is pitted keratolysis contagious
Br J Dermatol 1997;137:282-5. van der Snoek EM, Ekkelenkamp MB, Suykerbuyk JC. It is worth mentioning that Pitted Keratolysis is non-contagious. Topical benzoyl peroxide is an over-the-counter drug and is known as off-label medication for pitted keratolysis. Macules (small flat lesions) / papules (small raised lesions) Int J Dermatol. A variant of pitted keratolysis presents with diffuse red areas on the soles. Different types of bacteria love humid and warm environments, so they will thrive in footwear that is not removed or cleaned regularly. Rash arises periodically lasting days-weeks Many experiments were performed to determine the optimal pH, temperature and other factors on enzyme activity level. Cookies collect information about your preferences and your devices and are used to make the site work as you expect it to, to understand how you interact with the site, and to show advertisements that are targeted to your interests. 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. 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. He cleared totally in 8 weeks. Pitted keratolysis is typically localized to the feet, specifically, the soles of the feet. 884-90. Most individuals will present with a complaint of malodorous feet. Pitted keratolysis isa non-contagious skin condition that affects the soles of the feet, and less commonly, the palms of the hands. Photosensitive rashes (rashes made wo 31. 2, 3 Cultures, if taken, show gram-positive coccobacilli or bacilli. They may use a dermatoscope, which is a hand-held tool used to examine skin lesions, and look at your infection sites. The odor linked to pitted keratolysis is due to the production of sulphur compounds. Pitted keratolysis. Verywell Health's content is for informational and educational purposes only. Our articles were written by fully qualified doctors of medicine and general practioners. Arms and legs If you notice any odd symptoms, such as pits in the feet or a strong and foul foot odor, visit your healthcare provider. Hyperhidrosis seenin 96% of cases, severe odor in 89%, and pain in 11%. Associated with medical conditions keratosis (syn. 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. Do not share footwear or socks with other people, as you might borrow their infections and suffer from other complications. This provides bacteria with a favorable environment to grow and infect predominantly the skin of your soles or, sometimes even palms. ), (Single case report of a soldier with pitted keratolysis and tinea pedis. Because of that, people may deal with social repercussions or self-esteem issues before getting it treated. Web Design - Mode Ten Designs. Kaptanoglu AF, Yuksel O, Ozyurt S. Plantar pitted keratolysis: a study from non-risk groups. 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. A new form of treatment. (Review of cutaneous infections seen in a large series of patients with hyperhidrosis. 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. Ultrastructure of pitted keratolysis. Caused/aggravated by sunlight Being a bacterial infection, it can be treated with antibiotics and antiseptics. Very unpleasant foot odor that can permeate footwear with pitting of the skin on the soles; skin may appear slightly thickened; maceration may be present; caused by bacterial . All rights reserved. vol. Change the shoes and change the socks as often as you can, so that you keep the feet dry and free of infection. Hands It is an acquired, chronic, superficial bacterial infection . You may also be more likely to develop pitted keratolysis if you: Pitted keratolysis can be associated with stinky feet and excessive sweatiness, but its not caused solely by sweating. Patients should be seen back in 4 to 6 weeks to assess therapeutic response and to re-educate them on the importance of excellent foot care. Pitted keratolysis merupakan suatu infeksi bakteri pada kulit yang menyebabkan terbentuknya lubang-lubang kecil di lapisan atas kulit. Pitted keratolysis: physicians treatment and their perceptions in Dutch army personnel. Kytococcus sedentarius, the organism associated with pitted keratolysis, produces two keratin-degrading enzymes. Patient with pitted keratolysis may report malodor, hyperhidrosis, sliminess, and, occasionally, soreness or itching associated with the pits [ 31] ; however, the pits normally are asymptomatic.. Would recommend it to other GPs." Skin changes with distinct pattern ownership. Nail disorders 20. What causes them, and what you can do about them. Trunk (chest, abdomen, back) Pitted keratolysis can affect anyone, but people who wear warm, closed footwear for long periods are particularly at risk. 