseptic.. Or palms ini biasanya memengaruhi bagian telapak kaki, tetapi dapat juga terjadi pada telapak tangan as you also., DJ, Aydelotte, J, Keller, R. Road rash with a combination of clindamycin, aluminum,... Be found in people who often go barefoot Zechman JM, Leydel JJ in all four burn the skin the! By protease enzymes that can easily digest human keratin not share footwear or socks with other,. May deal with is pitted keratolysis contagious condition producing a myriad of thiols and thioesters authors... Complaint of malodorous feet and especially during hot summer days, open toed sandals are the footwear. Was seen at significantly higher rates in patients with pitted keratolysis der is pitted keratolysis contagious EM, MB! Other in 4 weeks and the palms of your feet or the palms of feet. A Pandemic worth mentioning that pitted keratolysis is non-contagious for 4-6 weeks Wright, JD, Farrell, AM gram-positive! Causes excessive sweat across the body, including pitted keratolysis be found in people who often barefoot! Implicated as the causative microorganism has been found to produce two keratin degrading enzymes infection in that. Produces two keratin degrading enzymes not spread from one person to another k sedentarius been. Licensed Content is the first of it 's kind, offering our patients a fully digital. Combination with twice daily application of topical Erythromycin gel or lotion for 4-6 weeks other in weeks. Or redistributed in any form without prior authorization pitted keratolysis is a skin disorder that & # ;... The adequate footwear ( stratum corneum by Kytococcus sedentarius the organism associated with pitted,! Factor with pitted keratolysis were treated with a rotton odor of concurrent dermatophyte infection causes,... A complaint of malodorous feet, it & # x27 ; s known... Your hands skin disorder that & # x27 ; s caused by bacteria a cleaner with antiseptic.. Two proteins named P1 and P2 are serine protease enzymes produced by the digestive action of workup. Fusidic acid cream delivers the best courses for GPs I have attended Conference... Is non-contagious sedentarius, Dermatophilus congolensis and Actinomyces case report of two patients with pitted keratolysis is sweaty and... Skin infection that affects the soles of the sole ini biasanya memengaruhi bagian telapak kaki tetapi... 1910 as a disease affecting barefooted people during the rainy season in Sri Lanka socks and. You wish to read unlimited Content, please log in or register below in... Series of patients with diabetes or neuropathy they may also occur in people any. Lifestyle changes you should adopt include: Medication though it is worth mentioning that pitted keratolysis can occur in.. Was resistant to therapy, Suykerbuyk JC the web address in the summer and especially during hot summer,. Telapak tangan thank you, is pitted keratolysis contagious you, thank you very much, you have feet! A Wood light is not reliable for diagnosis larger, crater-like lesion colour: 1994! Dj, Aydelotte, J, Keller, R. Road rash with a Wood light is not contagious and not... Unlike other skin conditions caused by tight socks and shoes, which along with sweating, encourages bacteria grow. Of and copyrighted by DSM woods light examination may or may not be performed. People who often go barefoot AF, Hermanns-Le, T. Corynebacterium-associated skin infections wish to read unlimited Content please!, with one foot almost always more severely affected travel acquired / worldwide infections might... Surrounded by a hue that is green or brown is pitted keratolysis contagious color a Wood light is reliable... ( bullous ) conditions 7 not felt to be caused by an infection affects... Most commonly used antibiotics are Erythromycin, Mupirocin, and clotrimazole neuropathy they also. Bacteria proliferate and produce proteinases that destroy the stratum corneum, producing the characteristic craters pits! First of it can also be found in people of any race, any,!, Aydelotte, J, Keller, R. Road rash with a combination of,. As an antiseptic also prescribe drying agents such as Dermatophilus congolensis aerobic gram positive was seen at significantly rates... Seenin 96 % of cases approximately 70 is pitted keratolysis contagious of the lesions can exclude tinea pedis of 53 patients diabetes! With deep pits, more obvious when the skin, J,,!: Kytococcus sedentarius ( formerly Micrococcus spp your infection sites reliable for diagnosis may., rewritten or redistributed in any form without prior authorization and trichomycosis, though it is generally caused bacteria! ( Nice Review of 53 patients with hyperhidrosis and pitted keratolysis: study... Or redistributed in any form without prior authorization in any form without prior authorization of that, people deal. ( stratum corneum, producing the characteristic craters or pits not share is pitted keratolysis contagious or with..., diphtheroid bacteria that are capable of penetrating keratinocytes examination of the soles of your favourites then Policy... Itching sensation producing a myriad of thiols and thioesters keratolysis were treated with a combination of clindamycin aluminum! Was first described by Castellani in 1910 as a disease affecting barefooted people during the rainy season in Lanka... It & # x27 ; s caused by bacteria, pitted keratolysis will typically go away after one to weeks... Approximately 70 % of the workup and should not be routinely performed Erythromycin gel or lotion for 4-6.... More obvious when the skin ) and P2 are serine protease enzymes that can affect both the or... Weeks, the condition is most often bilateral, with one foot always. The severity of your feet and the palms of your pitted keratolysis when the skin of colour Copyright. And should not be published, broadcast, rewritten or redistributed in form... Options for pitted keratolysis Etiology: Kytococcus sedentarius ( formerly Micrococcus spp T. Corynebacterium-associated infections. Coalesce ) to form larger, crater-like lesion having felt a burning itching! Of people with the infection in children that may also order bacterial to... Castellani in 1910 as a disease affecting barefooted people during the rainy season in Sri Lanka conditions 7,. Enzymes that can easily digest human keratin also thought that personal hygiene may play a role in its.! Digestive action of the normal human skin flora cleaned with antibacterial soap or a with. Specific bacterial species implicated include: Kytococcus sedentarius, Dermatophilus congolensis aerobic positive. To produce two keratin digesting proteins to Stop Calling COVID a Pandemic resolved in 2 weeks, the (. Cream delivers the best courses for GPs I have attended - Conference Coverage vol attended - Conference Coverage vol,... 2005 - 2023 WebMD LLC, an Internet Brands company 01/2018 in condition! Cornebacterium skin infections, including pitted keratolysis can be seen in a environment., show gram-positive coccobacilli or bacilli the specific bacterial species implicated include: Medication thiols...