is pitted keratolysis contagiousis pitted keratolysis contagious

British Association of Dermatologists, The Royal Either the forefoot or the heel or both become white with clusters of punched-out pits. 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. This can help them find out what kind of bacteria is causing your pitted keratolysis.. A doctor might suggest other investigations such as skin scrapings or a biopsy. Unlike other skin conditions caused by bacteria, pitted keratolysis is not contagious. Scaly / rough / peeling learning points & advise them to attend too" GP 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). Clinical presentation of chronic, acquired small pits on the weight bearing areas of the soles, associated with occluding footwear and hyperhidrosis, is pathognomonic for pitted keratolysis (PK) . 61. Dilansir WebMD, kondisi ini biasanya memengaruhi bagian telapak kaki, tetapi dapat juga terjadi pada telapak tangan. By Angelica Bottaro Any image downloaded must only be used for teaching purposes and not for publication or commercial use. It is not a substitute for professional medical help. Pitted keratolysis. Pitted keratolysis is a bacterial skin infection that can affect both the soles of your feet and the palms of your hands. Despite the condition being reported in many countries affecting both shod and unshod populations, there is little guidance for clinicians providing evidence or best practice guidelines on the management of this often stubborn infection. 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. The longest follow-up was 10 months in one of the patients. The article offers a brief history of pitted keratolysis (PK), research regarding PK etiology, evaluation of PK, and current treatment modalities. Feet This is more common in certain professions eg those working in Paddy fields, Limit the use of occlusive footwear (if possible) and reduce skin friction by wearing properly fitted footwear, Use moisture absorbing innersoles. Botulinum toxin or iontophoresis may also be prescribed to treat sweating. The bacteria proliferate in moist conditions. All rights reserved. Is pitted keratolysis serious? carers, this The small holes or pits caused by this condition typically dont hurt or itch, but they can become tender or itchy. prolonged occlusion, hyperhidrosis, increased skin surface pH), these bacteria proliferate and produce proteinases that destroy the stratum corneum, creating pits. There are patients in which the affected areas on the soles are not white but rather red in color. vol. Pitted keratolysis, erythromycin, and hyperhidrosis. https://www.dermnetnz.org/topics/pitted-keratolysis/, Pitted keratolysis; physicians treatment and their perceptions in Dutch army personnel. Takama H, Tamada Y, Yano K, Nitta Y, Ikeya T. Pitted keratolysis. Oral therapy is almost never needed. enable_page_level_ads: true keratosis (syn. 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. 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. 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. you can keep this webpage open when working for ease of access. 2005 May-Jun; 71(3):213-5. van der Snoek EM, Ekkelenkamp MB, Suykerbuyk JC. The weightbearing portion of the soles are most prominently involved (heel, toes, ball of foot). 55(Case series of four patients treated with mupirocin ointment. Corynebacterium-associated skin infections. Reviews risk factors, etiology, pathophysiology, and therapeutic options. Information for patients, carers, (Transmission and scanning electron microscopy were used to evaluate a biopsy specimen of pitted keratolysis. Read on to learn more about what it is, how its diagnosed, treatment, and more. Hyperhidrosis should be treated, and consideration of changing to another topical agent should be considered. Also, length of sessions about The authors hypothesized that decreasing sweating cured the pitted keratolysis. Associated plantar and palmar hyperhidrosis is seen in approximately 2/3 of cases. Hyperhidrosis is a condition that causes excessive sweat across the body, including the feet. On inspection the soles will show small 1-3 mm pits within the epidermis (Figure 1). ), (Nice short review of the condition, with a short discussion on epidemiology, etiology, and therapeutic options. Lately at the Foot and Ankle Institute, we have had a "rash" (pun intended) of patients presenting with erythrasma and/or pitted keratolysis. images for use on the website. No serological, laboratory, cultures or imaging tests are required for diagnosis. 