DermNet provides Google Translate, a free machine translation service. No advanced study has been carried out about what might be the cause of exfoliative keratolysis. When it comes to skin conditions, exfoliative keratolysis is, at times, harmless but also sometimes quite painful. Exfoliative keratolysis. Refer to more of our medical guides for information on nutrition and diet remedies for similar conditions. Often times, these creams also contain silicone and urea. There are also forms of exfoliative keratolysis natural treatment that may help relieve the condition. As they do so, new skin is born out of the process. Causes and Treatment. Accessibility Dry skin flakes blister and slough off, leaving behind . 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Examples of these include urea 20% or 40% cream, ammonium lactate 12% cream, salicyclic acid 6% cream, and lactic acid 12% cream. But, this is not suggested till one can endure the pain. Pompholyx or dyshidrotic eczema (differentiated by its chronic nature, associated pruritus, fissures, and lichenification seen on examination), 2. Refer to more of our medical guides for information on nutrition and diet remedies for similar conditions in India. #1 Protect from Irritants. On the other hand, a skin that is prone to peel off can make your hands look ugly and dirty. When the condition affects the lower body, it causes foot skin peeling. Ultraviolet radiation treatment is also called photochemotherapy (PUVA), and uses ultraviolet rays to treat exfoliative keratolysis. This painful or harmless skin problem also goes by names such as keratolysis exfoliativa, lamellar dyshidrosis, dyshidrosis lamellosa sicca, and recurrent palmar peeling. So, there is actually little room to apply drugs. There are some texts that mention the use of photochemotherapy with hand/foot psoralen and ultraviolet A light (PUVA) for severe cases. Exfoliative Keratolysis Treatment Topical steroids are often given exfoliative keratolysis. It is also known as exfoliative keratolysis, dyshidrosis lamellosa sicca, and focal palmar peeling. Some Observations on Keratolysis Exfoliativa. 37. What causes keratolysis exfoliativa in Indians? The patient should be aware of the conditions benign nature and understand that typically, it will improve over time without any treatment. Exfoliative Keratolysis Treatment The ideal treatment is avoiding the risk factors that are its primary causes. Keratolysis exfoliativa is diagnosed clinically. Epub 2012 Oct 5. Your healthcare provider will prescribe topical antibiotics that you rub on your skin like a lotion. MeSH Wear shoes and/or socks that are too tight (occlusive) and have limited airflow. It is also wise to eat a healthy anti-inflammatory diet and maintain proper hygiene by cutting your nails on a regular basis and washing your hands and feet. The hand cream can prevent the excessive scales and dryness that lead to peeling from forming. Presently, it is not known to occur from genetic factors, even though a family history is occasionally noted. Meaning, the signs are symptoms are treated but the underlying cause is not addressed. Synthetic materials or blended materials in socks can restrict airflow to your feet. Treatment for pitted keratolysis focuses on removing the bacterial infection from your body. Keratolysis Exfoliativa: Description of a Case Report 2015 Dec 16;21(12). 10 Most Common Nail Diseases And Disorders. Can my diet help in avoiding peeling skin? Health: What Is Exfoliative Keratolysis? - Wellness - NAILS Magazine Eventually normal skin forms, but frequently exfoliative keratolysis recurs within a few weeks. Acral Peeling Skin Syndrome: A Case Report and Literature Review. If you notice an odor, along with tiny indentations in the skin on the bottom of your foot, visit your healthcare provider. Its dangerous to apply at-home remedies to your skin without approval from your healthcare provider. 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. Dermatology online journal, 21(12). This approach has been present since 1976 and uses ultraviolet rays to treat the condition. It may not be possible to prevent Keratolysis Exfoliativa in many cases. Please login or register first to view this content. Fusidic acid. Prevent the bacteria from returning by changing your shoes and socks when they get wet and wearing shoes with good airflow. Stevens-Johnson syndrome They might ask questions about the type of shoes and socks you wear, especially around the time you noticed your symptoms. The palms of the hands, the tips of the fingers, and soles of the feet are the most often affected areas. Persistent itching. If you wish to read unlimited content, please log in or register below. Keratolysis exfoliativa (Concept Id: C0343064) 1996 Aug;37(3):1434. The following factors may have a role to play in its formation and/or exacerbation: The signs and symptoms of Keratolysis Exfoliativa may include: Recurrence