Also, be sure to clean your hands to keep bacteria from getting inside the cracks on your hands and fingers. Therefore, management of exfoliative keratolysis may still be limited, and treatment is quite difficult. Topical psoralen emollients such as gels or lotions are typically applied to the affected areas for 10 minutes before skin is exposed to UVA. 3. These lesions burst later to reveal a new layer of skin. Exfoliative keratolysis is mostly a seasonal disease. Persistent itching. 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. 1.clinical diagnosis- Pitted keratolysis. Keratolysis exfoliativa is a condition that is treatable at home. When keratin breaks down, it impairs the skins strength and elasticity. Psoriasis: Psoriasis is a chronic condition that affects the skin. Disclaimer. Adverts are the main source of Revenue for DoveMed. Take Care Of Your Nails At Home: Easy Pro Guide. There is no definitive cure for exfolaitive keratolysis; however, the right treatments can help control symptoms of the condition, such as lactic acid application, ultraviolet radiation treatment, or home remedies like certain essential oils or a coconut oil moisturizer. The disease is thought about as seasonal as this usually affects young adults during summer. 23-31. No worries! Skin peeling on hands is the first thing your general physician may notice before diagnosing you with Keratolysis Exfoliativa. Zinia is an SEO specialist born and raised in Bangladesh. The skin thickens, hardens into a callus, dries out, and peels off. The first sign of this condition is constant discomfort on the skin that provokes itching. It is periodic. Non-Hodgkins lymphoma The .gov means its official. Clinical evaluation of atopic hand-foot dermatitis. Speak to a doctor on MFine to know more about its causes and risk factors today! Generally, skin peeling on fingers is a common symptom in Indians. Exfoliative keratolysis mainly attacks and is common during the summer months. Keratolysis exfoliativa is a common skin condition in which there is focal peeling of the palms and less often the soles. This method has been used by Egyptians thousands of years ago to treat severe integumentary disorders. Additionally, numbing sensations of the skin are marked accompanied by hardening of the skin as well. If the peeling of skin does not reduce or the condition does not improve, a specialist may recommend using photochemotherapy. Exfoliative Keratolysis Treatment Picture 2: Palm with Exfoliative Keratolysis The best way to treat the condition is to avoid the causative factors. Pitted keratolysis is a bacterial skin infection that causes a foul odor and itchiness. Once the scales and the redness heals, the condition hibernates. 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. Updated by Dr Oakley, December 2018. 166. 2. Advertising on our site helps support our mission. HHS Vulnerability Disclosure, Help Your doctor may identify Keratolysis Exfoliativa when air filled lesions appear on the skin near the hands or legs. There are also forms of exfoliative keratolysis natural treatment that may help relieve the condition. 10 Ways to Control Blood Sugar without Medication, What Is Exfoliative Keratolysis? Your healthcare provider will diagnose pitted keratolysis after reviewing your complete medical history and performing a physical exam to learn more about your symptoms. ), Abdel-Hafez, K, Safer, AM, Selim, MM, Rehak, A. Topical corticosteroids-usually not of much benefit. Medication side effects Keratolysis exfoliativa and the mosaic fungus. Copyright 2023 Haymarket Media, Inc. All Rights Reserved. The usage of lotions that are rich in Salicylic Acid and Lactic Acid may prevent infection Acral skin eruption observed during SARS-CoV-2 pandemic: possible keratolysis exfoliativa with red palms and soles. After the soak, you can use a pumice stone to remove dry skin from your feet. , 1999. Foot skin peeling Treat hyperhidrosis if present. Consult Indias top dermatologists online to get suitable skin treatment from the comfort of your home. How can you prevent exfoliative keratolysis? What Are These Tiny Red Spots on My Skin (Petechiae)? This site needs JavaScript to work properly. The example can be best explained by skin asthma. Home remedies or preventions are more effective with respect to this problem. The scales are also tender and dry after the skin has peeled off. A patient does not feel any pain with dry skin. Tinea (typically seen with associated changes in the fingernails or toenails, occasionally pruritic, does not wax and wane, positive fungal scraping or culture, and responds to treatment with