Pitted keratolysis is a somewhat rare and frequently misunderstood dermatological condition which mainly has an effect on the soles of the feet. Even though it might not be a well-known disorder, understanding pitted keratolysis just what it really is really important if you are looking for relief from its symptoms. Pitted keratolysis generally manifests as little, superficial cavities or depressions on the weight-bearing parts of the soles of the foot and around the heels. These cavities are frequently bounded by a white-colored or greyish edge and will vary in size from a pinhead to many millimetres in diameter. Now and again, these smaller sized cavities can merge to form larger skin lesions. The condition is typically not painful, but might possibly be itchy as well as develop a foul odor (which often referred to as a foul, cheesy like odour) as a result of bacterial overgrowth.
Pitted keratolysis is primarily the result of a blend of factors, such as bacteria, perspiration, and keratin degradation. The disorder is most often connected with microbial species for example Corynebacterium species, Kytococcus sedentarius, and Dermatophilus congolensis. Most of these microbes prosper in warm, damp surroundings and are often located on the skin's surface. Excessive sweating, generally due to factors like hot and humid weather conditions, putting on tight and occlusive footwear that doesn't breath, or participating in pursuits that creates foot perspiring, creates a perfect environment for these types of microbes to prosper. As the bacteria increase in numbers, they generate enzymes that disintegrate keratin, a protein based in the outermost layer of the skin. This keratin deterioration brings about the formation of the distinctive pits about the bottom of the foot. Disagnosing pitted keratolysis is usually clinical, based on the distinctive visual appearance of the pits as well as the associated smell.
The management of pitted keratolysis mostly focuses on eliminating the risk factors and preventing bacterial overgrowth. Of most importance is correct foot hygiene. On a regular basis washing the feet by using soapy water and drying them carefully can really help lower bacterial growth. Staying without footwear right after washing to be sure the foot is dry is essential. Using shoes that will breath made from natural components such as natural leather can help decrease perspiration accumulation. Regular shoe changes and taking advantage of moisture-wicking hosiery will also be beneficial. Ideally, going barefoot as frequently as is feasible is a good idea at allowing the sweat to escape minimizing the conditions the microorganisms that cause this problem like to flourish within. Some cases will require topical ointment antibiotics such as clindamycin or erythromycin tend to be prescribed to manage microbial overgrowth. These prescription antibiotics can be applied as ointments or gels. In some instances, aluminium chloride solutions used on a regular basis to the feet may be used to decrease foot perspiration. Over-the-counter antiperspirants might help manage perspiration with the feet, as well as the use of drying products including talcum powder or sodium bicarbonate can really help maintain your feet dry. In serious cases that will not reply to conservative approach, oral antibiotics can be prescribed by doctors. It's important to keep in mind that treatment really should be ongoing for an longer timeframe to prevent recurrence, particularly the use of effective foot cleanliness practices. Pitted keratolysis may easily happen again when the conditions are conducive to it.
