How to treat keratolysis exfoliativa? Using quality lotions and moisturizers that can prevent infection. Instead, eat plenty of anti-inflammatory, essential fatty acid-rich foods like flaxseed oil and wild-caught fish, and other foods that assist with wound healing like vitamin A-rich foods, probiotic-rich foods, and pumpkin seeds and chia seeds. Plant-based applications: Try making a natural homemade exfoliative keratolysis cream with raw honey, shea butter, and coconut oil. But, treatment is best during the early episodes. If you have pitted keratolysis, that odor will still be present after you wash your feet and change your socks and shoes. (A study that characterizes the clinical characteristics of 108 atopic dermatitis patients with hand-foot dermatitis. Split Fingernails (Onychoschizia): Symptoms, Causes & Remedies, Beaus Lines 101: Causes, Treatments & Whos At Risk, Black Spot on Toenails: Symptoms, Causes & Treatments, 11 Practical Ways to Stop Biting Your Nails, Subungual Melanoma Addressing All Your Concerns, White Superficial Onychomycosis: Types, Symptoms, Causes & Treatment, 22 Vacation Nail Designs for Your Next Getaway, Black & Gold Nail Designs: 51 Fabulous Ways To Rockem, 18 Best Tropical Nail Designs Try These Trends, 33 Stylish Patriotic Nail Designs to Celebrate, 21 Trendiest Red and Silver Nail Designs for 2023, 35 Trendy Ways to Wear Navy Blue Nails in 2023, How To Use Cuticle Remover Tool: Step-by-Step Guide. Cleveland Clinic is a non-profit academic medical center. Any one of these can be applied up to twice daily. Keratolysis Exfoliativa may be wrongly diagnosed as any of the following skin peeling off conditions: Sometimes, allergic reactions may cause peeling of the skin. Having said all that, we want to enumerate some risk factors that intrigue this disease. The site is secure. Keratolysis exfoliativa. Also, be sure to clean your hands to keep bacteria from getting inside the cracks on your hands and fingers. A bacterial infection causes pitted keratolysis. Keratolysis Exfoliativa . What type of shoes do you recommend I wear? Red spots arise on the skin that turn into blisters and finally into ulcers. Chiriac, A., & Solovan, C. (2013). Zinia is an SEO specialist born and raised in Bangladesh. 100 Jaar Leerstoel Dermatologie Rijksuniversiteit te Groningen. 2012 Nov;167(5):1076-84. doi: 10.1111/j.1365-2133.2012.11175.x. Another is to be extra careful during outbreaks particularly summer season. ), Abdel-Hafez, K, Safer, AM, Selim, MM, Rehak, A. Dermatol Online J. Intravenous steroids may be given in severe cases, but steroids usage has its own side effects, when used for a long time. Choosing socks and shoes that fit your feet and arent too tight. Keratolysis exfoliativa LAST UPDATED: Jul 14, 2021 Introduction Refer to the chapter Peeling skin conditions Disclaimer - the author PCDS cannot accept responsibility for any misleading or incorrect statements, and the management of individual patients remains the direct responsibility of the individual doctor. The skin thickens, hardens into a callus, dries out, and peels off. Foot skin peeling Keratolysis exfoliativa. 1996. pp. Want to know more about exfoliative keratolysis? Treating Exfoliative Keratolysis at Home Keratolysis can be treated at home if it is in the nascent stages. 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. FOIA The hand cream can prevent the excessive scales and dryness that lead to peeling from forming. It most often affects the skin on your feet. The condition requires no medical test and is detected by a well experienced dermatologist. Youre most at risk if you have sweaty feet and wear shoes that dont offer adequate airflow. When it comes to exfoliative keratolysis treatment, although moisturizers help, more advanced skin therapies may be needed to fully relieve symptoms. The etiology of keratolysis exfoliativa is unknown, but the condition appears to be worsened by heat or sweating. Another sign of the condition is the appearance of skin tags. This can ensure that exfoliative keratolysis will not be exacerbated by secondary infections. Examples of these include urea 20% or 40% cream, ammonium lactate 12% cream, salicyclic acid 6% cream, and lactic acid 12% cream. National Library of Medicine Its becausepeople dont consult a doctor or go to the clinic with this type of minor sickness. Common symptoms that accompany skin peeling are rashes, itching, dryness and other irritants. However, they are not generally itchy. 102-6. However, there are situations that local approach is utilized. They might ask questions about the type of shoes and socks you wear, especially around the time you noticed your symptoms. 166. The condition is diagnosed when your dermatologist notices peeling skin on palms of hands and cracked skin on fingertips. Dr. Heidi Fowler answered. There is no definitive cause for Exfoliative Keratolysis, however, there are a couple of situations that make someone susceptible to accumulating the disease. Topics AZ Exfoliative keratolysis. Exfoliative keratolysis is a common skin condition characterized by recurrent focal palmar peeling that often affects the palms of the hands, the focal surface of the fingers and the soles of the feet.Exfoliative keratolysis is also known by other names such as keratolysis exfoliativa, recurrent palmar peeling and lamellar dyshidrosis. It could take between two to three days before you start to feel better. Atopic dermatitis (eczema) Recent histopathologic and molecular studies have linked KE to premature corneo-desmosomal disruption. There are some texts that mention the use of photochemotherapy with hand/foot psoralen and ultraviolet A light (PUVA) for severe cases. For this procedure, the patient is contained in a cabinet consisting 24 UVA fluorescent bulbs. Last reviewed by a Cleveland Clinic medical professional on 06/17/2022. Fusidic acid. The condition is also accompanied by a few blisters around the palms of the hand. 