of the localized condition is observed within a few weeks. Keratolysis exfoliativa or hand eczema? - Mitchell Center for Natural Red spots arise on the skin that turn into blisters and finally into ulcers. Your healthcare provider will diagnose pitted keratolysis after reviewing your complete medical history and performing a physical exam to learn more about your symptoms. vol. Ringworms The infection caused by wearing tight or restricting footwear and due to excessive sweating. Aloe vera juice is a completely natural moisturizer which can run the extra mile for your skin. British Journal of Dermatology,7(2), 37-39. The following may be helpful: Protection from irritants Emollient hand creams especially those containing urea, lactic acid, or silicone Acitretin Photochemotherapy. So, we should take care of the skin and look after the affected area gently. Additionally, numbing sensations of the skin are marked accompanied by hardening of the skin as well. No sponsor or advertiser has participated in, approved or paid for the content provided by Decision Support in Medicine LLC. Pemphigus Keratolysis exfoliativa is also characterized by a lack of inflammation. Sign Up for the Latest Health News and Tips, Home Skin Care What Is Exfoliative Keratolysis? Last modified on March 2021With inputs from Dr.Vedalatha Kakani, General Physician. For example, rubber boots dont offer sufficient airflow. Refer to more of our medical guides for information on nutrition and diet remedies for similar conditions. Exfoliative keratolysis creates air-filled blisters, while eczema creates fluid-filled blisters. It most often affects the skin on your feet. 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. Approved by: Krish Tangella MD, MBA, FCAP. Exfoliative Keratolysis - Treatment, Pictures, Causes, Symptoms Contact dermatitis There is usually no need for further diagnostic testing, as this is typically a clinical diagnosis; however, in more difficult cases, a potassium hydroxide (KOH) scraping or fungal culture to rule out tinea should be negative and patch testing to rule out allergic contact dermatitis should also be negative. Keratolysis Exfoliativa may be wrongly diagnosed as any of the following skin peeling off conditions: The skin thickens, hardens into a callus, dries out, and peels off. The etiology of keratolysis exfoliativa is unknown, but the condition appears to be worsened by heat or sweating. No genetic abnormality has been detected to date (2018). Pitted Keratolysis: What It Is, Causes & Treatment - Cleveland Clinic Connect with a U.S. board-certified doctor by text or video anytime, anywhere. An official website of the United States government. This article will detail everything you need to know about exfoliative keratolysis causes, symptoms, treatments, natural home remedies, and tips to prevent the condition. On physical examination there are symmetrical, irregular circumscribed annular or circinate patches of superficial scaling on the palms and, less often, the soles (Figure 1). A 21-year-old male asked: . Youll be sure from this test whether this is due to an allergic problem or other underlying problems which should be determined. After bursting, hand blisters will leave scales that look cracked and reddish. As you already know there are no fixed reasons behind exfoliative keratolysis. Please remove adblock to help us create the best medical content found on the Internet. Youre most at risk of developing pitted keratolysis if you have sweaty feet and wear shoes with limited airflow. A beautiful hand with nice and thin fingers can add personality to ones style. Get useful, helpful and relevant health + wellness information. 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. Using quality lotions and moisturizers that can prevent infection. In case it doesnt, a dermatologist will prescribe keratolysis exfoliativa creams and keratolysis exfoliativa ointments. If you have any concerns with your skin or its treatment, see a dermatologist for advice. - Evidence-Based Guidance The treatment process in India does not require any surgery or frequent doctor visits. ), Abdel-Hafez, K, Safer, AM, Selim, MM, Rehak, A. There are a number of preventative tips that can help you decrease the risk of exfoliative keratolysis symptoms. Because of this, the skins ability to heal is compromised. Keratolysis Exfoliativa: Skin Peeling Treatment in India - mfine - And More, (A report of three cases of recurrent focal palmar peeling, of which two were misdiagnosed as chronic dermatitis. Flaky dry skin around the affected area The application of cucumber juice, aloe vera gel, witch hazel, or pineapple juice can also help improve exfoliative keratolysis. As use of PUVA can be costly sometimes, some dermatologists recommend exposure to sunlight as it is safer compared to methoxsalen. Do the antibiotics interfere with any of the medications I currently take? Keratolysis exfoliativa - PubMed You can soak your feet in a diluted mixture of hydrogen peroxide and water to clean your feet. 