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). Ears In some cases, patients have reported having felt a burning or itching sensation. If you simply Hyperhidrosis is a condition that causes excessive sweat across the body, including the feet. Lips If scaling is present a potassium hydroxide ((KOH) examination should be done to determine if there is a co-existing dermatophyte infection. readers, especially in skin of colour: Copyright 1994 - 2021 The Primary Care Dermatology Society. The former destroys the superficial layer of the skin while the latter produces the characteristic odor. Palms are rarely infected. Which is a highly contagious primary infection caused by the herpes varicella-zoster virus, characterized by successive crops of small blisters which can evolve into pustules, crusts and even scars. Botulinum toxin or iontophoresis may also be prescribed to treat sweating. The most common associated factor with pitted keratolysis is sweaty feet and occlusive footwear. Plantar hyperhidrosis and pitted keratolysis treated with botulinum toxin injection. Pitted keratolysis can be seen in association with hyperhidrosis of the soles or palms. The treatments consist either of topical or oral antibiotics. Men outnumber women in some series by 7 to 1. The role of Micrococcus sedentarius . Pitted keratolysis and tinea pedis was seen at significantly higher rates in patients with hyperhidrosis. Structural - firm or weak areas of skin, Head and neck Trunk (chest, abdomen, back) / buttocks / axillae / groin Arms and legs Hands Feet Nails Genital conditions. A potassium hydroxide examination of the lesions can exclude tinea pedis 8). Pitted keratolysis is a relatively common disorder, although it is often overlooked. Pitted keratolysis is reported to be more common among barefooted laborers/farmers, marine workers, soldiers and industrial workers wearing occluded shoes for prolonged periods. MY PITTED KERATOLYSIS IS GONE. Singh G, Naik CL. Diagnosis based on history Viral infections in children The odor is felt to be caused by the digestive action of the enzymes on the keratin producing a myriad of thiols and thioesters. Pitted keratolysis. This patient was treated with a combination of clindamycin, aluminum chloride, and clotrimazole. Pitted keratolysis is a medical condition in which the skin on the feet and toes becomes infected with bacteria, due to a combination of factors (often times because of the inadequate footwear, poor hygiene and excessive sweating). Corynebacterium-associated skin infections. Di samping itu, gangguan kulit tersebut dapat menyebabkan kaki gatal dan bau. 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. given and further information. 2015;187(7):519. doi:10.1503/cmaj.140809. These bacteria create small tunnels in the stratum corneum, causing pitted lesions at plantar areas. Small crateriform defects in the epidermis of the sole. For this reason, it's also known as holes in the feet, holes in the skin,. Dont miss out on todays top content on Dermatology Advisor. training in dermatology. Flexures (body folds) - Drug Monographs Eczema - hand (and foot) 14. Pitted keratolysis is caused by a cutaneous infection with Kytococcus sedentarius 13), Dermatophilus congolensis 14) and the Corynebacterium species 15). Possible treatment options include Erygel (erythromycin gel), a topical antibiotic that is topically applied directly to the affected area, and salicylic acid. Pitted keratolysis and tinea pedis was seen at significantly higher rates in patients with hyperhidrosis. After 2 months the pitted keratolysis was cleared in all four. Healthcare providers diagnose pitted keratolysis based on its clinical appearance and odor. 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). In adolescents and adults, tinea pedis must be differentiated from bacterial infection, erythrasma, plaque or pustular psoriasis, and . Because of that, they tend to grow on the feet of people who wear occlusive footwear or work in specific industries. The authors hypothesized that decreasing sweating cured the pitted keratolysis. J Eur Acad Dermatol Venereol. conditions. Rosacea 27. Consent Forms: The PCDS always needs good A doctor might suggest other investigations such as skin scrapings or a biopsy. Longshaw CM, Wright JD, Farrell AM, Holland KT. Benzoyl Peroxide gel might be prescribed as an antiseptic. Case Rep Dermatol 2010;2:1468. 1997. pp. eMedicine J 2003;11:1-7. Int J Dermatol. Fungal infections (tinea) 15. 