are preferable. Learn how we can help. After you start taking an antibiotic, it will begin working within your body to rid it of bacteria. Secondly, genetic predisposition may also expose someone to this condition as certain environmental or external factors can trigger the disease to develop. And because of that, the condition is recurrent as the root problem of the disorder isnt directly addressed. Lee HJ, Ha SJ, Ahn WK, Kim D, Park YM, Byun DG, Kim JW Pediatr Dermatol 2001 Mar-Apr;18 (2):102-6. doi: 10.1046/j.1525-1470.2001.018002102.x. The most common types of bacteria that can cause infection include: These types of bacteria grow and thrive in warm and moist conditions, which is why it commonly affects your feet if youre wearing tight socks and shoes with minimal airflow. Aloe vera juice is a completely natural moisturizer which can run the extra mile for your skin. Lastly, stress can be an important triggering factor for Exfoliative Keratolysis. If possible, use drugs which can reduce sweating excessively. Natural moisturizers: Since dry skin is both a symptom and cause of exfoliative keratolysis, it is important to moisturize the affected skin at least twice each day. Keratolysis Exfoliativa is a fairly common skin condition that is characterized by localized peeling (exfoliation) of the outer layers of skin of the palms and soles. However, after a few months or sometimes even after a few weeks the condition recurs again. In addition, the patient is advised to wear minimal clothing sometimes just underwear so the body can be openly exposed. Created for people with ongoing healthcare needs but benefits everyone. Br J Dermatol. Antibiotics could include: Antiseptics like benzoyl peroxide gel or cream can help clear the infection from your feet. MeSH In cases like this, it would be recommended to consult a physician for extensive treatment and care but their management can only be limited too as it is best to treat the condition on its early episodes. Presently, it is not known to occur from genetic factors, even though a family history is occasionally noted. Protection from irritants, wear gloves, good moisturization. If you are struggling with exfoliative keratolysis or another skin condition, visit a dermatologist or a natural health practitioner familiar with skin problems to learn more about the best treatment approaches available for you. Oakley, A., Exfoliative keratolysis, DermNet New Zealand; How Long Does Exfoliative Keratolysis Last? Would you like email updates of new search results? Unfortunately, what causes exfoliative keratolysis is relatively unknown. Keratolysis exfoliativa LAST UPDATED: Jul 14, 2021 Introduction Refer to the chapter Peeling skin conditions 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. Also, be sure to clean your hands to keep bacteria from getting inside the cracks on your hands and fingers. Additionally, numbing sensations of the skin are marked accompanied by hardening of the skin as well. - Conference Coverage The condition is also accompanied by a few blisters around the palms of the hand. Any exacerbating factors should be controlled. When the whole hand and foot peel off it gone for next six months. That being said, there are certain scenarios that make someone more susceptible to exfoliative keratolysis. The condition rarely goes away on its own without treatment from your healthcare provider. The peeling is not limited to the hands and feet. 2015 Dec 16;21(12). The disruption and premature separation of corneocytes are responsible for this disease. Flaky dry skin around the affected area Some effective essential oils include ginger oil, clove oil, myrrh oil, lavender oil, and frankincense oil. The infection caused by wearing tight or restricting footwear and due to excessive sweating. The condition usually develops in the summer and people with sweaty palms are the first to notice their skin peeling off on their palms. DermNet provides Google Translate, a free machine translation service. Keratolytic creams containing urea, lactic acid, ammonium lactate, or salicylic acid have been the most beneficial treatment for the majority of patients. It is also wise to eat a healthy anti-inflammatory diet and maintain proper hygiene by cutting your nails on a regular basis and washing your hands and feet. She is passionate about digital marketing and loves to work with fashion-related niches like nails, hairstyles etc. Journal of the European Academy of Dermatology and Venereology. Chiriac, A., & Solovan, C. (2013). Want to know more about exfoliative keratolysis? How do I avoid peeling skin? Who is at Risk for Developing this Disease? One of the more common forms of treatment for exfoliative keratolysis is the application of a lactic acid-infused hand cream. Exfoliative keratolysis The latter isnt seasonal as well and happens all year round and is also common for people who have skin asthma. 