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. The condition isnt constricted to the skin on the hands and face, one may even notice skin peeling on the face. Normally, its not painful but swelling blisters or inflamed layer of skins can cause pain to the body. Talk to a doctor now . 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 is its own thing. This oral Soriatane (Acitretin) has been reported as the only one effective drug that has shown improvementwhen used to treat this disease. Unfortunately, what causes exfoliative keratolysis is relatively unknown. Although exfoliative keratolysis is often painless and relatively harmless at times, the appearance of peeled skin may lead to embarrassment and depression. It is important to note that prolonged healing occurs when the blisters centers on the base of the fingers due to consistent shredding and peeling of the skin. Some individuals have a family history of the disorder. Picture 1: Fingers affected withExfoliative Keratolysis. Our body demands special care from us. Treatments are mainly anecdotal and may or may not lead to improvement. 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. The procedure runs from a minimum of one minute to a maximum of 30 minutes depending on the patients tolerance. This should include protecting the hands from any physical or chemical irritants and encouraging the patient to wear gloves when possible. 2012 Nov;167(5):107684. Keratolysis exfoliativa, as a self-limiting condition, can be treated. Normal skin will develop in due time, although it is common for exfoliative keratolysis to return within a few weeks after normal skin has formed. Register for free and gain unlimited access to: - Clinical Updates, with personalized daily picks for you In het boek wordt de geschiedenis beschreven van de Groningse leerstoel huid-en geslachtziekten van 15 september 1913, toen prof. dr. RA Reddingius bij Koninklijk Besluit werd, 466. Examples of these include urea 20% or 40% cream, ammonium lactate 12% cream, salicyclic acid 6% cream, and lactic acid 12% cream. Athletes foot In addition to the lactic acid content, hand creams used to treat the condition oftentimes also contain urea and silicone as well.. Make sure to clean hands to prevent bacteria from spreading and developing as it penetrates inside the open skin and worsesn the situation. Work or participate in activities where youre outdoors and on your feet for most of the day. That being said, there are certain scenarios that make someone more susceptible to exfoliative keratolysis. PMC Your use of this website constitutes acceptance of Haymarket Medias Privacy Policy and Terms & Conditions. 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. Keratolysis exfoliativa is a innocuous but bothersome skin status in which the slim epidermis of the skin flakes, blisters and peels off. Pitted keratolysis is a bacterial infection that affects the skin on your feet. This further hardens and numbs the skin. Coconut oil is the best natural moisturizer due to its antimicrobial, antifungal, and antibacterial properties that may speed healing and soothe the skin. Exfoliative keratolysis is a skin condition that causes the shedding of the top layer of skin. Keratolysis - an overview | ScienceDirect Topics Exfoliative keratolysis is a skin condition where there is frequent focal skin peeling on the palms of the hands, the surface of the fingers, and, less often, on the soles of the feet. There has been no conventional drug proven to be effective to heal exfoliative keratolysis. Would you like email updates of new search results? Then, the blisters burstand it leaves a hollow and blank space underneath the skin. A bacterial infection causes pitted keratolysis. Topical psoralen emollients such as gels or lotions are typically applied to the affected areas for 10 minutes before skin is exposed to UVA. Br J Dermatol. DermNet does not provide an online consultation service. 1. Chang YY, van der Velden J, van der Wier G, Kramer D, Diercks GF, van Geel M, Coenraads PJ, Zeeuwen PL, Jonkman MF. We hope youre enjoying the latest clinical news, full-length features, case studies, and more. Natural hand soak: Soak your hands in an oatmeal bath for about 15 to 20 minutes daily to help improve exfoliative keratolysis symptoms like dry skin. 5.3k views Answered >2 years ago. Consult Indias top dermatologists online to get suitable skin treatment from the comfort of your home. Our expert physicians and surgeons provide a full range of dermatologic, reconstructive and aesthetic treatments options at Cleveland Clinic. Skin peeling on hands is the first thing your general physician may notice before diagnosing you with Keratolysis Exfoliativa. Some believe that it is more frequently associated with underlying atopic dermatitis, while others report an association with