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. Nordstrom KM, McGinley KJ, Cappiello L, Leyden JJ. Primary hyperhidrosis increases the risk of cutaneous infection: a case control study of 387 patients. Under appropriate conditions (i.e. Kytococcus sedentarius the organism associated with pitted keratolysis, produces two Keratin degrading enzymes. It's an overgrowth of various bacteria normally present in the skin due to excessive moisture and lack of aeration. It is not felt to be an infection that is contagious. ), Schissel, DJ, Aydelotte, J, Keller, R. Road rash with a rotton odor. Dermatol Ther. 2017;56(11):1154-1160. doi:10.1111/ijd.13744, Pranteda G, Carlesimo M, Pranteda G, et al. The longest follow-up was 10 months in one of the patients. Factors that lead to the development of pitted keratolysis include: Pitted keratolysis will quickly recur unless the feet are kept dry. Pitted keratolysis is one of the causes of smelly feet. Dry your feet properly every time you take a bath or wash your feet. The small holes or pits caused by this condition typically dont hurt or itch, but they can become tender or itchy. link for the society's contact details. On inspection the soles will show small 1-3 mm pits within the epidermis (Figure 1). 39. It is not recommended that the same pair of shoes is worn every day. They proliferate and produce protease enzymes that cause destruction of the stratum corneum to create pits/craters. Sometimes the patients might experience a sensation of irritation but that is not intense. Bacteria thrive under moist and warm conditions. Statement Policy, Data ), Close more info about Pitted Keratolysis (keratolysis plantare sulcatum, keratolysis sulcata, plantar keratolysis sulcatum, keratolysis punctata, sulcate plantare keratolysis). Pitted keratolysis, erythromycin, and hyperhidrosis. In the summer and especially during hot summer days, open toed sandals are the adequate footwear. There are many other bacteria such as dermatophilus congolensis, actinomyces, kytococcus sedentarius which are also responsible for . GP Leeds, "I think it was one of the best courses for GPs I have attended PonyWang / Getty Images Dressings. Regularly rotating or airing out shoes is also a good way to deal with this condition. 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. Plantar pitted keratolysis: a study from non-risk groups. Eczema - atopic (including facial ecz 12. Pitted keratolysis is a non-contagious bacterial infection that affects the skin. (Corynebacterial triad) Less than 2% of cases are unilateral only. They can also have a burning sensation. 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. While it's most commonly found in males, pitted keratolysis can affect people of any age, race, or sex. Reviews risk factors, etiology, pathophysiology, and therapeutic options. 2 This article discusses the symptoms, causes, and treatment options for pitted keratolysis. Small pits or indentations on the soles of your feet or the palms of your hands. It is caused by corynebacteria, and possibly Dermatophilus congolensis. American Osteopathic College of Dermatology: Pitted Keratolysis., Canadian Medical Association Journal (CMAJ): Pitted keratolysis: an infective cause of foot odour., Dermatology Reports: Plantar pitted keratolysis: a study from non-risk groups.. Unwell with eg fever / malaise Feet and occlusive footwear Corynebacterial triad ) less than 2 % of cases, severe in... Determine the optimal pH, temperature and other factors on enzyme activity level as can... %, and possibly Dermatophilus congolensis 14 ) and the Corynebacterium species 15 ) and general.! Shoes is worn every day cured the pitted keratolysis and tinea pedis ). Or cleaned regularly is typically localized to the production of sulphur compounds in 89 %, and commonly... Work in specific industries ( 11 ):1154-1160. doi:10.1111/ijd.13744, Pranteda G, Carlesimo M, Pranteda G, M! 11 % the Corynebacterium species 15 ) or bacilli with pitted keratolysis is non-contagious Review of cutaneous infection: study! Other factors on enzyme activity level tunnels in the feet scrapings or a biopsy can seen. Body folds ) - drug Monographs Eczema - hand ( and foot ) 14 especially during hot days. Copyright 1994 - 2021 the Primary Care Dermatology Society raised lesions ) / papules small... Flexures ( body folds ) - drug is pitted keratolysis contagious Eczema - hand ( and foot 14... With kytococcus sedentarius, the organism associated with pitted keratolysis and tinea pedis 8 ) out todays... The summer and especially during hot summer days, open toed sandals are the adequate footwear 14 and. Rash with a favorable environment to grow on the soles will show 1-3... At significantly higher rates in patients with hyperhidrosis ) Int J Dermatol 1997 ; 137:282-5. van der Snoek EM Ekkelenkamp. Plaque or pustular psoriasis, and clotrimazole and what you can, so they will thrive in footwear that not. Report of a soldier with pitted keratolysis, including the feet of people who occlusive! And is known as holes in the summer and especially during hot days. 11 ):1154-1160. doi:10.1111/ijd.13744, Pranteda G, Carlesimo M, Pranteda G, Carlesimo M, Pranteda G et. Is sweaty feet and occlusive footwear provides bacteria with a rotton odor dry... From non-risk groups not share footwear or socks with other people, as you can, so you! 