1. A dermatologist may recommend the use of keratolysis exfoliativa creams and keratolysis exfoliativa ointments. Arch Dermatol, 3(202), 11. No matter how small and trivial an organ is, we should take good care of that. Exfoliative keratolysis is a skin condition that causes the shedding of the top layer of skin. Eczema can be painful too unlike the aforementioned which doesnt have accompanying pain. Updated by Dr Oakley, December 2018. The condition causes a foul odor and itchiness. For example, avoiding irritants such as soap, detergents and solvents can really prevent the condition from recurring again. Your doctor may identify Keratolysis Exfoliativa when air filled lesions appear on the skin near the hands or legs. Archives of Dermatology and Syphilology, 23(3), 445-471. The symptoms are aggravated by exposure to irritants including water, soap, detergents and solvents. Note that this may not provide an exact translation in all languages, Home However, this is not generally itchy in contrast to eczema. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event, (https://www.aocd.org/page/PittedKeratolysis), (https://dermnetnz.org/topics/pitted-keratolysis), (https://accessmedicine-mhmedical-com.ccmain.ohionet.org/content.aspx?bookid=2585§ionid=211767935). Dermatol Online J. 2016 Oct;107(8):702-4. doi: 10.1016/j.ad.2016.03.006. There are a number of preventative tips that can help you decrease the risk of exfoliative keratolysis symptoms. Dont miss out on todays top content on Dermatology Advisor. Sign Up for the Latest Health News and Tips, Home Skin Care What Is Exfoliative Keratolysis? Oatmeal bath this gains improvement when practiced daily, Taking daily Vitamin supplements as weakened immune system predisposes someone to the disorder, Mint application on affected area; mint contains healing properties and has moisturizing effects as well, Pineapple juice applied over to damaged skin, Eating protein rich foods such as meat, liver, carrots as they aid in cell repair, Drinking apple cider vinegar pills and olive extracts, Frequent cutting of fingernails and toenails to maintain hygiene, Avoidance of eating egg as it is a known allergen as well as crustaceans or seafoods. Toxic shock syndrome, Keratolysis Exfoliativas symptoms are quickly noticed and require no lab tests. Another cause of the skin peeling is sweating in your shoes. Unable to load your collection due to an error, Unable to load your delegates due to an error. Sometimes, allergic reactions may cause peeling of the skin. We hope youre enjoying the latest clinical news, full-length features, case studies, and more. Please enable it to take advantage of the complete set of features! Its dangerous to apply at-home remedies to your skin without approval from your healthcare provider. Keratolysis exfoliativa is distinct from the following conditions. This is likely a common condition that rarely presents to physicians because it is largely asymptomatic. The following methods are Listed below: Oral for this method, methoxsalen capsules are ingested orally a few hours before the procedure usually 2-3 hours. Keratolysis Exfoliativa . vol. Make sure to clean hands to prevent bacteria from spreading and developing as it penetrates inside the open skin and worsesn the situation. Visit your healthcare provider if you have symptoms so they can offer treatment to remove the infection from your body. Epub 2016 May 18. Exfoliative keratolysis Often misdiagnosed as psoriasis, eczema, or chronic contact dermatitis, exfoliative keratolysis is more common in children and young adults, in those with sweaty hands, and during the summer months. How long does Exfoliative Keratolysis last? Dermatologica. When the blisters present around the palms burst, they cause circular marks leaving cracked skin on fingertips. 2021 Mar;72(3):215-224. doi: 10.1007/s00105-021-04765-w. Epub 2021 Feb 12. Copyright and all rights reserved. 2012 Nov;167(5):1076-84. doi: 10.1111/j.1365-2133.2012.11175.x. The best exfoliative keratolysis treatment is to avoid factors that cause the condition, including irritants like soaps, solvents, and detergents. This is a very common disease where the skin starts to peel off automatically causing eruptions and dryness to the palms of hands and, sometimes, to the soles of feet. Once the scales and the redness heals, the condition hibernates. Hautarzt. Keratolysis exfoliativa MedGen UID: 575367 Concept ID: C0343064 Congenital Abnormality; Disease or Syndrome Recent clinical studies Etiology Clinical evaluation of atopic hand-foot dermatitis. Chang YY, van der Velden J, van der Wier G, et al. ), Close more info about Keratolysis exfoliativa (Lamellar dyshidrosis, Recurrent focal palmar peeling, Recurrent palmar peeling). Reports the frequency of keratolysis exfoliativa in patients with atopic dermatitis. The blisters burst to leave expanding collarettes of scale and circular or oval, tender, erythematous peeled areas. Educating the patient on the benign nature of this condition is imperative, as often the patient merely wants a diagnosis and does not desire any further treatment. Pitted keratolysis home treatment. MacKee, G. M., & Lewis, G. M. (1931). Pitted keratolysis is a bacterial skin infection that causes a foul odor and itchiness. So, we should take care of the skin and look after the affected area gently. She spends her free time reading books and watching TV series. Some Observations on Keratolysis Exfoliativa. Exfoliative keratolysis can also be called "focal palmar peeling" or "keratolysis exfoliativa." In generic terms it's known as the "skin peeling disease." Disclaimer: Results are not guaranteed*** and may vary from person to person***. The soles of the feet may also be affected, These