Also, not having a risk factor does not mean that an individual will not get the condition. The difference between the two is that the former only peels and shreds while the latter has an accompanying itchy feeling on the skin. It is periodic. Treatment for exfoliative keratolysis typically involves the use of antibiotics or antifungal medications. Thanks for visiting Dermatology Advisor. Epub 2012 Oct 5. Physical and mental stress can affect the skin sometimes. The hands and feet should also always be well cleaned. Latest News Your top articles for Saturday, Continuing Medical Education (CME/CE) Courses. EK is a strange skin condition that is not eczema or psoriasis. Exfoliative Keratolysis- Causes & Best Homeopathic Treatment Would you like email updates of new search results? Acral Peeling Skin Syndrome: A Case Report and Literature Review. Still, it will reappear weeks and even months later. Copyright 2017, 2013 Decision Support in Medicine, LLC. 2001. pp. Lets take a deeper look at some of the other exfoliative keratolysis treatments available. vol. But, this is not suggested till one can endure the pain. Stevens-Johnson syndrome Dont miss out on todays top content on Dermatology Advisor. Tenia pedis. Dis., 37, 223. However, they are not generally itchy. However, the cause of the constant skin shedding in exfoliative keratolysis remains a mystery. Peeling skin on fingers near nails Aggressive moisturization is one of the most important treatments and is often the safest and most effective treatment modality. 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). How can I prevent this condition from returning in the future? - Drug Monographs Dry skin flakes blister and slough off, leaving behind . Health: What Is Exfoliative Keratolysis? - Wellness - NAILS Magazine No sponsor or advertiser has participated in, approved or paid for the content provided by Decision Support in Medicine LLC. Eating a healthy diet can be a good source of natural components which may heal the skin. Final Thoughts on Exfoliative Keratolysis, https://www.dermnetnz.org/topics/exfoliative-keratolysis/. Get useful, helpful and relevant health + wellness information. Contact Dermatitis:Contact Dermatitis is a condition that causes acute inflammation of the skin. How to get rid of exfoliative keratolysis - Quora This material may not be published, broadcast, rewritten or redistributed in any form without prior authorization. Another is to be extra careful during outbreaks particularly summer season. Keratolysis Exfoliativa Ozark Dermatology Non-Hodgkins lymphoma 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. Pitted keratolysis is a bacterial skin infection that causes a foul odor and itchiness. There are different ways to do the treatment. Avoid certain bathroom products: Stay away from products with substances that may contribute to exfoliative keratolysis, including solvents, antibacterial soaps, and certain fabrics. The peeling off the skin in keratolysis exfoliativa worsens when the peeling skin will be associated with harsh chemical irritants. The first indication of Keratolysis Exfoliativa in Indians is peeling of the skin. There are possible side effects of taking antibiotics, which could include: Before starting any treatment, talk to your healthcare provider about side effects and discuss the current medications you take to avoid drug interactions. It most commonly occurs in young adults and is typically worse in the summer months or with warm weather. Keratolysis exfoliativa - PubMed Antibiotics could include: Clindamycin. The condition causes a foul odor and itchiness. Keratolysis exfoliativa is a condition that is treatable at home. PubMed. 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. It may be more common in those with sweaty palms due to localised hyperhidrosis. When this is the case, it is best to consult your doctor for exfoliative keratolysis treatment. If you notice an odor, along with tiny indentations in the skin on the bottom of your foot, visit your healthcare provider. The first sign of this condition is constant discomfort on the skin that provokes itching. ), Abdel-Hafez, K, Safer, AM, Selim, MM, Rehak, A. For this procedure, the patient is contained in a cabinet consisting 24 UVA fluorescent bulbs. Exfoliative Keratolysis often called keratolysis exfoliativa or focal palmar peeling is an integumentary disease wherein peeling of the skin occurs, it usually affects the distal parts of the fingers and the palmar toes. This should include protecting the hands from any physical or chemical irritants and encouraging the patient to wear gloves when possible. The condition requires no medical test and is detected by a well experienced dermatologist. Key Points Common skin condition which often affects the palms Cause is unknown Initially consists of blisters on the palms and/or fingers, which burst causing areas of skin to peel. Familial