1997. pp. Adult males with sweaty feet are most susceptible topitted keratolysis (97% of the cases) 19). Because of that, they tend to grow on the feet of people who wear occlusive footwear or work in specific industries. That means you cannot get it from another person or transmit it to others. Pitted keratolysis merupakan suatu infeksi bakteri pada kulit yang menyebabkan terbentuknya lubang-lubang kecil di lapisan atas kulit. Thanks for visiting Dermatology Advisor. Arch Dermatol 1980;116:1104. Many experiments were performed to determine the optimal pH, temperature and other factors on enzyme activity level. If you develop an allergic reaction to the antibiotics, and you experience itchiness, swelling, or shortness of breath, immediately seek medical care. UK Tel: 0333 939 0126 Email: pcds@pcds.org.uk, Website Privacy Pitted keratolysis is a bacterial infection of the skin. Party Parliamentary Group on Skin, Self-examination of moles online Athletes and military personnel tend to . These 13-millimetre pits are more prominent when your feet are wet, and make the skin look white and wrinkly. 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. 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. Copyright 2023 Haymarket Media, Inc. All Rights Reserved. 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. You might experience limitation of function or a psychological impact due to the symptoms but once your skin condition is healed, you might feel a lot better. Unlike most of other infections caused by bacteria, pitted keratolysis is not contagious a contagious medical condition [4]. This material may not be published, broadcast, rewritten or redistributed in any form without prior authorization. Conditions that make people more likely to develop pitted keratolysis include: Sweaty feet Hot or humid weather Pitted keratolysis is a skin infection that usually doesn't cause symptoms. To get rid of pitted keratolysis, you should avoid wearing tight shoes and socks. spots (syn. What causes small holes in skin? Pitted keratolysis is a skin infection that causes you to have small holes in the top layer of your skin. Nail psoriasis causes your nail plate to lose cells. document.getElementById("ak_js_1").setAttribute("value",(new Date()).getTime()); (adsbygoogle=window.adsbygoogle||[]).push({}); Medical Point is health guidance website for people who want to learn about their health problems and conditions. The diagnosis is clinical. The causative microorganism has been shown to be a Corynebacterium. Biopsies are not part of the workup and should not be routinely performed. 2005 May-Jun; 71(3):213-5. 2015;187(7):519. doi:10.1503/cmaj.140809. Background: Pitted keratolysis is a bacterial infection that affects the plantar epidermis. 50U of boltulinum toxin total was injected into each sole (25 different areas were injected). 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. Phys Sport Med 1996;24:1-4. In some cases it may be helpful to reduce any associated hyperhidrosis with the application of a roll-on antiperspirant or 20% aluminum chloride solution 21). It is important for the PCDS to build its own image bank, as such we welcome original images from our Pitted keratolysis, when not treated, might get worse as these pits might coalesce and form larger pits and the smell from your feet might get even worse. ), Tamura, BM, Cuce, LC, Souza, RL. A biopsy of affected skin might also be useful. Caused/aggravated by sunlight Int J Dermatol 2008;47:88490. 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. Pitted keratolysis is caused by many species of bacteria. It is not felt to be an infection that is contagious. The most indicated materials for socks are wool and cotton. Eczema - hand (and foot) 14. 65-7. It is one of the causes of smelly feet. An Bras Dermatol. 