In extreme cases, a doctor may recommend photochemotherapy, which is a combination of Psoralen and Ultraviolet. Often times, these creams also contain silicone and urea. Pitted keratolysis occurs as a result of a bacterial infection that causes smelly and itchy feet. As a result, the skin begins to shred. 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Palmoplantar pustulosis or palmoplantar psoriasis (distinguished by occasional involvement of typical psoriasis on other locations of the body, observation of pustules on exam, and the chronic nature of this disease), 3. There are different ways to do the treatment. If you have any concerns with your skin or its treatment, see a dermatologist for advice. Supportive investigations may be undertaken. No advanced study has been carried out about what might be the cause of exfoliative keratolysis. renowned by other titles, such as Lamellar dyshidrosis, recurrent focal palmar peeling and recurrent palmar peeling, keratolysis exfoliativa afflicts the palms of the hands and tender soles of the feet. There is no definitive cure for exfolaitive keratolysis; however, the right treatments can help control symptoms of the condition, such as lactic acid application, ultraviolet radiation treatment, or home remedies like certain essential oils or a coconut oil moisturizer. Keratolysis exfoliativa codes and concepts. Some of the precautions and home remedies are given below. Fans and air conditioning equipments are readily available to neutralize the heating process as lengthened periods of treatment tend to get very hot sometimes. Keratolysis exfoliativa - Primary Care Dermatology Society Exposure to irritants such as washing powder, soap, detergent etc. Photograph of keratolysis exfoliativa on the hand. The latest research on exfoliative keratolysis suggests that there is a link between corneocytes and exfoliative keratolysis. Also, not having a risk factor does not mean that an individual will not get the condition. Exfoliative keratolysis is such a problem that gives a bad feeling to the beholders of the affected hands. What Are These Tiny Red Spots on My Skin (Petechiae)? Federal government websites often end in .gov or .mil. Do the antibiotics interfere with any of the medications I currently take? The skin may swell and become red due to inflammation. (Provides a description of the microscopic pattern of splitting seen in keratolysis exfoliativa and contrasts these finding with that of familial continual peeling of the skin), Lee, HJ, Ha, SJ, Ahn, WK, Kim, D, Park, YM, Byun, DG. Approved by: Krish Tangella MD, MBA, FCAP. DermNet provides Google Translate, a free machine translation service. Hausauer, A. K., & Cohen, D. E. (2015). Exfoliative keratolysis is mostly a seasonal disease. Acral skin eruption observed during SARSCoV2 pandemic: possible keratolysis exfoliativa with red palms and soles. If you regularly use essential oils, like tea tree oil, ask your healthcare provider before using it on your affected skin. These hollow spaces are actually the peeked areas. Before Lee YC, Rycroft RJ, White IR, McFadden JP. Usually, a skin test can determine the real disease. When the keratin breaks down, the skin loses its strength and begins to shed, or exfoliate. PMC The https:// ensures that you are connecting to the British Journal of Dermatology, 167(5), 1076-1084. Recurrent focal palmar peeling. Though it looks like dry, peeling skin, water makes it worse. Your healthcare provider will offer treatment to make the bacteria that cause pits in your feet go away, which will ease your fear. The condition does not limit itself to the hands. vol. Lastly, stress can be an important triggering factor for Exfoliative Keratolysis. How can I prevent this condition from returning in the future? Refer to more of our medical guides for information on nutrition and diet remedies for similar conditions. It is always important to discuss the effect of risk factors with your healthcare provider. Washing your feet and hands with soap and water when you remove your shoes and socks. Keratolysis exfoliativa (KE) is a palmoplantar eruption of air-filled bullae on an erythematous base, which results in lamellar peeling with hallmark superficial collarettes of scale. The condition arises to allergens or irritants that come in contact with the patient. 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. Fusidic acid. The procedure runs from a minimum of one minute to a maximum of 30 minutes depending on the patients tolerance. A few observable symptoms in India: Medication side effects First, lets take a look at how the outer layer of the skin, the epidermis, is involved in the development of exfoliative keratolysis. Key Takeaway: This disorder doesnt respond to any drugs except an oral Soriatane. Ruiz Rivero J, Campos Dominguez M, Parra Blanco V, Surez Fernndez R. Actas Dermosifiliogr. Still, it will reappear weeks and even months later. Pitted keratolysis home treatment. Keratolysis exfoliativa MedGen UID: 575367 Concept ID: C0343064 Congenital Abnormality; Disease or Syndrome Recent clinical studies Etiology Clinical evaluation of atopic hand-foot dermatitis. Your socks can play a role in how much air gets to your feet too. Disclaimer. Keratolysis Exfoliativa - DoveMed 1983. pp. Home remedies or preventions are more effective with respect to this problem. The risk factors for Keratolysis Exfoliativa include: It is important to note that having a risk factor does not mean that one will get the condition. As use of PUVA can be costly sometimes, some dermatologists recommend exposure to sunlight as it is safer compared to methoxsalen. 