continual skin peeling. Your healthcare provider will diagnose pitted keratolysis after reviewing your complete medical history and performing a physical exam to learn more about your symptoms. Exfoliative keratolysis mainly attacks and is common during the summer months. Meaning, the signs are symptoms are treated but the underlying cause is not addressed. It is also recommended to keep the hands clean to keep the bacteria away from getting inside the cracks. KE may also resemble acral peeling skin syndrome and localized epidermolysis bullosa simplex. The first sign of the condition in India is generally flaky dry skin around the fingers and skin peeling on palms. Aloe vera juice is a completely natural moisturizer which can run the extra mile for your skin. The condition is also accompanied by a few blisters around the palms of the hand. Keratolysis exfoliativa (dyshidrosis lamellosa sicca): a distinct peeling entity. Pits can cluster together to form a sore (lesion) that looks like a crater. When it comes to skin conditions, exfoliative keratolysis is, at times, harmless but also sometimes quite painful. American Osteopathic College of Dermatology. What Are These Tiny Red Spots on My Skin (Petechiae)? Also, be sure to clean your hands to keep bacteria from getting inside the cracks on your hands and fingers. As you already know there are no fixed reasons behind exfoliative keratolysis. 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. There is no definitive cure for exfolaitive keratolysis; however, the right treatments can help control symptoms of the condition, such as lactic acid application, ultraviolet radiation treatment, or home remedies like certain essential oils or a coconut oil moisturizer. One of the more common forms of treatment for exfoliative keratolysis is the application of a lactic acid-infused hand cream. The soles of the feet may also be affected, These break (exfoliate) to leave behind raw red and tender skin beneath, The lesions are mostly circular/oval in shape with a rim of peeling edges (termed collarettes of scale), The tender red skin may turn dry, crack, and even rarely bleed, following which normal skin appearance is noted, Ends of digits may become hard and numb with thickened skin, which may take time to peel, There may be pain and discomfort depending on the severity, but Itchiness is not observed, Physical examination of the individual and medical history evaluation; a visual examination of the palms may help the healthcare provider diagnose the condition, Dermoscopy: Dermoscopy is a diagnostic tool where a dermatologist examines the skin using a special magnified lens, Woods lamp examination: In this procedure, the healthcare provider examines the skin using ultraviolet light. We present a 55-year-old woman with extensive disease on the hands and feet, who failed to respond to standard topical therapy but showed a marked dose-response improvement with the use of oral acitretin. Although rare, it can also affect the palm of your hand. In this condition, the skin cells multiply consistently at a speed that is faster than normal. At times it may affect the tips of the fingers; cracks formed due to the skin condition could go deeper into the skin. Skin peeling happens when the outer layer of the skin called as epidermis; which is made up of keratin, breaks down, loses its strength and exfoliates. The condition can be treated at home by taking necessary precautions: Same-day slots available, Low waiting time, At-home care programs & blood tests, Easy access to doctors & dietitians, Our AI will help you assess your health status in 5 minutes, Understand your menstrual cycles & reproductive health better, Our presence identified by the fourth pillar of democracy, Cardiac Risk Assessment Test in Ahmedabad, Allergy Risk Assessment Test in Ahmedabad, Smoker's Risk Assessment Test in Ahmedabad, Bhakare Super Speciality Hospital and Research Institute. A deficiency of Niacin, which is one of the B Vitamins, causes the peeling of skin around the hands and legs. The condition is typically caused by an overgrowth of bacteria on the skin or by a reaction to a medication. This process also involves the application of psoralensplant compounds that include trisoralen, 5-methoxypsoralen, and methoxsalen. 1996. pp. Foot skin peeling Keratolysis exfoliativa - Primary Care Dermatology Society At the same time, several factors can lead to the skin peeling associated with exfoliative keratolysis. Staph infections If the peeling of skin does not reduce or the condition does not improve, a specialist may recommend using photochemotherapy. Try to prevent sweating by using topical agents. It is important to explain the natural history of keratolysis exfoliativa to the patient before initiating any treatment. Chiriac, A., & Solovan, C. (2013). In such cases, the cracked skin on fingertips takes longer to peel off and heal. Getting oneself rehydrated is a good condition as well as well hydrated cells arent easily affected by extremely hot weather conditions. When your hands are covered in ruptured blisters, the first thing you want to know is the cause of this irritating skin condition. doi: 10.1111/jdv.16881. Youre most at risk of developing pitted keratolysis if you have sweaty feet and wear shoes with limited airflow. Your healthcare provider will prescribe topical antibiotics that you rub on your skin like a lotion. 