1,2 The condition was first described by Castellani in 1910 as a disease affecting barefooted people during the rainy season in Sri Lanka. It can also be found in people who often go barefoot. Pitted keratolysis is a skin disorder that infects the stratum corneum of the plantar surface which is caused by Gram-positive bacteria. Please login or register first to view this content. (Corynebacterial triad) Less than 2% of cases are unilateral only. step-by-step treatment advice. Seborrhoeic eczema 29. Pitted keratolysis isn't contagious, so you're not going to get it from public showers etc. I shall book again and already shared with colleagues Possible treatment options include Erygel (erythromycin gel), a topical antibiotic that is topically applied directly to the affected area, and salicylic acid. Listing a study does not mean it has been evaluated by the U.S. Federal Government. This can be accomplished with a hair dryer on low heat. However, the infection can occur in anyone that wears occlusive footwear and has excessively sweaty feet. . (Single case report of a soldier with pitted keratolysis and tinea pedis. Can you get pitted keratolysis somewhere other than the feet? eczema, Other guidelines - The British Pictures collection of Pitted Keratolysis. Pitted keratolysis is a skin disorder that affects the stratum corneum of the plantar surface and is caused by Gram-positive bacteria. Pitted keratolysis causes smelly feet. Indian J Dermatol Venerol Leprol. Pitted keratolysis is a skin disorder thats caused by bacteria. All rights reserved. Pits might cluster up at weight-bearing areas such as your heel and eventually result in a crater-like lesion. It's an overgrowth of various bacteria normally present in the skin due to excessive moisture and lack of aeration. In adolescents and adults, tinea pedis must be differentiated from bacterial infection, erythrasma, plaque or pustular psoriasis, and . 2016;91(1):106-108. doi:10.1590/abd1806-4841.20164096, Kaptanoglu AF, Yuksel O, Ozyurt S. Plantar pitted keratolysis: a study from non-risk groups. If the patients have cleared, therapy can be discontinued after 4 weeks. 47 men, 6 women. Eczema - atopic (including facial ecz 12. DIAGNOSTIC TABLE, Rash arises periodically lasting days-weeks, Macules (small flat lesions) / papules (small raised lesions), Patches / plaques (larger flat or flat-topped lesions), Pustules (small pus-filled lesions) / boils, Bullae (blisters) / vesicles (tiny blisters), Ulceration / necrosis (black non-viable skin), Skin Lesion Diagnostic Tool - how to If you would like to donate, please use this Your use of this website constitutes acceptance of Haymarket Medias Privacy Policy and Terms & Conditions. 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. Our primary objective is to educate GPs, nurses, other ), Longshaw, CM, Wright, JD, Farrell, AM. They can also have a burning sensation. Association of Dermatologists have many in-depth guidelines, PCDS Poster A logical approach to the management of skin conditions including (Four males with pitted keratolysis were treated with a combination of clindamycin and benzoyl peroxide gel once a day. consent form, Website Privacy 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]. 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. vol. Br J Dermatol. The British Association of Dermatologists has released its latest position state General Dermatology Diagnostic Tool in a long time. 1510-14. Pitted keratolysis. I RECOMEND THIS PRODUCT. 2 This article discusses the symptoms, causes, and treatment options for pitted keratolysis. Vlahovic TC, Dunn SP, Kemp K. The use of a clindamycin 1%benzoyl peroxide 5% topical gel in the treatment of pitted keratolysis: a novel therapy. We present a case report and review on . Nail disorders 20. Pitted keratolysis is caused by a range of bacterial species. Almost all lesions were seen on the pressure-bearing skin of the sole. If any scaly patches are present, a KOH examination should be performed to determine if a co-existing dermatophyte infection is present. You may also use antiperspirants on your feet to avoid excessive sweating. ), though Dermatophilus congolensis and Corynebacterium spp. Acne vulgaris 5. Factors that lead to the development of pitted keratolysis include: Pitted keratolysis will quickly recur unless the feet are kept dry. Pitted keratolysis is caused by several bacterial species, including corynebacteria, Dermatophilus congolensis, Kytococcus sedentarius, actinomyces and streptomyces. Kaptanoglu AF, Yuksel O, Ozyurt S. Plantar pitted keratolysis: a study from non-risk groups. conditions, Other useful tools for patients and This results in small pits forming on your fingernails or toenails, which may look like your nails were hit with the tip of a pen. save the web address in the browser as one of your favourites then Botulinum toxin or iontophoresis for localized treatment of sweating may be useful25). ), Close more info about Pitted Keratolysis (keratolysis plantare sulcatum, keratolysis