Your skin pits or forms small indentations because the bacteria (protease enzyme) destroys layers of your skin cells that continuously shed dead skin cells (stratum corneum or the horny layer). Medication side effects Exfoliative keratolysis. When the blisters present around the palms burst, they cause circular marks leaving cracked skin on fingertips. We do not endorse non-Cleveland Clinic products or services. The usage of lotions that are rich in Salicylic Acid and Lactic Acid may prevent infection Keratolysis exfoliativa (dyshidrosis lamellosa sicca): a distinct peeling entity. Photochemotherapy can be applied if the disease goes beyond control. J Cutan Dis, 37, 174-175. Keratolysis exfoliativa treatment. 3. Often times, these creams also contain silicone and urea. If you notice an odor, along with tiny indentations in the skin on the bottom of your foot, visit your healthcare provider. ), (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), (A study that characterizes the clinical characteristics of 108 atopic dermatitis patients with hand-foot dermatitis. Also, be sure to clean your hands to keep bacteria from getting inside the cracks on your hands and fingers. Work or participate in activities where youre outdoors and on your feet for most of the day. For an accurate diagnosis of exfoliative keratolysis, a negative result from a patch test is required. Any exacerbating factors should be controlled. Normal skin will develop in due time, although it is common for exfoliative keratolysis to return within a few weeks after normal skin has formed. Keratolysis Exfoliativa in India may arise due to sunburns or infections that directly cause damage to the skin. In addition to the lactic acid content, hand creams used to treat the condition oftentimes also contain urea and silicone as well.. The example can be best explained by skin asthma. 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). Who is at Risk for Developing this Disease? However, they are not generally itchy. Maintaining good personal hygiene and avoiding overexposure to the sun. As use of PUVA can be costly sometimes, some dermatologists recommend exposure to sunlight as it is safer compared to methoxsalen. If you suffer from this condition, you will see red plaques on the skin accompanied by skin peeling on feet and other affected areas. 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. European Journal of Pediatric Dermatology, 23(2), 125-125. In most cases the condition subsides on its own. Br J Dermatol. Some believe that it is more frequently associated with underlying atopic dermatitis, while others report an association with primary hyperhidrosis. Policy. Lastly, stress can be an important triggering factor for Exfoliative Keratolysis. Another medical approach to treat the disorder is photochemotherapy (PUVA). A diet rich in Vitamin B may aid in avoiding the condition in India. When this is the case, it is best to consult your doctor for exfoliative keratolysis treatment. Examples of these include urea 20% or 40% cream, ammonium lactate 12% cream, salicyclic acid 6% cream, and lactic acid 12% cream. 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. Therefore, management of exfoliative keratolysis may still be limited, and treatment is quite difficult. Some effective essential oils include ginger oil, clove oil, myrrh oil, lavender oil, and frankincense oil. Ultraviolet radiation treatment is also called photochemotherapy (PUVA), and uses ultraviolet rays to treat exfoliative keratolysis. The first sign of this condition is constant discomfort on the skin that provokes itching. Generally, skin peeling on fingers is a common symptom in Indians. Your healthcare provider may perform additional tests to rule out other clinical conditions to arrive at a definitive diagnosis. MeSH In many cases, Keratolysis Exfoliativa may not require any treatment; the condition is also known to spontaneously resolve in a majority of individuals. Background: Keratolysis exfoliativa (KE), also known as dyshidrosis lamellosa sicca, is a palmoplantar dermatosis characterized by air-filled blisters and collarette desquamation. What causes keratolysis exfoliativa in Indians? 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. 37. A few cases witness skin peeling on face as well. 24/7 visits - just $44! Psoralens Another way to treat the condition is the use of PUVB ( this is a mixture of psoralens and short wave ultraviolet radiation). The disease is thought about as seasonal as this usually affects young adults during summer. 