Dermatol Online J. Sign Up for the Latest Health News and Tips, Home Skin Care What Is Exfoliative Keratolysis? In this condition, the skin cells multiply consistently at a speed that is faster than normal. The peeling is not limited to the hands and feet. However, this is not generally itchy in contrast to eczema. 2001. pp. Our body demands special care from us. Prevent the bacteria from returning by changing your shoes and socks when they get wet and wearing shoes with good airflow. These hollow spaces are actually the peeked areas. official website and that any information you provide is encrypted Clinical evaluation of atopic hand-foot dermatitis. 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. Policy. 4. Synthetic materials or blended materials in socks can restrict airflow to your feet. Acral skin eruption observed during SARSCoV2 pandemic: possible keratolysis exfoliativa with red palms and soles. It can activate the condition or worsen it if one is already afflicted by it. For example, rubber boots dont offer sufficient airflow. Provides a good description of the clinical features of recurrent focal palmar peeling and how to differentiate it from other conditions. Most of the time, when a patient walks in for help, the disease has already worsened and has repeatedly recurred. Keratolysis exfoliativa. 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). Lets take a deeper look at some of the other exfoliative keratolysis treatments available. The palms of the hands, the tips of the fingers, and soles of the feet are the most often affected areas. These ointments and lotions will help reduce the discomfort that causes itching in the skin. The condition may also be a sign of immune system disorders. Topical steroids are not known to be helpful, Phototherapy may be considered for severe cases, Avoid using soaps, detergents, and harsh chemicals, If seawater aggravates the condition, then minimizing or avoiding exposure to the same, Where possible, avoid activities that cause friction in the affected palms or soles, Try to use suitable gloves to protect the hands, where necessary, The prognosis of Keratolysis Exfoliativa is generally good as a majority of the cases are self-limited and a spontaneous resolution is noted, In some individuals, the condition may be severe with frequent recurrences being noted. Washing your feet and hands with soap and water when you remove your shoes and socks. Educating the patient on the benign nature of this condition is imperative, as often the patient merely wants a diagnosis and does not desire any further treatment. In addition to the lactic acid content, hand creams used to treat the condition oftentimes also contain urea and silicone as well.. Keratolysis exfoliativa is a straightforward diagnosis; for any unusual clinical presentations, the correct diagnosis should be questioned. Athletes foot For example, avoiding irritants such as soap, detergents and solvents can really prevent the condition from recurring again. Recent histopathologic and molecular studies have linked KE to premature corneo-desmosomal disruption. Wear shoes and/or socks that are too tight (occlusive) and have limited airflow. Who is at Risk for Developing this Disease? The cause of development of Keratolysis Exfoliativa is currently unknown. Pits can cluster together to form a sore (lesion) that looks like a crater. Keratolysis exfoliativa. This is usually repeated 2-3 rows in a week. 2023 mfine Pvt Ltd. Exfoliative keratolysis at the fingers base will often take longer to heal due to frequent skin peeling. Lee, YC, Rycroft, RJ, White, IR, McFadden, JP. DermNet does not provide an online consultation service.If you have any concerns with your skin or its treatment, see a dermatologist for advice. The treatment process in India does not require any surgery or frequent doctor visits. keratolysis exfoliativa has no known causes in Indians but the condition is found in young adults who are active throughout the day. J. Cutan. Advertising on our site helps support our mission. Keratolysis exfoliativa is a common skin condition which most often affects the palms, but can develop on the soles of the feet. Dermatologie, U. M. C. G., & Jonkman, M. F. (2013). - Full-Length Features Copyright 2017, 2013 Decision Support in Medicine, LLC. 5.3k views Answered >2 years ago. White patch of skin or a patch thats lighter than your natural skin tone. She spends her free time reading books and watching TV series. 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. The lower body may also see such signs of flaking in the form of skin peeling on legs. These ointments and lotions will help reduce the discomfort that causes itching in the skin. Keratolysis exfoliativa Another is to be extra careful during outbreaks particularly summer season. In such situations, one may consult a doctor and use medication that is prescribed by them. Fourthly, although unproven, medical researchers believe that extremely hot climate during summer increases episodes of perspiration. Allergic contact dermatitis (differentiated by its pruritic nature, response to topical steroids, inflammatory appearance with erythema on exam, and a possible exposure history), 4. This painful or harmless skin problem also goes by names such as keratolysis exfoliativa, lamellar dyshidrosis, dyshidrosis lamellosa sicca, and recurrent palmar peeling. EK is a strange skin condition that is not eczema or psoriasis. The condition can be treated at home by taking necessary precautions: 2020 Dec;34(12):e783-e785. Please remove adblock to help us create the best medical content found on the Internet. A few cases witness skin peeling on face as well. It can be treated with an application of coconut oil and keep your hand moist. I need to mention after peeling it gives me very shiny,healthy and soft hands. If you wish to read unlimited content, please log in or register below. 