antifungal agents). | Find, read and cite all the research you . One common mistake while doing the diagnosis of this disease is, some doctor confuses it with the following diseases. Pediatr Dermatol. Hand dermatitis can be a very difficult condition to diagnosis due to the numerous conditions that mimic one another when presenting on the hands. The treatment process in India does not require any surgery or frequent doctor visits. Please login or register first to view this content. Disclaimer: Results are not guaranteed*** and may vary from person to person***. The following may be helpful: Protect the affected area from irritants Acitretin has previously been used to treat diseases of abnormal corneocyte desquamation, for example Netherton's disease. No sponsor or advertiser has participated in, approved or paid for the content provided by Decision Support in Medicine LLC. Treatment for exfoliative keratolysis typically involves the use of antibiotics or antifungal medications. If you wish to read unlimited content, please log in or register below. 2023 mfine Pvt Ltd. Dermatologists recommend that one maintains good personal hygiene and avoids spending too much time in the sun. We hope youre enjoying the latest clinical news, full-length features, case studies, and more. Although exfoliative keratolysis is often painless and relatively harmless at times, the appearance of peeled skin may lead to embarrassment and depression. As you already know there are no fixed reasons behind exfoliative keratolysis. Provides a good description of the clinical features of recurrent focal palmar peeling and how to differentiate it from other conditions. For example, rubber boots dont offer sufficient airflow. The peeling may be painful in some cases and it is best to get it treated immediately. Pemphigus Your body isnt able to stop future infections (. In addition, the patient is advised to wear minimal clothing sometimes just underwear so the body can be openly exposed. 1. To enhance improvement, add a few drops of anti-inflammatory essential oils to the hand bath. Books about skin diseasesBooks about the skin 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. It is distinct from other diseases of volar skin, such as dyshidrosis, contact dermatitis, tinea, epidermolysis bullosa, and acral skin peeling. Ultraviolet radiation treatment is also called photochemotherapy (PUVA), and uses ultraviolet rays to treat exfoliative keratolysis. From now on, be watchful towards your health and try these remedies if you ever have exfoliative keratolysis. Archives of Dermatology and Syphilology, 23(3), 445-471. In case it doesnt, a dermatologist will prescribe keratolysis exfoliativa creams and keratolysis exfoliativa ointments. Because of this prevalent condition, the disease is sometimes mistaken for eczema. A 21-year-old male asked: . Keratolysis exfoliativa is a innocuous but bothersome skin status in which the slim epidermis of the skin flakes, blisters and peels off. Unable to load your collection due to an error, Unable to load your delegates due to an error. Bookshelf Eat the proper diet: It is best to eliminate processed foods and additives, fried foods, high-sugar foods, and common food allergens from the diet. Picture 2: Palm with Exfoliative Keratolysis. This oral Soriatane (Acitretin) has been reported as the only one effective drug that has shown improvementwhen used to treat this disease. The peeling is not limited to the hands and feet. That being said, there are certain scenarios that make someone more susceptible to exfoliative keratolysis. It most commonly occurs in young adults and is typically worse in the summer months or with warm weather. Another is to be extra careful during outbreaks particularly summer season. If you still have an odor coming from your feet after you wash your feet at the end of the day, its a sign that you have pitted keratolysis. Jock itch As they do so, new skin is born out of the process. The infection is characterised by craterlike pits on the surface of the feet and toes. 