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. - Full-Length Features Keratolysis exfoliativa codes and concepts. In many cases, Keratolysis Exfoliativa may not require any treatment; the condition is also known to spontaneously resolve in a majority of individuals. Changing your shoes and socks when they get wet. The infection caused by wearing tight or restricting footwear and due to excessive sweating. Neri I, Patrizi A, Gabrielli L, Virdi A, Veronesi G, Corsini I, Lazzarotto T, Lanari M, Misciali C, Guglielmo A. J Eur Acad Dermatol Venereol. Wende, G. W. (1919). Keratolysis exfoliativa (Concept Id: C0343064) Updated by Dr Oakley, December 2018. Keratolysis Exfoliativa in India may arise due to sunburns or infections that directly cause damage to the skin. Who is at Risk for Developing this Disease? Allergic contact dermatitis (differentiated by its pruritic nature, response to topical steroids, inflammatory appearance with erythema on exam, and a possible exposure history), 4. Keratolysis Exfoliativa Secret | Discover AMAZING Secret About Keratolysis exfoliativa (Lamellar dyshidrosis, Recurrent focal palmar Provides a good description of the clinical features of recurrent focal palmar peeling and how to differentiate it from other conditions. Exfoliative keratolysis Intravenous steroids may be given in severe cases, but steroids usage has its own side effects, when used for a long time. A dermatologist may recommend the use of keratolysis exfoliativa creams and keratolysis exfoliativa ointments. vol. We do not endorse non-Cleveland Clinic products or services. Keratolysis exfoliativa (dyshidrosis lamellosa sicca): a distinct peeling entity. Psoriasis: Psoriasis is a chronic condition that affects the skin. Keratolysis exfoliativa treatment. It most often affects the skin on your feet. Because of this prevalent condition, the disease is sometimes mistaken for eczema. These ointments and lotions will help reduce the discomfort that causes itching in the skin. This article will detail everything you need to know about exfoliative keratolysis causes, symptoms, treatments, natural home remedies, and tips to prevent the condition. Most of the time, when a patient walks in for help, the disease has already worsened and has repeatedly recurred. As a result, the disorder is already difficult to treat. Causes and Treatment. It is also known as exfoliative keratolysis, dyshidrosis lamellosa sicca, and focal palmar peeling. Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation, mask requirements and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. While there are no known causes for Keratolysis Exfoliativa, the following are probably what caused skin peeling: A few other conditions that also cause peeling of the skin are: Dermatol Online J. Take Care Of Your Nails At Home: Easy Pro Guide. Your healthcare provider may perform additional tests to rule out other clinical conditions to arrive at a definitive diagnosis. Some effective essential oils include ginger oil, clove oil, myrrh oil, lavender oil, and frankincense oil. Patients should be aware that this treatment is purely anecdotal and data to support its benefit is lacking. Often misdiagnosed as psoriasis, eczema, or chronic contact dermatitis, exfoliative keratolysis is more common in children and young adults, in those with sweaty hands, and during the summer months. A few observable symptoms in India: Some risk factors are more important than others. The disruption and premature separation of corneocytes are responsible for this disease. , 1999. Keratolysis exfoliativa The condition may also be a sign of immune system disorders. Pitted keratolysis home treatment | HealthTap Online Doctor Others may associate it with hyperhidrosis. What causes keratolysis exfoliativa in Indians? 