primary hyperhidrosis. Hausauer, A. K., & Cohen, D. E. (2015). However, one has to take psoralen by mouth or apply topical psoralen before exposing oneself to the sun as it is difficult to calibrate the correct amount of exposure. These ointments and lotions will help reduce the discomfort that causes itching in the skin. If the patients condition worsens or becomes symptomatic, then the diagnosis should be questioned and it may be important to review the differential diagnosis and re-evaluate the patient to rule out other etiologies. Fourthly, although unproven, medical researchers believe that extremely hot climate during summer increases episodes of perspiration. Reports the frequency of keratolysis exfoliativa in patients with atopic dermatitis.). Choosing socks and shoes that fit your feet and arent too tight. (2020). This material may not be published, broadcast, rewritten or redistributed in any form without prior authorization. There is also some suggestion that it is incited by low-grade physical or chemical damage to the stratum corneum of the volar skin, leading to a superficial separation of the stratum corneum. The .gov means its official. Although effective, PUVA treatment can also have some negative side effects such as: As previously mentioned above, there is no definitive cure for this disorder. The skin peeling associated with the condition can affect the palms of the hands, the tips of the fingers, and even the soles of the feet. The first sign of the condition in India is generally flaky dry skin around the fingers and skin peeling on palms. However, after a few months or sometimes even after a few weeks the condition recurs again. Zinia is an SEO specialist born and raised in Bangladesh. At times it may affect the tips of the fingers; cracks formed due to the skin condition could go deeper into the skin. Exfoliative Keratolysis: Pictures, Causes, Symptoms, Diagnosis , 1999. It may be more common in those with sweaty palms due to localised hyperhidrosis. It is possible that sweaty palms are to blame, as hyperhidrosis in the palms is more common. The formation of numerous skin tags will look like the skin from the hand is peeling. Exfoliative keratolysis can also be called "focal palmar peeling" or "keratolysis exfoliativa." In generic terms it's known as the "skin peeling disease." 102-6. Keratolysis exfoliativa (Lamellar dyshidrosis, Recurrent focal palmar The condition can be treated at home by taking necessary precautions: Once the scales and the redness heals, the condition hibernates. Psychiatry 27 years experience. official website and that any information you provide is encrypted Changing your shoes and socks when they get wet. Pitted keratolysis is a bacterial infection that can cause your feet to smell bad. The peeling skin on hands and feet usually occurs when the temperature is hotter than normal. Latest News Your top articles for Saturday, Continuing Medical Education (CME/CE) Courses. In such situations, one may consult a doctor and use medication that is prescribed by them. In addition to amino acids and lactic acids, urea is a natural moisturizing factor (NMF) that is commonly found in the outermost layer of . Toxic shock syndrome, Keratolysis Exfoliativas symptoms are quickly noticed and require no lab tests. No matter how small and trivial an organ is, we should take good care of that. The peeled skin from the fingers and fingertips is often harder due to constant peeling before healing takes place. Secondly, genetic predisposition may also expose someone to this condition as certain environmental or external factors can trigger the disease to develop. Your body isnt able to stop future infections (. Treat hyperhidrosis if present. It is also known as Focal Palmar Peeling and is typically observed in young adults Photochemotherapy can be applied if the disease goes beyond control. Keratolysis exfoliativa is more common during the summer months in about 50% of affected individuals. Antibiotics could include: Clindamycin. The cause of keratolysis exfoliativa is unknown. Speak to a doctor on MFine to know more about its causes and risk factors today! The peroxide solution should be no more than one part hydrogen peroxide to three parts warm water. Exfoliative keratolysis mainly attacks and is common during the summer months. 