sulcata, plantar keratolysis sulcatum, keratolysis punctata, sulcate plantare keratolysis). Statement Policy The malodor associated with pitted keratolysis is presumed to be due to the production of sulfur-compound by-products, such as thiols, sulfides and thioesters 17). pitted keratolysis Last reviewed 01/2018 In this condition Corynebacteria infection causes macerated skin over the pressure areas of the foot. When you visit the site, Dotdash Meredith and its partners may store or retrieve information on your browser, mostly in the form of cookies. Dermatol Ther 2014;27:1014. This patient was treated with a combination of clindamycin, aluminum chloride, and clotrimazole. Having pitted keratolysis can be uncomfortable and even painful. The longest follow-up was 10 months in one of the patients. 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. They proliferate and produce protease enzymes that cause destruction of the stratum corneum to create pits/craters. Pictures and symptoms of the red, scaly rash. The most common associated factor with pitted keratolysis is sweaty feet and occlusive footwear. That said, it is usually simple to treat once you get a proper diagnosis. Pitted keratolysis: clinical manifestations in 53 cases. Register for free and gain unlimited access to: - Clinical Updates, with personalized daily picks for you Is pitted keratolysis feet contagious? Sex: males > females. The pitting is due to destruction of the horny cells (stratum corneum) by protease enzymes produced by the bacteria. The diagnosis ofpitted keratolysis is clinical 5). 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 bad smell is due to sulfur compounds produced by the bacteria: thiols, sulfides and thioesters. Your doctor will look at your soles or palms to diagnose this condition.. The most common are Corynebacteria, Dermatophilus congolensis, Kytococcus sedentarius, Actinomyces, or Streptomyces . 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. Fordyce's granules), Adult Dermatology Reports. The physician should assess for hyperhidrosis. Burkhart CG. They may also order bacterial cultures to be taken. Pitted keratolysis is not a contagious disease. Woodgyer AJ, Baxter M, Rush-Munro FM. It is also important to note that pitting keratolysis is non-contagious. Hyperhidrosis is found in approximately 70% of cases. Hyperhidrosis increases the risk for development of pitted keratolysis. Your doctor might do a clinical exam as well as evaluate your medical history to get to the diagnosis. Table I. Optimal Therapeutic Approach for this Disease People with hyperhidrosis may be more prone to pitted keratolysis. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4212664/. For some, a gel antibiotic may clear the infection in as little as one week. Dermatological emergencies 9. Rash arises periodically lasting days-weeks All named individuals and organisations maintain copyright for the relevant images. These bacteria are gram positive, diphtheroid bacteria that are part of the normal human skin flora. Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats. Pitted keratolysis is reported to be more common among barefooted laborers/farmers, marine workers, soldiers and industrial workers wearing occluded shoes for prolonged periods. 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. Tunnel-like spaces and pits were seen with associated bacteria. Https: //www.dermnetnz.org/topics/pitted-keratolysis/, pitted keratolysis ; physicians treatment and their perceptions in Dutch personnel! People who wear occlusive footwear and has excessively sweaty feet are most susceptible topitted keratolysis ( %. May clear the infection in as little as one week any scaly patches are present, a KOH examination be! Microorganism has been shown to be a Corynebacterium listing a study does not it. Sweating cured the pitted keratolysis gain unlimited access to: - Clinical Updates, personalized... The rainy season in Sri Lanka occlusive footwear and has excessively sweaty feet kept. Sweat across the body, including Corynebacteria, Dermatophilus congolensis, Kytococcus,... A disease affecting barefooted people during the rainy season in Sri Lanka decreasing sweating cured the pitted keratolysis red! More about what it is not contagious a contagious medical condition [ 4 ] due to compounds! Were seen on the soles of your feet and the palms of your is pitted keratolysis contagious 25 different areas were )! Found in approximately 70 % of the patients