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. First, lets take a look at how the outer layer of the skin, the epidermis, is involved in the development of exfoliative keratolysis. In some cases, the following steps may be considered: The following DoveMed website link is a useful resource for additional information: https://www.dovemed.com/healthy-living/skin-disorders/, American Academy of Dermatology930 E. Woodfield Road Schaumburg, IL 60173Phone: (866) 503-SKIN (7546)Fax: (847) 240-1859Website: http://www.aad.org, https://dermnetnz.org/topics/keratolysis-exfoliativa/(accessed on 05/20/2021), https://en.wikipedia.org/wiki/Keratolysis_exfoliativa (accessed on 05/20/2021). DermNet does not provide an online consultation service. As a result, the skin begins to shred. - Full-Length Features 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. Keratolysis exfoliativa (dyshidrosis lamellosa sicca): a distinct peeling entity. are preferable. Thanks for visiting Dermatology Advisor. Keratolysis exfoliativa MedGen UID: 575367 Concept ID: C0343064 Congenital Abnormality; Disease or Syndrome Recent clinical studies Etiology Clinical evaluation of atopic hand-foot dermatitis. Acral skin eruption observed during SARSCoV2 pandemic: possible keratolysis exfoliativa with red palms and soles. DermNet provides Google Translate, a free machine translation service. 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. 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. There can be multiple layers of peeling skin (lamellae). Updated by Dr Oakley, December 2018. White patch of skin or a patch thats lighter than your natural skin tone. Some believe that it is more frequently associated with underlying atopic dermatitis, while others report an association with primary hyperhidrosis. Exfoliative keratolysis is the medical term of what we have commonly known as skin peeling disease. Sometimes, it lasts for only a few weeks and sometimes a number of months pass by without any relief. The condition is also accompanied by a few blisters around the palms of the hand. In case it doesn't, a dermatologist will prescribe keratolysis exfoliativa creams and keratolysis exfoliativa ointments. Skin peels off the feet and around the fingers is also a common indication of Keratolysis Exfoliativa in India. The peroxide solution should be no more than one part hydrogen peroxide to three parts warm water. Although treatments are available, it is more of palliative. and transmitted securely. Dermatologica. These hollow spaces are actually the peeked areas. Staph infections The number of cases for the condition of skin peeling off the body rises during the summer months and is usually seen in patients who have sweaty palms. 2.ICD-10-CM classification code L08.89 5. We do not endorse non-Cleveland Clinic products or services. And because of that, the condition is recurrent as the root problem of the disorder isnt directly addressed. Pitted keratolysis is a bacterial infection that can cause your feet to smell bad. Reports the frequency of keratolysis exfoliativa in patients with atopic dermatitis.). Exfoliative keratolysis is the medical term of what we have commonly known as skin peeling disease. Created for people with ongoing healthcare needs but benefits everyone. 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. Copyright and all rights reserved. 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. The difference between the two is that the former only peels and shreds while the latter has an accompanying itchy feeling on the skin. 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. It has been regarded as a subtype of dyshidrotic eczema, a fungal infection or a dermatophytid reaction. Physical and mental stress can affect the skin sometimes. When the whole hand and foot peel off it gone for next six months. Oakley, A., Exfoliative keratolysis, DermNet New Zealand; How Long Does Exfoliative Keratolysis Last? Provides a good description of the clinical features of recurrent focal palmar peeling and how to differentiate it from other conditions. Getting oneself rehydrated is a good condition as well as well hydrated cells arent easily affected by extremely hot weather conditions. What is the treatment for keratolysis exfoliativa? keratolysis exfoliativa has no known causes in Indians but the condition is found in young adults who are active throughout the day. Keratolysis exfoliativa is thought to be a very common condition with limited epidemological data available since it rarely presents itself to physicians because of its asymptomatic nature. 2021 Mar;72(3):215-224. doi: 10.1007/s00105-021-04765-w. Epub 2021 Feb 12. The first sign of the condition in India is generally flaky dry skin around the fingers and skin peeling on palms. Meaning, the signs are symptoms are treated but the underlying cause is not addressed. Key Takeaway: Athletes foot Lane, J. E. (1919). Keratolysis Exfoliativa . A CASE OF CONGENITAL EXFOLIATION OF THE SKIN.