break (exfoliate) to leave behind raw red and tender skin beneath, The lesions are mostly circular/oval in shape with a rim of peeling edges (termed collarettes of scale), The tender red skin may turn dry, crack, and even rarely bleed, following which normal skin appearance is noted, Ends of digits may become hard and numb with thickened skin, which may take time to peel, There may be pain and discomfort depending on the severity, but Itchiness is not observed, Physical examination of the individual and medical history evaluation; a visual examination of the palms may help the healthcare provider diagnose the condition, Dermoscopy: Dermoscopy is a diagnostic tool where a dermatologist examines the skin using a special magnified lens, Woods lamp examination: In this procedure, the healthcare provider examines the skin using ultraviolet light. Usually, a skin test can determine the real disease. Neri I, Patrizi A, Gabrielli L, Virdi A, Veronesi G, Corsini I, Lazzarotto T, Lanari M, Misciali C, Guglielmo A. J Eur Acad Dermatol Venereol. Exfoliative keratolysis treatment. Though it looks like dry, peeling skin, water makes it worse. You can soak your feet in a diluted mixture of hydrogen peroxide and water to clean your feet. Picture 2: Palm with Exfoliative Keratolysis. Eventually normal skin forms, but frequently exfoliative keratolysis recurs within a few weeks. Lets take a brief look at the possible exfoliative keratolysis causes below: One of the first key exfoliative keratolysis symptoms is air-filled blisters that later peel in a circular pattern, or split and form skin tags. Refer to more of our medical guides for information on nutrition and diet remedies for similar conditions. ), Abdel-Hafez, K, Safer, AM, Selim, MM, Rehak, A. 18. List of photos, images and pictures ofExfoliative Keratolysis: The health information provided on this web site is for educational purposes only and is not to be used as a substitute for medical advice, diagnosis or treatment. Background: Keratolysis exfoliativa (KE), also known as dyshidrosis lamellosa sicca, is a palmoplantar dermatosis characterized by air-filled blisters and collarette desquamation. Pits can cluster together to form a sore (lesion) that looks like a crater. Generally, skin peeling on fingers is a common symptom in Indians. Get useful, helpful and relevant health + wellness information. The condition can be treated at home by taking necessary precautions: Bookshelf Ruiz Rivero J, Campos Dominguez M, Parra Blanco V, Surez Fernndez R. Actas Dermosifiliogr. All rights reserved. When it comes to exfoliative keratolysis treatment, although moisturizers help, more advanced skin therapies may be needed to fully relieve symptoms. Mupirocin. But this method is rarely recommended as psoralen activation works best with UVA. Pompholyx or dyshidrotic eczema (differentiated by its chronic nature, associated pruritus, fissures, and lichenification seen on examination), 2. Latest News Your top articles for Saturday, Continuing Medical Education (CME/CE) Courses. There is also some suggestion that it is incited by low-grade physical or chemical damage to the stratum corneum of the volar skin, leading to a superficial separation of the stratum corneum. Spending long hours and over-exposing your body to the sun can cause cracks in the skin resulting in peeling of the skin in India. Supportive investigations may be undertaken. If you have pitted keratolysis, that odor will still be present after you wash your feet and change your socks and shoes. This can be done by applying the medical ointments like OTC moisturizer on the affected area and then avoiding any water or moisture contact with that affected region. A deficiency of Niacin, which is one of the B Vitamins, causes the peeling of skin around the hands and legs. Normally, its not painful but swelling blisters or inflamed layer of skins can cause pain to the body. These hollow spaces are actually the peeked areas. - Full-Length Features The https:// ensures that you are connecting to the Choosing socks and shoes that fit your feet and arent too tight. In addition to the lactic acid content, hand creams used to treat the condition oftentimes also contain urea and silicone as well.. Connect with a U.S. board-certified doctor by text or video anytime, anywhere. Keratolysis exfoliativa also known as focal palmar peeling is a common disorder that is rarely reported and often overlooked as hand eczema. Keratolysis exfoliativa, as a self-limiting condition, can be treated. Unauthorized use of these marks is strictly prohibited. Often times, these creams also contain silicone and urea. Pitted keratolysis is a bacterial infection that affects the skin on your feet. There may be an association with underlying atopic dermatitis, thus one may also see a combination of asthma and allergies more frequently. It is also known as Focal Palmar Peeling and is typically observed in young adults Before that, we should know what it really is. Keratolysis Exfoliativa may be wrongly diagnosed as any of the following skin peeling off conditions: 1.clinical diagnosis- Pitted keratolysis. We do not endorse non-Cleveland Clinic products or services. When keratin breaks down, it impairs the skins strength and elasticity. The usage of lotions that are rich in Salicylic Acid and Lactic Acid may prevent infection Familial continual skin peeling. 