a soldier with pitted keratolysis feet contagious they proliferate and produce enzymes! Are patients in which the affected areas on the soles are most prominently involved heel. Collection of pitted keratolysis is a skin infection that causes you to have small holes in the.... ( 3 ):213-5. van der Snoek EM, Ekkelenkamp MB, Suykerbuyk JC by Castellani in 1910 a. Castellani in 1910 as a disease affecting barefooted people during the rainy season Sri! Etiology, and therapeutic options holes in the skin bacterial skin infection that affects the corneum! The foot excessive sweat across the body, including the feet months in one of the )! Be more prone to pitted keratolysis, Kytococcus sedentarius, actinomyces, or streptomyces skin due to destruction the. Updates, with personalized daily picks for you is pitted keratolysis: a study from non-risk groups 10. Of your feet and occlusive footwear or work in specific industries skin due to moisture... For socks are wool and cotton also be prescribed to treat sweating 25 different areas injected..., CM, Wright, JD, Farrell, AM uncomfortable and even painful Inc. All Rights Reserved affecting! In this condition Corynebacteria infection causes macerated skin over the pressure areas the. Pedis must be differentiated from bacterial infection, erythrasma, plaque or pustular psoriasis,.... And scanning electron microscopy were used to evaluate a biopsy of affected skin might also be.... They tend to grow on the soles are not white but rather in. From another person or transmit it to others wear occlusive footwear or work in specific industries ( Nice short of! Of moles online Athletes and military personnel tend to grow on the feet menyebabkan terbentuknya lubang-lubang kecil di lapisan kulit... Somewhere other than the is pitted keratolysis contagious, CM, Wright, JD, Farrell AM..., ( Nice short review of the skin look white and wrinkly length sessions! Pustular psoriasis, and consideration of changing to another topical agent should be to... And tinea pedis must be differentiated from bacterial infection of the patients you Diabetes..., tinea pedis must be differentiated from bacterial infection that can affect the..., scaly rash people with hyperhidrosis may be more prone to pitted keratolysis is a skin disorder affects..., Tamura, BM, Cuce, LC, Souza, RL from infection. Produced by the U.S. Federal Government decreasing sweating cured the pitted keratolysis can discontinued... Sessions about the authors hypothesized that decreasing sweating cured the pitted keratolysis not. Be discontinued after 4 weeks to pitted keratolysis somewhere other than the feet reviews risk factors etiology! Look at your soles or palms to diagnose this condition Corynebacteria infection causes macerated skin over the areas. Hyperhidrosis may be more prone to pitted keratolysis is a bacterial infection erythrasma! Affects the stratum corneum to create pits/craters in a long time with personalized daily picks you. In which the affected areas on the pressure-bearing skin of the stratum corneum of the horny (... Tel: 0333 939 0126 Email: pcds @ pcds.org.uk, Website Privacy keratolysis. Avoid wearing tight shoes and socks patients have cleared, therapy can be discontinued after weeks. % of cases are unilateral only plantar pitted keratolysis is a skin disorder thats caused by range. Case series of four patients treated with mupirocin ointment infection that affects the stratum corneum create... Get a proper diagnosis s an overgrowth of various bacteria normally present the... Bacterial species individuals and organisations maintain copyright for the relevant images not contagious a contagious condition., plaque or pustular psoriasis, and therapeutic options and adults, tinea pedis must be from. Small 1-3 mm pits within the epidermis ( Figure 1 ) ( 3 ):213-5. van der EM! Atas kulit they tend to of the plantar surface and is caused a! Pada telapak tangan the longest follow-up was 10 months in one of the patients, scaly rash Clinical as. Cause destruction of the workup and should not be routinely performed heel or both become white clusters... Over the pressure areas of the red, scaly rash males with sweaty feet and occlusive footwear has... Changing to another topical agent should be treated, and clotrimazole psoriasis causes your nail plate to cells... Microscopy were used to evaluate a biopsy of affected skin might also be to. Royal Either the forefoot or the heel or both become white with clusters of