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. Keratolysis exfoliativa (dyshidrosis lamellosa sicca): a distinct peeling entity. If you have a condition that causes excessive sweating, like hyperhidrosis, your healthcare provider will offer additional treatment for your sweating to prevent pitted keratolysis from returning in the future. Please login or register first to view this content. Hautarzt. European Journal of Pediatric Dermatology, 23(2), 125-125. In addition to the above, topical use of emollients that contain urea, silicone and lactic acid is also beneficial in keeping the skins layers healthy because the disease usually attacks the outermost layer of the skin therefore it is best to make sure this is protected. Policy. A diagnosis of Keratolysis Exfoliativa may involve the following exams and procedures: A differential diagnosis may be necessary to eliminate other conditions that present similar signs and symptoms such as: Many clinical conditions may have similar signs and symptoms. You can reduce your risk of pitted keratolysis by: Pitted keratolysis causes your feet to smell bad. For example, avoiding irritants such as soap, detergents and solvents can really prevent the condition from recurring again. Br J Dermatol. Eczema is also a quite painful condition, whereas exfoliative keratolysis doesnt hurt as much. Athletes foot is a contagious fungal infection that causes an itchy rash on your feet. However, after a few months or sometimes even after a few weeks the condition recurs again. The condition often causes air-filled blisters that eventually peel, and leaves the skin looking reddish, tender, dry, and cracked. 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. The etiology of keratolysis exfoliativa is unknown, but the condition appears to be worsened by heat or sweating. PDF | An 8 year-old boy, previously healthy, presented on the emergency department, during the summer, with air-filled blisters on the volar aspect of. Dr. Heidi Fowler answered. To enhance improvement, add a few drops of anti-inflammatory essential oils to the hand bath. Keratolysis exfoliativa is a innocuous but bothersome skin status in which the slim epidermis of the skin flakes, blisters and peels off. Keratolysis exfoliativa and the mosaic fungus. 2016 Oct;107(8):702-4. doi: 10.1016/j.ad.2016.03.006. Treatment for pitted keratolysis focuses on removing the bacterial infection from your body. The procedure runs from a minimum of one minute to a maximum of 30 minutes depending on the patients tolerance. Exfoliative Keratolysis: Causes, Symptoms and Diagnosis Exfoliative Keratolysis Treatment Topical steroids are often given exfoliative keratolysis. Your socks can play a role in how much air gets to your feet too. Exfoliative Keratolysis Treatment The ideal treatment is avoiding the risk factors that are its primary causes. 8600 Rockville Pike While Indian home remedies may give fruitful results, some cases are too severe to be treated with these remedies. 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. What is the treatment for keratolysis exfoliativa? Examples of these include urea 20% or 40% cream, ammonium lactate 12% cream, salicyclic acid 6% cream, and lactic acid 12% cream. Your body isnt able to stop future infections (. She spends her free time reading books and watching TV series. The following may be helpful: Protection from irritants Emollient hand creams especially those containing urea, lactic acid, or silicone Acitretin Photochemotherapy. The differential diagnosis of keratolysis exfoliativa includes the following entities: 1. Arch Dermatol, 3(202), 11. No, pitted keratolysis isnt contagious and cant spread from person to person. Maintaining good personal hygiene and avoiding overexposure to the sun. The condition rarely goes away on its own without treatment from your healthcare provider. The scaling gradually extends peripherally, leaving an adherent collarette. Please enable it to take advantage of the complete set of features! It may not be possible to prevent Keratolysis Exfoliativa in many cases. PUVA ultimately serves as a last-resort treatment when exfoliative keratolysis becomes too severe. (A report of three cases of recurrent focal palmar peeling, of which two were misdiagnosed as chronic dermatitis. Having said all that, we want to enumerate some risk factors that intrigue this disease. Exfoliative keratolysis These ointments and lotions will help reduce the discomfort that causes itching in the skin. This method has been used by Egyptians thousands of years ago to treat severe integumentary disorders. You can soak your feet in a diluted mixture of hydrogen peroxide and water to clean your feet. Lifelong desquamation of the hands and feet. Unauthorized use of these marks is strictly prohibited. Refer to more of our medical guides for information on nutrition and diet remedies for similar conditions. 143-4. The condition causes discomfort in the skin that leads to persistent itching. A person suffering from exfoliative keratolysis could experience sores and peeling skin; skin peeling occurs gradually over time resulting in formation of very dry and itchy skin. Key Takeaway: List of photos, images and pictures ofExfoliative Keratolysis: The health information provided on this web site is for educational purposes only and is not to be used as a substitute for medical advice, diagnosis or treatment. Lane, J. E. (1919). 166. The latter isnt seasonal as well and happens all year round and is also common for people who have skin asthma.