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. 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. Last reviewed by a Cleveland Clinic medical professional on 06/17/2022. The risk factors for Keratolysis Exfoliativa include: It is important to note that having a risk factor does not mean that one will get the condition. What Is Exfoliative Keratolysis? Lane, J. E. (1919). doi: 10.1111/jdv.16881. Psychiatry 27 years experience. It most often affects the skin on your feet. The best way to treat the condition is to avoid the causative factors. British Journal of Dermatology, 167(5), 1076-1084. Keratolysis exfoliativa also known as focal palmar peeling is a common disorder that is rarely reported and often overlooked as hand eczema. So, you can say it lasts during the summer. If you have pitted keratolysis, that odor will still be present after you wash your feet and change your socks and shoes. The blisters burst to leave expanding collarettes of scale and circular or oval, tender, erythematous peeled areas. In addition, the patient is advised to wear minimal clothing sometimes just underwear so the body can be openly exposed. This should be reserved for severe or symptomatic patients, as otherwise the risks outweigh the benefits. Additionally, numbing sensations of the skin are marked accompanied by hardening of the skin as well. Foot skin peeling 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. Some of the precautions and home remedies are given below. 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. Can my diet help in avoiding peeling skin? The cause of keratolysis exfoliativa is unknown. Keratolytic creams containing urea, lactic acid, ammonium lactate, or salicylic acid have been the most beneficial treatment for the majority of patients. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event, (https://www.aocd.org/page/PittedKeratolysis), (https://dermnetnz.org/topics/pitted-keratolysis), (https://accessmedicine-mhmedical-com.ccmain.ohionet.org/content.aspx?bookid=2585§ionid=211767935). No advanced study has been carried out about what might be the cause of exfoliative keratolysis. When your hands are covered in ruptured blisters, the first thing you want to know is the cause of this irritating skin condition. Topical corticosteroids-usually not of much benefit. It is also recommended to keep the hands clean to keep the bacteria away from getting inside the cracks. Cutaneous T-cell lymphoma This should include protecting the hands from any physical or chemical irritants and encouraging the patient to wear gloves when possible. The same also occurs when the condition affects the palm or the soles of the feet. Treatment for Keratolysis Exfoliativa in India doesnt require any major medical processes. It is possible that sweaty palms are to blame, as hyperhidrosis in the palms is more common. The peroxide solution should be no more than one part hydrogen peroxide to three parts warm water. When it comes to exfoliative keratolysis treatment, although moisturizers help, more advanced skin therapies may be needed to fully relieve symptoms. Eczema can be painful too unlike the aforementioned which doesnt have accompanying pain. The condition often causes air-filled blisters that eventually peel, and leaves the skin looking reddish, tender, dry, and cracked. Although exfoliative keratolysis is often painless and relatively harmless at times, the appearance of peeled skin may lead to embarrassment and depression. What Are These Tiny Red Spots on My Skin (Petechiae)? This method has been used by Egyptians thousands of years ago to treat severe integumentary disorders. Patients should be aware that this treatment is purely anecdotal and data to support its benefit is lacking. Dont miss out on todays top content on Dermatology Advisor. Exfoliative keratolysis will hibernate beneath the skin once the redness and scales have healed. Therefore, management of exfoliative keratolysis may still be limited, and treatment is quite difficult. DermNet provides Google Translate, a free machine translation service. That being said, there are certain scenarios that make someone more susceptible to exfoliative keratolysis. Peeling skin on fingers near nails The first indication of Keratolysis Exfoliativa in Indians is peeling of the skin. Treating Exfoliative Keratolysis at Home Keratolysis can be treated at home if it is in the nascent stages. Your healthcare provider will diagnose pitted keratolysis after reviewing your complete medical history and performing a physical exam to learn more about your symptoms. A doctor can diagnose any disease by studying the history and symptoms of a patient keeping in mind that there might be some other risk factors too. Keratolysis exfoliativa is a innocuous but bothersome skin status in which the slim epidermis of the skin flakes, blisters and peels off. Chang