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. American Osteopathic College of Dermatology. Disclaimer: Results are not guaranteed*** and may vary from person to person***. Treating Exfoliative Keratolysis at Home Keratolysis can be treated at home if it is in the nascent stages. - And More, (A report of three cases of recurrent focal palmar peeling, of which two were misdiagnosed as chronic dermatitis. and transmitted securely. Antibiotics treat the infection to remove the bacteria from your body. Visit your healthcare provider if you experience anxiety related to your phobia, as well as symptoms of pitted keratolysis. Another reason for skin peeling off is excessive Vitamin A in the body. Keratolysis exfoliativa is more common during the summer months in about 50% of affected individuals. Unfortunately, what causes exfoliative keratolysis is relatively unknown. As now we know that exfoliative keratolysis is not sever or dangerous. Fox, H. (1921). At the same time, several factors can lead to the skin peeling associated with exfoliative keratolysis. 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. Visit the emergency room if you have symptoms of an allergic reaction from taking antibiotics, including: If you have a fear of patterns with a lot of holes (trypophobia), a pitted keratolysis diagnosis can be a trigger for your fear. As there is no known remedy for this disease, one can try the precautions and home remedies to get rid of this problem. 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. Consult Indias top dermatologists online to get suitable skin treatment from the comfort of your home. 1.clinical diagnosis- Pitted keratolysis. MacKee, G. M., & Lewis, G. M. (1931). (2020). You might be more at risk of developing pitted keratolysis if you: Pitted keratolysis is common among people who work in certain occupations where you spend most of your day on your feet or among people who participate in strenuous physical activities, including: You might notice your symptoms become more apparent when your skin is wet. Unable to load your collection due to an error, Unable to load your delegates due to an error. Lifelong desquamation of the hands and feet. Visit your healthcare provider if your symptoms dont improve after taking antibiotics for one week. Pemphigus Pitted keratolysis home treatment. While Indian home remedies may give fruitful results, some cases are too severe to be treated with these remedies. Keratolytic creams containing urea, lactic acid, ammonium lactate, or salicylic acid have been the most beneficial treatment for the majority of patients. Keratolysis exfoliativa. Any of these conditions cause irritation in the skin, resulting in itching and the peeling of the skin. 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. The blisters burst to leave expanding collarettes of scale and circular or oval, tender, erythematous peeled areas. Epub 2012 Oct 5. 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. Exfoliative keratolysis at the fingers base will often take longer to heal due to frequent skin peeling. Exfoliative Keratolysis Treatment Topical steroids are often given exfoliative keratolysis. 1996. pp. Br J Dermatol. Recurrent focal palmar peeling. Accessibility British Journal of Dermatology, 167(5), 1076-1084. Exfoliative keratolysis. Dr. Heidi Fowler answered. Generally, the condition does not require any lab tests to be performed. 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. Exfoliative keratolysis mainly attacks and is common during the summer months. When keratin breaks down, it impairs the skins strength and elasticity. (A report of three cases of recurrent focal palmar peeling, of which two were misdiagnosed as chronic dermatitis. 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. Provides a good description of the clinical features of recurrent focal palmar peeling and how to differentiate it from other conditions. In extreme cases, a doctor may recommend photochemotherapy, which is a combination of Psoralen and Ultraviolet. The condition isnt constricted to the skin on the hands and face, one may even notice skin peeling on the face. Once the scales and the redness heals, the condition hibernates. Hautarzt. Applying lactic acid hand cream to the skin is one of the more common exfoliative keratolysis treatments. However, the condition is recurrent sometime after the skin returns to normal. First, lets take a look at how the outer layer of the skin, the epidermis, is involved in the development of exfoliative keratolysis. Proper hand hygiene: Maintain hygiene with frequent cutting of your toenails and fingernails. doi: 10.1111/j.1365-2133.2012.11175.x. These hollow spaces are actually the peeked areas. All rights reserved. Erythromycin. No sponsor or advertiser has participated in, approved or paid for the content provided by Decision Support in Medicine LLC. Although effective, PUVA treatment can also have some negative side effects such as: As previously mentioned above, there is no definitive cure for this disorder. When your hands are covered in ruptured blisters, the first thing you want to know is the cause of this irritating skin condition. How can I prevent this condition from returning in the future? Cutaneous T-cell lymphoma The condition rarely goes away on its own without treatment from your healthcare provider. Keratolysis exfoliativa generally presents in young active adults. When the weather is so hot, it can cause skin peeling that may eventually lead to lamellar dyshidrosis and to prevent that it is strongly advised to apply lotion in the sensitive prone areas such as the fingers and the feet. KE may also resemble acral peeling skin syndrome and localized epidermolysis bullosa simplex. The skin thickens, hardens into a callus, dries out, and peels off. Topical psoralen emollients such as gels or lotions are typically applied to the affected areas for 10 minutes before skin is exposed to UVA. Sweaty hands are also an aggravating factor. The most affected areas of the body are usually the fingers and the soles. The hand cream can prevent the excessive scales and dryness that lead to peeling from forming. 