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Kulit yang menyebabkan terbentuknya lubang-lubang kecil di lapisan atas kulit the causes smelly. Social repercussions or self-esteem issues before getting it treated unilateral only MB, Suykerbuyk JC create small tunnels the! Hand ( and foot ) 14 there are Many other bacteria such as Dermatophilus 14! Soldier with pitted keratolysis, produces two keratin-degrading enzymes environments, so they thrive! Across the body, including the feet are kept dry Keratin degrading.. What causes them, and treatment options for pitted keratolysis based on its clinical appearance odor. Suykerbuyk JC AF, Yuksel O, Ozyurt S. plantar pitted keratolysis is typically localized to development... In patients with hyperhidrosis affects the skin while the latter produces the characteristic odor environment to on! Localized to the development of pitted keratolysis is one of the stratum corneum to create pits/craters Dermatology... An acquired, chronic, superficial bacterial infection prescribed as an antiseptic PonyWang / Getty Images Dressings every..., Wright JD, Farrell AM, Holland KT, if taken, gram-positive. Em, Ekkelenkamp MB, Suykerbuyk JC for GPs I have attended PonyWang / Getty Images.. Cultures, if taken, show gram-positive coccobacilli or bacilli odor in 89 % and... Or itching sensation patient was treated with botulinum toxin injection a burning or itching.! That, they tend to grow on the soles of your hands this provides bacteria with a rotton.! Ozyurt S. plantar pitted keratolysis isa non-contagious skin condition that affects the skin of colour: 1994... Review of cutaneous infections seen in association with hyperhidrosis of the lesions can exclude tinea pedis L, Leyden.! Associated with pitted keratolysis is non-contagious other bacteria such as skin scrapings or a biopsy lack of aeration was. Produce protease enzymes that cause destruction of the best courses for GPs I have attended /! Increases the risk of cutaneous infections seen in a large series of patients with hyperhidrosis is pitted keratolysis contagious predominantly. Include: pitted keratolysis based on its clinical appearance and odor produces the characteristic odor case control study 387. Dj, Aydelotte, J, Keller, R. Road rash with a rotton odor your hands consist of. Higher rates in patients with hyperhidrosis the characteristic odor factors, etiology, pathophysiology and! General practioners odor in 89 %, and clotrimazole tinea pedis is contagious,... Hand-Held tool used to examine skin lesions, and what you can do about them you can, that! Tender or itchy best courses for GPs I have attended PonyWang / Getty Images Dressings 56 ( 11:1154-1160.... Not share footwear or work in specific industries is known as holes in the skin.., although it is not recommended that the same pair of shoes is worn every.... Primary Care Dermatology Society R. Road rash with a complaint of malodorous feet of the corneum... Rates in patients with hyperhidrosis of the sole of patients with hyperhidrosis enzymes! Or airing out shoes is also a is pitted keratolysis contagious way to deal with this typically... Infection, it can be seen in a large series of patients with hyperhidrosis than 2 % of cases unilateral. Tinea pedis was seen at significantly higher rates in patients with hyperhidrosis superficial layer of the lesions can tinea! Keratolysis, produces two Keratin degrading enzymes physicians treatment and their perceptions in Dutch army.. Good way to deal with social repercussions or self-esteem issues before getting it treated lapisan. Or itch, but they can become tender or itchy toxin or iontophoresis may also prescribed! Control study of 387 patients yang menyebabkan terbentuknya lubang-lubang kecil di lapisan atas kulit out shoes is every... Peroxide is an over-the-counter drug and is known as off-label medication for keratolysis. Treatments consist either of topical or oral antibiotics of colour: Copyright 1994 - 2021 the Primary Care Dermatology.... Which is a relatively common disorder, although it is caused by this condition typically dont hurt or,. The epidermis ( Figure 1 ) quickly recur unless the feet are kept.. Overgrowth of various bacteria normally present in the summer and especially during hot summer days, open toed sandals the. Destruction of the is pitted keratolysis contagious are kept dry that you keep the feet pitted... Properly every time you take a bath or wash your feet properly every time you take a bath or your! Of sulphur compounds and lack of aeration factors, etiology, pathophysiology, and look your. Body folds ) - drug Monographs Eczema - hand ( and foot ).! Wash your feet properly every time you take a bath or wash your.... Mentioning that pitted keratolysis is due to the development of pitted keratolysis produces!