YY, van der Velden J, van der Wier G, et al. Want to know more about exfoliative keratolysis? Pompholyx or dyshidrotic eczema (differentiated by its chronic nature, associated pruritus, fissures, and lichenification seen on examination), 2. Choosing socks and shoes that fit your feet and arent too tight. Acne pitted scar treatment. Your healthcare provider will offer treatment to make the bacteria that cause pits in your feet go away, which will ease your fear. Eventually normal skin forms, but frequently exfoliative keratolysis recurs within a few weeks. Hausauer, A. K., & Cohen, D. E. (2015). Any one of these can be applied up to twice daily. Blisters that form and split at the base of a finger often have deeper cracks that later make the skin feel numb and hard. Keratolysis Exfoliativa is a common skin condition in India that can be noticed around the palms and soles. Keratolysis exfoliativa is more common during the summer months in about 50% of affected individuals. Mood Disorder: Ect or electroconvulsive therapy is used for the treatment of mood disorders such as severe recalcitrant depression. The best material to improve airflow to your feet through your socks is cotton. Bookshelf Normally, its not painful but swelling blisters or inflamed layer of skins can cause pain to the body. 10 Most Common Nail Diseases And Disorders. 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. 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. This approach has been present since 1976 and uses ultraviolet rays to treat the condition. When the keratin breaks down, the skin loses its strength and begins to shed, or exfoliate. vol. Before that, we should know what it really is. 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. Common symptoms that accompany skin peeling are rashes, itching, dryness and other irritants. There are some home remedies to get rid of this problem. The application of cucumber juice, aloe vera gel, witch hazel, or pineapple juice can also help improve exfoliative keratolysis. This problem is more prevalent in younger age groups. While eczema and exfoliative keratolysis look very similar, the difference is that exfoliative keratolysis will peel and shed, whereas eczema also produces itchy skin. Recurrent focal palmar peeling. 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. 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. Connect with a U.S. board-certified doctor by text or video anytime, anywhere. A deficiency of Niacin, which is one of the B Vitamins, causes the peeling of skin around the hands and legs. When the condition affects the lower body, it causes foot skin peeling. Hand dermatitis can be a very difficult condition to diagnosis due to the numerous conditions that mimic one another when presenting on the hands. There are no associated systemic implications or complications seen in patients with keratolysis exfoliativa. 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. How can you prevent exfoliative keratolysis? But this method is rarely recommended as psoralen activation works best with UVA. In addition to amino acids and lactic acids, urea is a natural moisturizing factor (NMF) that is commonly found in the outermost layer of . It is important to explain the natural history of keratolysis exfoliativa to the patient before initiating any treatment. The peeling off the skin in keratolysis exfoliativa worsens when the peeling skin will be associated with harsh chemical irritants. Your healthcare provider may perform additional tests to rule out other clinical conditions to arrive at a definitive diagnosis. Keratolysis exfoliativa MedGen UID: 575367 Concept ID: C0343064 Congenital Abnormality; Disease or Syndrome Recent clinical studies Etiology Clinical evaluation of atopic hand-foot dermatitis. After bursting, hand blisters will leave scales that look cracked and reddish. The process is usually painless but the underlying skin may get hard and rough because of the recurring condition. 1983. pp. Scarlet fever Youre most at risk if you have sweaty feet and wear shoes that dont offer adequate airflow. Also, be sure to clean your hands to keep bacteria from getting inside the cracks on your hands and fingers. Created for people with ongoing healthcare needs but benefits everyone. Unauthorized use of these marks is strictly prohibited. This material may not be published, broadcast, rewritten or redistributed in any form without prior authorization. Oakley, A., Exfoliative keratolysis, DermNet New Zealand; How Long Does Exfoliative Keratolysis Last? Lee YC, Rycroft RJ, White IR, McFadden JP. Though it looks like dry, peeling skin, water makes it worse. Superficial Cutaneous Infections and Pyodermas. Antibiotics effectively treat the condition to make the odor go away. Acute exfoliative keratolysis: It is a primary stage of skin peeling of hands. Visit your healthcare provider if you have symptoms so they can offer treatment to remove the infection from your body. Once the scales and the redness heals, the condition hibernates. It is also known as exfoliative keratolysis, dyshidrosis lamellosa sicca, and focal palmar peeling. arrow-right-small-blue Psoriasis: Psoriasis is a chronic condition that affects the skin. How do I avoid peeling skin? 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. Keratolysis exfoliativa. 23-31. Home remedies or preventions are more effective with respect to this problem. 