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. A risk factor increases ones chances of getting a condition compared to an individual without the risk factors. As now we know that exfoliative keratolysis is not sever or dangerous. Would you like email updates of new search results? Last reviewed by a Cleveland Clinic medical professional on 06/17/2022. However, exfoliative keratolysis will recur several weeks after skin appears to return to normal. Keratolysis exfoliativa is diagnosed clinically. While there are no known causes for Keratolysis Exfoliativa, the following are probably what caused skin peeling: A few other conditions that also cause peeling of the skin are: Familial continual skin peeling. Cutaneous T-cell lymphoma These ointments and lotions will help reduce the discomfort that causes itching in the skin. If you have a condition that causes excessive sweating, like hyperhidrosis, your healthcare provider will offer additional treatment for your sweating to prevent pitted keratolysis from returning in the future. (A study that characterizes the clinical characteristics of 108 atopic dermatitis patients with hand-foot dermatitis. Sign Up for the Latest Health News and Tips, Home Skin Care What Is Exfoliative Keratolysis? Exfoliative Keratolysis (Peeling Skin): Causes & Home Remedies Reports the frequency of keratolysis exfoliativa in patients with atopic dermatitis.). Skin peeling on hands is the first thing your general physician may notice before diagnosing you with Keratolysis Exfoliativa. This should be reserved for severe or symptomatic patients, as otherwise the risks outweigh the benefits. Foot skin peeling Patients typically complain of asymptomatic peeling on the palms (and occasionally the soles) that recurs every few weeks. Thus, the skin peels off and sometimes cause pain too. In case you come into contact with any allergens, use lotions that will soothe the skin and reduce the itching that is associated with peeling. - And More, (A report of three cases of recurrent focal palmar peeling, of which two were misdiagnosed as chronic dermatitis. This is likely a common condition that rarely presents to physicians because it is largely asymptomatic. Antibiotics could include: Antiseptics like benzoyl peroxide gel or cream can help clear the infection from your feet. Eating different kinds of nuts is good for skin. What type of shoes do you recommend I wear? Picture 1: Fingers affected withExfoliative Keratolysis. A diet rich in Vitamin B may aid in avoiding the condition in India. The formation of numerous skin tags will look like the skin from the hand is peeling. 24/7 visits - just $44! Coconut oil is the best natural moisturizer due to its antimicrobial, antifungal, and antibacterial properties that may speed healing and soothe the skin. The Licensed Content is the property of and copyrighted by DSM. But, this is not suggested till one can endure the pain. So, how long does exfoliative keratolysis last? Your doctor may identify Keratolysis Exfoliativa when air filled lesions appear on the skin near the hands or legs. Exfoliative Keratolysis: Causes Symptoms And Treatment Having said all that, we want to enumerate some risk factors that intrigue this disease. 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. 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. This material may not be published, broadcast, rewritten or redistributed in any form without prior authorization. Youre most at risk if you have sweaty feet and wear shoes that dont offer adequate airflow. Keratolysis exfoliativa. Lee, YC, Rycroft, RJ, White, IR, McFadden, JP. I need to mention after peeling it gives me very shiny,healthy and soft hands. Exfoliative keratolysis is the medical term of what we have commonly known as skin peeling disease. Topical steroids are not known to be helpful, Phototherapy may be considered for severe cases, Avoid using soaps, detergents, and harsh chemicals, If seawater aggravates the condition, then minimizing or avoiding exposure to the same, Where possible, avoid activities that cause friction in the affected palms or soles, Try to use suitable gloves to protect the hands, where necessary, The prognosis of Keratolysis Exfoliativa is generally good as a majority of the cases are self-limited and a spontaneous resolution is noted, In some individuals, the condition may be severe with frequent recurrences being noted. Dont miss out on todays top content on Dermatology Advisor. Thirdly, detergents, irritating soaps and sometimes solvents can cultivate exfoliation reactions. Unable to load your collection due to an error, Unable to load your delegates due to an error. It is important to explain the natural history of keratolysis exfoliativa to the patient before initiating any treatment. 