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. Last reviewed by a Cleveland Clinic medical professional on 06/17/2022. Firstly, exposure to allergens can cause the condition to develop as it can sometimes be a result of an allergic reaction. Also, not having a risk factor does not mean that an individual will not get the condition. The best way to treat the condition is to avoid the causative factors. There is usually no need for further diagnostic testing, as this is typically a clinical diagnosis; however, in more difficult cases, a potassium hydroxide (KOH) scraping or fungal culture to rule out tinea should be negative and patch testing to rule out allergic contact dermatitis should also be negative. 10 Most Common Nail Diseases And Disorders. Youre most at risk if you have sweaty feet and wear shoes that dont offer adequate airflow. It tends to show up on thumbs, hands or the soles of the feet. 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. vol. Eventually normal skin forms, but frequently exfoliative keratolysis recurs within a few weeks, Hausauer AK, Cohen DE. 2014 Jun;150(6):647-8. doi: 10.1001/jamadermatol.2013.9190. But, this is not suggested till one can endure the pain. Symptoms of pitted keratolysis affect your feet, specifically the web spaces between your toes and the ball, heel and soles of your foot. PubMed. 2. Eventually normal skin forms, but frequently exfoliative keratolysis recurs within a few weeks. In addition, exfoliative keratolysis treatment will include topical steroids and cortisone creams; topical emollients that contain lactic acid, silicone, and urea; photochemotherapy; and a number of home remedies and natural treatments. No, pitted keratolysis isnt contagious and cant spread from person to person. Try to prevent sweating by using topical agents. Usually the condition subsides with the use of an ointment as prescribed by the general physician. FOIA Acral skin eruption observed during SARSCoV2 pandemic: possible keratolysis exfoliativa with red palms and soles. Talk to a doctor now . (adsbygoogle = window.adsbygoogle || []).push({}); Heart Palpitations at Night: Common Causes and How to Treat, Essential Oils for Cough, Cold and Congestion, Sudden High Blood Pressure: Causes, Symptoms and Prevention Tips, Sore Throat on One Side: 7 Causes and Treatments, Natural Remedies for the Burning Sensation in Your Stomach After Eating, Hibiscus Tea: Health Benefits, Nutrition, Side Effects, and Recipes, Vegetable Oil Substitutes: 5 Healthy Alternatives for Baking, Frying, and More, How to Treat Nausea After Eating Eggs or Chicken, Diarrhea after Eating: Causes and Natural Treatments, Top 11 Homeopathic Remedies for High Blood Pressure, Heavy Breathing: Common Causes and Treatments, Pineapple Juice for Cough: Effective Homemade Cough Remedies, Pain in the Left Temple of the Head: 10 Causes and Treatments. It may be more common in those with sweaty palms due to localised hyperhidrosis. As a result, the skin begins to shred. Is the reason for your skin peeling keratolysis exfoliativa Speak to a doctor on MFine and find out how to tackle it! Exfoliative keratolysis treatment. This should include protecting the hands from any physical or chemical irritants and encouraging the patient to wear gloves when possible. Keratolysis exfoliativa is a common skin condition in which there is focal peeling of the palms and less often the soles. 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. There are some texts that mention the use of photochemotherapy with hand/foot psoralen and ultraviolet A light (PUVA) for severe cases. There are also forms of exfoliative keratolysis natural treatment that may help relieve the condition. Just another site This is common among fishermen but no significant evidence has been correlated to this incident. Prevent the bacteria from returning by changing your shoes and socks when they get wet and wearing shoes with good airflow. Bethesda, MD 20894, Web Policies On the other hand, a skin that is prone to peel off can make your hands look ugly and dirty. Natural hand soak: Soak your hands in an oatmeal bath for about 15 to 20 minutes daily to help improve exfoliative keratolysis symptoms like dry skin. How long does Exfoliative Keratolysis last? Treat hyperhidrosis if present. 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. Key Takeaway: 143-4. Lane, J. E. (1919). The following may be helpful: Protect the affected area from irritants Contact dermatitis
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