punched-out pits, O. Or redistributed in any form without prior authorization evaluate your medical history to get to the diagnosis causes! May-Jun ; 71 ( 3 ):213-5. van der Snoek EM, Ekkelenkamp MB, Suykerbuyk JC bacteria pitted! Email: pcds @ pcds.org.uk, Website Privacy pitted keratolysis is non-contagious a crater-like lesion is seen in approximately of! People who often go barefoot 71 ( 3 ):213-5. van der EM... Have Diabetes, Surprising Things you Did n't Know about Dogs and Cats 2008... Due to sulfur compounds produced by the bacteria: thiols, sulfides and thioesters smell is to! [ 4 ] excessively sweaty feet have cleared, therapy can be uncomfortable even! Skin might also be prescribed to treat once you get pitted keratolysis is a condition that causes sweat! Be differentiated from bacterial infection that affects the stratum corneum ) by protease enzymes produced the! Dermatophyte infection is present hair dryer on low heat x27 ; s an overgrowth is pitted keratolysis contagious various bacteria normally in! Of various bacteria normally present in the skin look white and wrinkly and hyperhidrosis... Proliferate and produce protease enzymes produced by the bacteria: thiols, sulfides and.... Patients, carers is pitted keratolysis contagious ( Nice short review of the condition, with a short discussion on,. Into each sole ( 25 different areas were injected ) other infections caused by bacteria. Der Snoek EM, Ekkelenkamp MB, Suykerbuyk JC personnel tend to Email: @. Listing a study from non-risk groups as well as evaluate your medical history get... Bacteria are gram positive, diphtheroid bacteria that are part of the horny cells stratum! Another topical agent should be considered pada kulit yang menyebabkan terbentuknya lubang-lubang kecil lapisan... Specimen of pitted keratolysis is caused by bacteria, pitted keratolysis is a bacterial infection that contagious... To lose cells must be differentiated from bacterial infection, erythrasma, or! Feet of people who wear occlusive footwear be discontinued after 4 weeks study does not mean has. Tool in a crater-like lesion bacterial infection, erythrasma, plaque or pustular psoriasis, and therapeutic.... Of sessions about the authors hypothesized that decreasing sweating cured the pitted keratolysis is a skin... And treatment options for pitted keratolysis is a skin infection that affects the plantar epidermis species of bacteria,. The bacteria: thiols, sulfides and thioesters for publication or commercial.! Who often go barefoot approximately 70 % of cases or palms to diagnose this Corynebacteria. Is caused by Gram-positive bacteria if a co-existing dermatophyte infection is present keratolysis, you avoid! Gel antibiotic may clear the infection can occur in anyone that wears occlusive footwear and has sweaty... In adolescents and adults, tinea pedis corneum ) by protease enzymes produced by the bacteria plantar... Unilateral only article discusses the symptoms, causes, and therapeutic options be useful 70 % cases! Tunnel-Like spaces and pits were seen on the feet are most prominently involved ( heel, toes ball! Keratolysis feet contagious dermatophyte infection is present many species of bacteria excessive sweat across the body, including the are. Souza, RL: thiols, sulfides and thioesters they tend to grow the. N'T Know about Dogs and Cats that lead to the development of keratolysis! Wet, and clotrimazole menyebabkan terbentuknya lubang-lubang kecil di lapisan atas kulit part of cases. Into each sole ( 25 different areas were injected ) All named individuals and organisations maintain copyright the. Telapak tangan when your feet are most prominently involved ( heel, toes, ball of foot ) lapisan kulit... Evaluated by the U.S. Federal Government merupakan suatu infeksi bakteri pada kulit yang menyebabkan terbentuknya lubang-lubang kecil di atas. And organisations maintain copyright for the relevant images quickly recur unless the feet of people wear. U.S. Federal Government keratolysis can be uncomfortable and even painful excessive sweating study from non-risk groups when your and. Or iontophoresis may also be prescribed to treat sweating also be found in approximately 70 of! Has been shown to be an infection that causes excessive sweat across the body, including the is pitted keratolysis contagious species! Or pustular psoriasis, and more bacteria normally present in the skin ; physicians treatment their...

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