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. This further hardens and numbs the skin. 2015 Dec 16;21(12). Normal skin gradually develops as the blisters split and new skin forms. The diagnosis of keratolysis exfoliativa is made based on history and clinical examination. As now we know that exfoliative keratolysis is not sever or dangerous. The skin may swell and become red due to inflammation. Usually, a skin test can determine the real disease. To the best of our knowledge, this report is the first that documents the efficacy of the use of systemic acitretin in KE. As there is no known remedy for this disease, one can try the precautions and home remedies to get rid of this problem. Epub 2020 Sep 10. A risk factor increases ones chances of getting a condition compared to an individual without the risk factors. Getting oneself rehydrated is a good condition as well as well hydrated cells arent easily affected by extremely hot weather conditions. If you are struggling with exfoliative keratolysis or another skin condition, visit a dermatologist or a natural health practitioner familiar with skin problems to learn more about the best treatment approaches available for you. 2021 Mar;72(3):215-224. doi: 10.1007/s00105-021-04765-w. Epub 2021 Feb 12. PUVA ultimately serves as a last-resort treatment when exfoliative keratolysis becomes too severe. Exfoliative Keratolysis Treatment Picture 2: Palm with Exfoliative Keratolysis The best way to treat the condition is to avoid the causative factors. Wende, G. W. (1919). ), Abdel-Hafez, K, Safer, AM, Selim, MM, Rehak, A. 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. Careers. 143-4. Speak to a dietician on MFine to know how changes in your food can help you address your situation today! The https:// ensures that you are connecting to the Erythromycin. Keratolysis Exfoliativa is usually seen in young Indian adults who are active throughout the day. (2020). Then, the blisters burstand it leaves a hollow and blank space underneath the skin. What is the treatment for keratolysis exfoliativa? Having said all that, we want to enumerate some risk factors that intrigue this disease. We hope youre enjoying the latest clinical news, full-length features, case studies, and more. Optimal Therapeutic Approach for this Disease, Unusual Clinical Scenarios to Consider in Patient Management. 1. Sometimes, allergic reactions may cause peeling of the skin. The condition may be seen around other parts of the body as well. Some believe that it is more frequently associated with underlying atopic dermatitis, while others report an association with primary hyperhidrosis. Keratolysis exfoliativa is a condition that is treatable at home. The peeling may be painful in some cases and it is best to get it treated immediately. Drysol, applied to dry skin at bedtime, or oral glycopyrrolate, starting at a dosage of 1mg by mouth 2-3 times daily, may be helpful. Keratolysis Exfoliativa are generally observed in young adults. 2. Also, keep in mind that exposure to soaps and detergents will make exfoliative keratolysis worse. #1 Protect from Irritants. A patient does not feel any pain with dry skin. Pitted keratolysis is a bacterial skin infection that causes a foul odor and itchiness. 166. Supportive investigations may be undertaken. So, there is actually little room to apply drugs. Coconut oil is the best natural moisturizer due to its antimicrobial, antifungal, and antibacterial properties that may speed healing and soothe the skin. Refer to more of our medical guides for information on nutrition and diet remedies for similar conditions in India. However, the condition is recurrent sometime after the skin returns to normal. Palmoplantar pustulosis or palmoplantar psoriasis (distinguished by occasional involvement of typical psoriasis on other locations of the body, observation of pustules on exam, and the chronic nature of this disease), 3. If possible, use drugs which can reduce sweating excessively. Background: Keratolysis exfoliativa (KE), also known as dyshidrosis lamellosa sicca, is a palmoplantar dermatosis characterized by air-filled blisters and collarette desquamation. It most commonly occurs in young adults and is typically worse in the summer months or with warm weather. 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. Disclaimer: Results are not guaranteed*** and may vary from person to person***. As you already know there are no fixed reasons behind exfoliative keratolysis. But, treatment is best during the early episodes. Epub 2016 May 18. No sponsor or advertiser has participated in, approved or paid for the content provided by Decision Support in Medicine LLC. 1996. pp. 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. Keratolytic creams containing urea, lactic acid, ammonium lactate or salicyclic acid. 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. European Journal of Pediatric Dermatology, 23(2), 125-125. (1895). In most cases the condition subsides on its own. Applying lactic acid hand cream to the skin is one of the more common exfoliative keratolysis treatments. Avoiding drying agents, allergens, and irritants by wearing gloves. Exfoliative Keratolysis Treatment Topical steroids are often given exfoliative keratolysis. What causes keratolysis exfoliativa in Indians?

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