User:Mr. Ibrahem/Pitted keratolysis
Pitted keratolysis | |
---|---|
Other names | Keratolysis plantare sulcatum, keratoma plantare sulcatum, ringed keratolysis,[1] sweaty sock syndrome[2] |
Right foot affected with pitted keratolysis | |
Specialty | Dermatology |
Symptoms | Pit like holes in the foot skin, bad smell[3] |
Causes | Corynebacterium bacteria[2] |
Risk factors | Excessive sweating, occlusive footwear, diabetes, older age[2][3] |
Diagnostic method | Based on symptom[3] |
Differential diagnosis | Athlete's foot, plantar warts, palmoplantar keratoderma[4] |
Prevention | Keeping feet dry (moisture-wicking socks, antiperspirant)[2] |
Treatment | Antibiotic cream[2] |
Frequency | Relatively common[5] |
Pitted keratolysis is a superficial bacterial skin infection of the foot.[3] Symptoms include areas of pits on the weight bearing parts of the soles of the feet and bad smelling feet.[6] The pits are generally about 1 to 7 mm in size.[2][5] The areas may also be sore or itchy.[3]
The cause is often infection by Corynebacterium bacteria such as Kytococcus sedentarius .[2] Risk factors include excessive sweating of the feet, occlusive footwear, diabetes, and older age.[2][3] Diagnosis is usually based on appearance and smell.[3]
Treatment is with antibiotics applied to the skin, such as clindamycin, erythromycin, or mupirocin.[2] Benzoyl peroxide may also be used.[2] Prevention is by keeping the feet dry by using moisture-wicking socks and antiperspirant.[2]
Pitted keratolysis is relatively common, with 2.5% of people in New Zealand affected.[5] Professions at risk include military, farmers, athletes, and sailors.[3] Males are more commonly affected than females.[3] It occurs more commonly among those in tropical locations who do not wear shoes.[5] It was first described in 1910 by Castellani.[7][8]
References[edit]
- ^ Rapini, Ronald P.; Bolognia, Jean L.; Jorizzo, Joseph L. (2007). Dermatology: 2-Volume Set. St. Louis: Mosby. ISBN 978-1-4160-2999-1.
- ^ a b c d e f g h i j k Hsu, AR; Hsu, JW (July 2012). "Topical review: skin infections in the foot and ankle patient". Foot & Ankle International (Review). 33 (7): 612–9. doi:10.3113/FAI.2012.0612. PMID 22835400.
- ^ a b c d e f g h i "Pitted keratolysis | DermNet NZ". dermnetnz.org. Archived from the original on 7 April 2022. Retrieved 14 May 2022.
- ^ Fernández-Crehuet, P; Ruiz-Villaverde, R (21 April 2015). "Pitted keratolysis: an infective cause of foot odour". CMAJ : Canadian Medical Association journal Journal de l'Association medicale canadienne. 187 (7): 519. doi:10.1503/cmaj.140809. PMID 25712956.
- ^ a b c d Bristow, IR; Lee, YL (March 2014). "Pitted keratolysis: a clinical review". Journal of the American Podiatric Medical Association (Review). 104 (2): 177–82. doi:10.7547/0003-0538-104.2.177. PMID 24725039.
- ^ James, William D.; Elston, Dirk; Treat, James R.; Rosenbach, Misha A.; Neuhaus, Isaac (2020). "14. Bacterial infections". Andrews' Diseases of the Skin: Clinical Dermatology (13th ed.). Edinburgh: Elsevier. p. 267. ISBN 978-0-323-54753-6. Archived from the original on 2023-07-01. Retrieved 2023-06-01.
- ^ Sacchidanand, S.; AS, Savitha; K, Shilpa (30 June 2013). Snapshots in Dermatology. JP Medical Ltd. p. 570. ISBN 978-93-5090-459-6. Archived from the original on 15 May 2022. Retrieved 14 May 2022.
- ^ Goldsmith, Lowell A.; Katz, Stephen I.; Gilchrest, Barbara A.; Paller, Amy; Leffell, David J.; Wolff, Klaus (22 February 2012). Fitzpatrick's Dermatology in General Medicine, Eighth Edition, 2 Volume set. McGraw Hill Professional. p. 2145. ISBN 978-0-07-171755-7. Archived from the original on 15 May 2022. Retrieved 14 May 2022.