How is pitted keratolysis on the feet treated?
Pitted keratolysis is a reasonably rare and often misunderstood skin-related disorder that principally affects the soles of the foot. While it may not be a well-known problem, understanding pitted keratolysis just what it really is very important for those who are looking for respite from its symptoms. Pitted keratolysis commonly manifests as small, shallow cavities or depressions about the weight-bearing areas of the soles of the feet and about the heels. These kinds of cavities tend to be encircled by a white or greyish rim and can vary in size from a pinhead to a few millimetres across. Sometimes, these kinds of smaller pits can combine to form larger skin lesions. The disorder is usually asymptomatic, but can possibly be itchy as well as develop a foul odor (which often described as a bad, cheesy like aroma) because of bacterial overgrowth.
Pitted keratolysis is primarily the consequence of a combination of factors, which includes bacteria, sweat, and keratin break down. The problem can be most often related to microbial varieties such as Corynebacterium species, Kytococcus sedentarius, as well as Dermatophilus congolensis. These bacteria thrive in warm, damp environments and so are frequently located on the surface of the skin. Sweating excessively, generally due to factors such as hot and humid weather, putting on tight and occlusive shoes that doesn't breath, or undertaking activities that can induce foot perspiring, creates a perfect environment for these types of microorganisms to thrive. As the microorganisms increase in numbers, they produce enzymes that breakdown keratin, a necessary protein located in the outermost layer of your skin. This keratin deterioration results in the development of the distinctive cavities on the bottom of the feet. Detecting pitted keratolysis is usually clinical, depending on the distinctive physical appearance of the pits and the connected odour.
The treating of pitted keratolysis principally targets clearing away the causative factors and controlling microbe overgrowth. Of most importance is correct foot hygiene. Regularly washing the feet by using soapy water and drying out them completely can help reduce microbe growth. Remaining without shoes following washing to be sure the feet are dry is important. Wearing shoes that are able to breath made from natural components such as natural leather can help decrease sweat accumulation. Frequent shoe changes and making use of moisture-wicking socks may also be worthwhile. Preferably, going barefoot as frequently as is feasible can be helpful at permitting the sweat to escape minimizing the environments which the microbes that cause this problem like to thrive in. Many cases need to have topical cream prescription antibiotics such as clindamycin or erythromycin will often be given to manage bacterial overgrowth. These prescription antibiotics can be used as creams or gels. Sometimes, aluminium chloride solutions used on a regular basis on the feet enables you to lessen foot sweating. Over-the-counter antiperspirants might help control perspiration from the feet, as well as the use of drying agents like talcum powder or sodium bicarbonate can help maintain your feet dry. In extreme cases which do not respond to traditional approach, antibiotics taken orally may be given. It's important to note that treatment really should be ongoing for an longer timeframe to prevent recurrence, in particular the use of excellent foot cleanliness routines. Pitted keratolysis can readily recur when the conditions are conducive to it.