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Keratolysis, Pitted

Tiana M. Larsow, MD and Donna I. Meltzer, MD Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Pitted keratolysis (PK) is a bacterial dermatosis involving the keratin-rich, weight-bearing areas of the feet and, less commonly, the palms.

  • It is characterized by both a foul odor a...

DIAGNOSIS

HISTORY

  • Patients with PK are likely to complain of pitting on the soles of their feet and the embarrassing foul odor that usually accompanies the condition.

  • It should be noted, however, that i...

TREATMENT

GENERAL MEASURES

  • Avoid wearing occlusive footwear, if possible.

  • Keep feet clean and dry; wash feet twice daily with soap or antibacterial cleanser.

  • Avoid ill-fitting shoes in an effort to reduc...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • With the above treatments, most cases resolve within about 3 weeks.

  • In resistant cases, second-line treatments and more concerted efforts at moisture reduction and...

REFERENCES

1
Bristow IR, Lee YL. Pitted keratolysis: a clinical review. J Am Podiatr Med Assoc.  2014;104(2):177–182. [View Abstract on OvidMedline]
2
Tlougan BE, Mancini AJ, Mandell JA, et al. Skin...

ADDITIONAL READING

  • Blaise G, Nikkels AF, Hermanns-Lê T, et al. Corynebacterium-associated skin infections. Int J Dermatol.  2008;47(9):884–890.

  • De Luca JF, Adams BB, Yosipovitch G. Skin manifestat...

CODES

ICD10

L08.89 Oth local infections of the skin and subcutaneous tissue 

ICD9

686.8 Other specified local infections of skin and subcutaneous tissue 

SNOMED

51212009 Pitted keratolysis 

CLINICAL PEARLS

  • Patients with PK are likely to complain of pitting on the soles of their feet and of the embarrassing foul odor that usually accompanies the condition.

  • The most common conditions to be ...

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