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. Yes, sometimes skin peel offs may occur due to a deficit or an excess of a few vitamins. The skin peeling associated with the condition can affect the palms of the hands, the tips of the fingers, and even the soles of the feet. In most cases, it starts with the advent of summer and ends when simmer departs. A patient complains of dry skin of the palm with initial air-filled blisters on fingers. As there is no known remedy for this disease, one can try the precautions and home remedies to get rid of this problem. Keratolysis exfoliativa, as a self-limiting condition, can be treated. If the skins of the palms and the soles start to peel off, thats the first sign of exfoliative keratolysis. This approach has been present since 1976 and uses ultraviolet rays to treat the condition. The condition often causes air-filled blisters that eventually peel, and leaves the skin looking reddish, tender, dry, and cracked. The skin thickens, hardens into a callus, dries out, and peels off. The peeling off the skin in keratolysis exfoliativa worsens when the peeling skin will be associated with harsh chemical irritants. Keratolysis exfoliativa treatment | HealthTap Online Doctor 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. Scarlet fever PubMed. Can my diet help in avoiding peeling skin? Although exfoliative keratolysis is often painless and relatively harmless at times, the appearance of peeled skin may lead to embarrassment and depression. Provides a good description of the clinical features of recurrent focal palmar peeling and how to differentiate it from other conditions. In some cases, the blisters leave a deeper split in the skin that makes the skin around the fingers hard and numb. The condition requires no medical test and is detected by a well experienced dermatologist. Exfoliative keratolysis is the medical term of what we have commonly known as skin peeling disease. Mood Disorder: Ect or electroconvulsive therapy is used for the treatment of mood disorders such as severe recalcitrant depression. 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. Its dangerous to apply at-home remedies to your skin without approval from your healthcare provider. I experience it twice in a year. The diagnosis of keratolysis exfoliativa is made based on history and clinical examination. Pitted keratolysis is a bacterial infection that affects the skin on your feet. Dermatol Online J. 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. The peeling is not limited to the hands and feet. The best way to treat the condition is to avoid the causative factors. A deficiency of Niacin, which is one of the B Vitamins, causes the peeling of skin around the hands and legs. As they do so, new skin is born out of the process. Keratolysis Exfoliativa is the condition of peeling of the skin around the palms and soles. How often should I apply topical antibiotics to my skin? 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. Keratolysis exfoliativa Secrets That You All Need To Know! Normally, its not painful but swelling blisters or inflamed layer of skins can cause pain to the body. For this scenario, only the affected hands or feet are soaked in methoxsalen solution for half an hour before it is being exposed to UVA rays. As you already know there are no fixed reasons behind exfoliative keratolysis. This situation is linked to destruction of keratin layers in the epidermis resulting to unwarranted skin exfoliation. This site needs JavaScript to work properly. 1996 Aug;37(3):1434. Drysol, applied to dry skin at bedtime, or oral glycopyrrolate, starting at a dosage of 1mg by mouth 2-3 times daily, may be helpful. Using quality lotions and moisturizers that can prevent infection. Your use of this website constitutes acceptance of Haymarket Medias Privacy Policy and Terms & Conditions. A diagnosis of Keratolysis Exfoliativa may involve the following exams and procedures: A differential diagnosis may be necessary to eliminate other conditions that present similar signs and symptoms such as: Many clinical conditions may have similar signs and symptoms. Exfoliative Keratolysis: Causes, Symptoms and Diagnosis Pits can cluster together to form a sore (lesion) that looks like a crater. After putting together clinical findings, special studies on tissues (if needed) and with microscope findings, the pathologist arrives at a definitive diagnosis, Tinea manuum (fungal infection of the hand), Avoiding known irritants, chemicals, and friction, where possible, Application of topical agents such as lactic acid or silicone cream. Inquire about any history of atopic dermatitis. In many cases, Keratolysis Exfoliativa may not require any treatment; the condition is also known to spontaneously resolve in a majority of individuals. But, people spend a whole bunch of years without knowing that they are having this disease. arrow-right-small-blue Policy. Antibiotics effectively treat the condition to make the odor