23-31. The best material to improve airflow to your feet through your socks is cotton. Allergic contact dermatitis (differentiated by its pruritic nature, response to topical steroids, inflammatory appearance with erythema on exam, and a possible exposure history), 4. FOIA The condition often causes air-filled blisters that eventually peel, and leaves the skin looking reddish, tender, dry, and cracked. It is its own thing. PDF | An 8 year-old boy, previously healthy, presented on the emergency department, during the summer, with air-filled blisters on the volar aspect of. Do the antibiotics interfere with any of the medications I currently take? Contact Dermatitis:Contact Dermatitis is a condition that causes acute inflammation of the skin. The condition requires no medical test and is detected by a well experienced dermatologist. It is periodic. The peeling skin on hands and feet usually occurs when the temperature is hotter than normal. What is the treatment for keratolysis exfoliativa? Keratolysis exfoliativa is a condition that is treatable at home. It is also recommended to keep the hands clean to keep the bacteria away from getting inside the cracks. If the skins of the palms and the soles start to peel off, thats the first sign of exfoliative keratolysis. Pitted keratolysis occurs as a result of a bacterial infection that causes smelly and itchy feet. Although PUVA can be effective, it can also have various side effects, like itching, burning, eye damage, and skin cancer. 2014 Jun;150(6):647-8. doi: 10.1001/jamadermatol.2013.9190. There are possible side effects of taking antibiotics, which could include: Before starting any treatment, talk to your healthcare provider about side effects and discuss the current medications you take to avoid drug interactions. Dermatologists recommend that one maintains good personal hygiene and avoids spending too much time in the sun. Keratolysis exfoliativa Wende, G. W. (1919). In such cases, the cracked skin on fingertips takes longer to peel off and heal. Last modified on March 2021With inputs from Dr.Vedalatha Kakani, General Physician. Keratolysis exfoliativa is a common skin condition that causes the palms and soles to peel more intensely than usual. There are some texts that mention the use of photochemotherapy with hand/foot psoralen and ultraviolet A light (PUVA) for severe cases. The first sign of keratolysis exfoliativa is one or more superficial air-filled blisters on the fingers or palms. 3. It is also known as exfoliative keratolysis, dyshidrosis lamellosa sicca, and focal palmar peeling. Updated by Dr Oakley, December 2018. PubMed. Antibiotics could include: Clindamycin. These peeled areas lack a normal barrier function and may become dry and cracked. The Licensed Content is the property of and copyrighted by DSM. Treatment for exfoliative keratolysis typically involves the use of antibiotics or antifungal medications. First, lets take a look at how the outer layer of the skin, the epidermis, is involved in the development of exfoliative keratolysis. Please remove adblock to help us create the best medical content found on the Internet. Examples of these include urea 20% or 40% cream, ammonium lactate 12% cream, salicyclic acid 6% cream, and lactic acid 12% cream. If you still have an odor coming from your feet after you wash your feet at the end of the day, its a sign that you have pitted keratolysis. Atopic dermatitis (eczema) It is triggered by allergic reactions to substances, food or even air. b. What type of shoes do you recommend I wear? One of the primary signs of the disease starts with bursting blisters, scales that peel and are circular in shape, and areas appear to be cracked and peeled too. Stevens-Johnson syndrome Fourthly, although unproven, medical researchers believe that extremely hot climate during summer increases episodes of perspiration. Please login or register first to view this content. arrow-right-small-blue and transmitted securely. Author: DrAmanda Oakley, Dermatologist, Hamilton, New Zealand, 1999. Eventually normal skin forms, but frequently exfoliative keratolysis recurs within a few weeks, Hausauer AK, Cohen DE. The difference between the two is that the former only peels and shreds while the latter has an accompanying itchy feeling on the skin. The palms of the hands, the tips of the fingers, and soles of the feet are the most often affected areas. A patient complains of dry skin of the palm with initial air-filled blisters on fingers. If you work in an environment where youre on your feet all day, choose shoes with good ventilation to improve how much air reaches your feet. Eating a healthy diet can be a good source of natural components which may heal the skin. A dermatologist may notice these signs and up on further investigation recommend the right treatment for the patient. It is distinct from other diseases of volar skin, such as dyshidrosis, contact dermatitis, tinea, epidermolysis bullosa, and acral skin peeling. However, they are not generally itchy. The patient should be aware of the conditions benign nature and understand that typically, it will improve over time without any treatment. The skin loses its strength with breakdown of keratin, as a result it begins to peel off or exfoliate.