2012 Nov;167(5):1076-84. doi: 10.1111/j.1365-2133.2012.11175.x. 10 Ways to Control Blood Sugar without Medication, What Is Exfoliative Keratolysis? Spending long hours and over-exposing your body to the sun can cause cracks in the skin resulting in peeling of the skin in India. (A report of three cases of recurrent focal palmar peeling, of which two were misdiagnosed as chronic dermatitis. Home remedies or preventions are more effective with respect to this problem. This is likely a common condition that rarely presents to physicians because it is largely asymptomatic. Usually, a skin test can determine the real disease. You might be more at risk of developing pitted keratolysis if you: Pitted keratolysis is common among people who work in certain occupations where you spend most of your day on your feet or among people who participate in strenuous physical activities, including: You might notice your symptoms become more apparent when your skin is wet. This is your part and enjoy being different. Keratolysis exfoliativa (dyshidrosis lamellosa sicca): a distinct peeling entity. Any exacerbating factors should be controlled. The pathologist examines the biopsy under a microscope. Around half of the individuals present the condition in summer months, Individuals with sweaty palms have a higher risk, Exposure to saltwater (especially seawater), Air-filled blister formation on the finger or palm of the hand. Also, be sure to clean your hands to keep bacteria from getting inside the cracks on your hands and fingers. Usually the condition subsides with the use of an ointment as prescribed by the general physician. Fans and air conditioning equipments are readily available to neutralize the heating process as lengthened periods of treatment tend to get very hot sometimes. Dry skin Fifthly, prolonged exposure to salt water and the bacteria present on sea creatures contributes to skin peeling. Symptoms of pitted keratolysis affect your feet, specifically the web spaces between your toes and the ball, heel and soles of your foot. Eczema can be painful too unlike the aforementioned which doesnt have accompanying pain. PUVA ultimately serves as a last-resort treatment when exfoliative keratolysis becomes too severe. Getting oneself rehydrated is a good condition as well as well hydrated cells arent easily affected by extremely hot weather conditions. 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. But, people spend a whole bunch of years without knowing that they are having this disease. Keratolysis Exfoliativa are generally observed in young adults. Youve viewed {{metering-count}} of {{metering-total}} articles this month. Hyperhidrosis When the keratin breaks down, the skin loses its strength and begins to shed, or exfoliate. Keratolysis exfoliativa. Atopic dermatitis (eczema) Keratolysis exfoliativa is a common skin condition which most often affects the palms, but can develop on the soles of the feet. Federal government websites often end in .gov or .mil. arrow-right-small-blue Oatmeal bath this gains improvement when practiced daily, Taking daily Vitamin supplements as weakened immune system predisposes someone to the disorder, Mint application on affected area; mint contains healing properties and has moisturizing effects as well, Pineapple juice applied over to damaged skin, Eating protein rich foods such as meat, liver, carrots as they aid in cell repair, Drinking apple cider vinegar pills and olive extracts, Frequent cutting of fingernails and toenails to maintain hygiene, Avoidance of eating egg as it is a known allergen as well as crustaceans or seafoods. J. Cutan. In others, the following treatment measures may be considered: Regular follow up visits with the healthcare provider is important and recommended. 18. Contact Dermatitis:Contact Dermatitis is a condition that causes acute inflammation of the skin. The scaling gradually extends peripherally, leaving an adherent collarette. 2. In case you come into contact with any allergens, use lotions that will soothe the skin and reduce the itching that is associated with peeling. If you work in an environment where youre on your feet all day, choose shoes with good ventilation to improve how much air reaches your feet. Also, not having a risk factor does not mean that an individual will not get the condition. Keratolysis exfoliativa treatment | HealthTap Online Doctor While eczema and exfoliative keratolysis look very similar, the difference is that exfoliative keratolysis will peel and shed, whereas eczema also produces itchy skin. One common mistake while doing the diagnosis of this disease is, some doctor confuses it with the following diseases. Dermatologica. Keratolysis exfoliativa One of the more common forms of treatment for exfoliative keratolysis is the application of a lactic acid-infused hand cream. A patient does not feel any pain with dry skin. There are no associated systemic implications or complications seen in patients with keratolysis exfoliativa. Most patients deny any itching, but may rarely complain of slight tenderness. Any one of these can be applied up to twice daily. Once the skin is completely peeled off has healed, normal skin reforms, but Keratolysis Exfoliativa usually recurs in the following weeks. Peeling skin on fingers near nails The epidermis is made of several layers of keratina protein necessary for skin strength and flexibility. Its becausepeople dont consult a doctor or go to the clinic with this type of minor sickness. (I am still searching tha 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.