go away. In het boek wordt de geschiedenis beschreven van de Groningse leerstoel huid-en geslachtziekten van 15 september 1913, toen prof. dr. RA Reddingius bij Koninklijk Besluit werd, 466. Eczema is also a quite painful condition, whereas exfoliative keratolysis doesnt hurt as much. Firstly, exposure to allergens can cause the condition to develop as it can sometimes be a result of an allergic reaction. When it comes to skin conditions, exfoliative keratolysis is, at times, harmless but also sometimes quite painful. Keratolysis exfoliativa (Lamellar dyshidrosis, Recurrent focal palmar Psoralens Another way to treat the condition is the use of PUVB ( this is a mixture of psoralens and short wave ultraviolet radiation). Hautarzt. If you wish to read unlimited content, please log in or register below. This painful or harmless skin problem also goes by names such as keratolysis exfoliativa, lamellar dyshidrosis, dyshidrosis lamellosa sicca, and recurrent palmar peeling. A bacterial infection causes pitted keratolysis. Mupirocin. It is distinct from other diseases of volar skin, such as dyshidrosis, contact dermatitis, tinea, epidermolysis bullosa, and acral skin peeling. Although PUVA can be effective, it can also have various side effects, like itching, burning, eye damage, and skin cancer. References Hausauer AK, Cohen DE. Chang, Y. Y., Van der Velden, J., Van der Wier, G., Kramer, D., Diercks, G. F. H., van Geel, M., & Jonkman, M. F. (2012). Zinia is an SEO specialist born and raised in Bangladesh. Youll be sure from this test whether this is due to an allergic problem or other underlying problems which should be determined. It is also a good idea to avoid the warm weather during the summer, since this can lead to skin peeling that may eventually develop into exfoliative keratolysis. 18. Br J Dermatol. Your body isnt able to stop future infections (. 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). DermNet does not provide an online consultation service. A dermatologist may notice these signs and up on further investigation recommend the right treatment for the patient. In most cases the condition subsides on its own. But this method is rarely recommended as psoralen activation works best with UVA. 1. Please login or register first to view this content. sharing sensitive information, make sure youre on a federal Exfoliative keratolysis treatment. However, one has to take psoralen by mouth or apply topical psoralen before exposing oneself to the sun as it is difficult to calibrate the correct amount of exposure. So, you can say it lasts during the summer. When the whole hand and foot peel off it gone for next six months. Visit your healthcare provider if your symptoms dont improve after taking antibiotics for one week. 1. Dry skin It is possible that sweaty palms are to blame, as hyperhidrosis in the palms is more common. Wende, G. W. (1919). Pitted keratolysis can affect anyone who has feet but its most common among men and people assigned male at birth (AMAB). Sweaty hands are also an aggravating factor. Keratolysis Exfoliativa isnt a condition that is of grave concern in India. Dermatologica. Generally, skin peeling on fingers is a common symptom in Indians. FOIA The differential diagnosis of keratolysis exfoliativa includes the following entities: 1. Any one of these can be applied up to twice daily. No matter how small and trivial an organ is, we should take good care of that. Youre most at risk of developing pitted keratolysis if you have sweaty feet and wear shoes with limited airflow. Initially, it doesnt cause any pain or abnormality but gradually some air-filledblisters take over the skin of palms and/or soles. In addition to the lactic acid content, hand creams used to treat the condition oftentimes also contain urea and silicone as well.. The condition causes a foul odor and itchiness. No worries! And, a less confirmed theory says that this is somewhat related to the genetic inheritance. It is periodic. Instead, eat plenty of anti-inflammatory, essential fatty acid-rich foods like flaxseed oil and wild-caught fish, and other foods that assist with wound healing like vitamin A-rich foods, probiotic-rich foods, and pumpkin seeds and chia seeds. Updated by Dr Oakley, December 2018. In some cases, the following steps may be considered: The following DoveMed website link is a useful resource for additional information: https://www.dovemed.com/healthy-living/skin-disorders/, American Academy of Dermatology930 E. Woodfield Road Schaumburg, IL 60173Phone: (866) 503-SKIN (7546)Fax: (847) 240-1859Website: http://www.aad.org, https://dermnetnz.org/topics/keratolysis-exfoliativa/(accessed on 05/20/2021), https://en.wikipedia.org/wiki/Keratolysis_exfoliativa (accessed on 05/20/2021). You can reduce your risk of pitted keratolysis by: Pitted keratolysis causes your feet to smell bad. Contact Dermatitis:Contact Dermatitis is a condition that causes acute inflammation of the skin. We do not endorse non-Cleveland Clinic products or services. There can be multiple layers of peeling skin (lamellae). Keratolysis Exfoliativa: Skin Peeling Treatment in India - mfine