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. It can also fortify the epidermal barrier that may prevent future exfoliative keratolysis outbreaks. government site. If you have any concerns with your skin or its treatment, see a dermatologist for advice. Keratolysis exfoliativa is distinct from the following conditions. Last modified on March 2021With inputs from Dr.Vedalatha Kakani, General Physician. b. Exfoliative keratolysis is a skin condition that causes the shedding of the top layer of skin. DermNet provides Google Translate, a free machine translation service. But, people spend a whole bunch of years without knowing that they are having this disease. Youve viewed {{metering-count}} of {{metering-total}} articles this month. It may be more common in those with sweaty palms due to localised hyperhidrosis. Br J Dermatol. Your use of this website constitutes acceptance of Haymarket Medias Privacy Policy and Terms & Conditions. 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. Pitted keratolysis is a bacterial skin infection that causes a foul odor and itchiness. Washing your feet and hands with soap and water when you remove your shoes and socks. DermNet does not provide an online consultation service.If you have any concerns with your skin or its treatment, see a dermatologist for advice. Consult Indias top dermatologists online to get suitable skin treatment from the comfort of your home. Flaky dry skin around the affected area Advertising on our site helps support our mission. Would you like email updates of new search results? MacKee, G. M., & Lewis, G. M. (1931). From now on, be watchful towards your health and try these remedies if you ever have exfoliative keratolysis. The blisters burst to leave expanding collarettes of scale and circular or oval, tender, erythematous peeled areas. SANGSTER, A. PUVA ultimately serves as a last-resort treatment when exfoliative keratolysis becomes too severe. It is performed to examine the change in skin pigmentation, Skin biopsy, if necessary: A skin tissue biopsy is performed and sent to a laboratory for a pathological examination. 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. The condition is typically caused by an overgrowth of bacteria on the skin or by a reaction to a medication. Psoriasis: Psoriasis is a chronic condition that affects the skin. There are no associated systemic implications or complications seen in patients with keratolysis exfoliativa. Urea is a natural moisturizing factor found in the outer epidermis. You can soak your feet in a diluted mixture of hydrogen peroxide and water to clean your feet. The cause of development of Keratolysis Exfoliativa is currently unknown. Pits or tiny indentations in the patch of skin that look like small holes. This should be reserved for severe or symptomatic patients, as otherwise the risks outweigh the benefits. While Indian home remedies may give fruitful results, some cases are too severe to be treated with these remedies. The application of cucumber juice, aloe vera gel, witch hazel, or pineapple juice can also help improve exfoliative keratolysis. Dermatology online journal, 21(12). Keratolysis exfoliativa does not improve with topical steroids, unlike hand dermatitis. Disclaimer. Its dangerous to apply at-home remedies to your skin without approval from your healthcare provider. Chang, Y. Y., Van der Velden, J., Van der Wier, G., Kramer, D., Diercks, G. F. H., van Geel, M., & Jonkman, M. F. (2012). 4. Split Fingernails: Symptoms, Causes & Remedies. Eating different kinds of nuts is good for skin. Because of this, the skins ability to heal is compromised. Worried about the skin peeling off hands or legs? Exfoliative Keratolysis Treatment Picture 2: Palm with Exfoliative Keratolysis The best way to treat the condition is to avoid the causative factors. It is also known as Focal Palmar Peeling and is typically observed in young adults, The cause of the condition is generally unknown, but it may be aggravated by contact with irritants, such as chemicals and solvents, and is more common in summers. Interference with other drugs you take, which prevents the medication from working effectively. The following may be helpful: Protection from irritants Emollient hand creams especially those containing urea, lactic acid, or silicone Acitretin Photochemotherapy. Hyperhidrosis 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. 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). This approach has been present since 1976 and uses ultraviolet rays to treat the condition. When the blisters present around the palms burst, they cause circular marks leaving cracked skin on fingertips. Causes and Treatment. In other words, treatment can only deal with the symptoms and signs associated with the condition. The peeling off the skin in keratolysis exfoliativa worsens when the peeling skin will be associated with harsh chemical irritants. If you notice an odor, along with tiny indentations in the skin on the bottom of your foot, visit your healthcare provider. The skin loses its strength with breakdown of keratin, as a result it begins to peel off or exfoliate. However, the condition is recurrent sometime after the skin returns to normal. Topical corticosteroids-usually not of much benefit. In cases like this, it would be recommended to consult a physician for extensive treatment and care but their management can only be limited too as it is best to treat the condition on its early episodes. There are also forms of exfoliative keratolysis natural treatment that may help relieve the condition. Refer to more of our medical guides for information on nutrition and diet remedies for similar conditions in India. It is also known as Focal Palmar Peeling and is typically observed in young adults The possible complications due to Keratolysis Exfoliativa include: Mild and localized cases of Keratolysis Exfoliativa may not require any medical intervention since the exfoliated areas are generally replaced by normal skin.