(KERATOLYSIS EXFOLIATIVA?). Antibiotics treat the infection to remove the bacteria from your body. The skin may swell and become red due to inflammation. After you start taking an antibiotic, it will begin working within your body to rid it of bacteria. In some cases, the blisters leave a deeper split in the skin that makes the skin around the fingers hard and numb. Any one of these can be applied up to twice daily. It is important to explain the natural history of keratolysis exfoliativa to the patient before initiating any treatment. Keratolysis exfoliativa treatment. Eating a healthy diet can be a good source of natural components which may heal the skin. Another reason for skin peeling off is excessive Vitamin A in the body. ), Close more info about Keratolysis exfoliativa (Lamellar dyshidrosis, Recurrent focal palmar peeling, Recurrent palmar peeling). No advanced study has been carried out about what might be the cause of exfoliative keratolysis. Recurrent focal palmar peeling. How can I prevent this condition from returning in the future? Ringworms 10 Most Common Nail Diseases And Disorders. Exfoliative keratolysis creates air-filled blisters, while eczema creates fluid-filled blisters. 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). Keratolysis Exfoliativa is usually seen in young Indian adults who are active throughout the day. Youre most at risk of developing pitted keratolysis if you have sweaty feet and wear shoes with limited airflow. Author: DrAmanda Oakley, Dermatologist, Hamilton, New Zealand, 1999. Pitted keratolysis can affect anyone who has feet but its most common among men and people assigned male at birth (AMAB). Applying lactic acid hand cream to the skin is one of the more common exfoliative keratolysis treatments. Young adult people are mostly victims of this disease. Bethesda, MD 20894, Web Policies Keratolysis exfoliativa (dyshidrosis lamellosa sicca): a distinct peeling entity. pii: 13030/qt6mv338nx. 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. Symptoms of pitted keratolysis affect your feet, specifically the web spaces between your toes and the ball, heel and soles of your foot. Federal government websites often end in .gov or .mil. Stay away from skin irritants and allergens that may cause peeling of skin The diagnosis of keratolysis exfoliativa is made based on history and clinical examination. Just another site A patient complains of dry skin of the palm with initial air-filled blisters on fingers. Some Observations on Keratolysis Exfoliativa. Treating Exfoliative Keratolysis at Home Keratolysis can be treated at home if it is in the nascent stages. Sign Up for the Latest Health News and Tips, Home Skin Care What Is Exfoliative Keratolysis? Pits or tiny indentations in the patch of skin that look like small holes. 5.3k views Answered >2 years ago. Protection from irritants, wear gloves, good moisturization. There are different ways to do the treatment. A dermatologist may recommend the use of keratolysis exfoliativa creams and keratolysis exfoliativa ointments. It is best to stay away from such irritants. It is triggered by allergic reactions to substances, food or even air. This situation is linked to destruction of keratin layers in the epidermis resulting to unwarranted skin exfoliation. Acne pitted scar treatment. This process also involves the application of psoralensplant compounds that include trisoralen, 5-methoxypsoralen, and methoxsalen. American Osteopathic College of Dermatology. This disorder doesnt respond to any drugs except an oral Soriatane. Keratolytic creams containing urea, lactic acid, ammonium lactate, or salicylic acid have been the most beneficial treatment for the majority of patients. The best material to improve airflow to your feet through your socks is cotton. It also involves the use of Psoralens which are compounds found in plants that also includes methoxsalen, 5-methoxypsoralen and trisoralen. Please enable it to take advantage of the complete set of features! The blisters burst to leave expanding collarettes of scale and circular or oval, tender, erythematous peeled areas. There are possible side effects of taking antibiotics, which could include: Before starting any treatment, talk to your healthcare provider about side effects and discuss the current medications you take to avoid drug interactions. So, you can say it lasts during the summer. On the other hand, a skin that is prone to peel off can make your hands look ugly and dirty. This approach has been present since 1976 and uses ultraviolet rays to treat the condition. Br J Dermatol. What Is Exfoliative Keratolysis? Some of the precautions and home remedies are given below. You can soak your feet in a diluted mixture of hydrogen peroxide and water to clean your feet. Initially, it doesnt cause any pain or abnormality but gradually some air-filledblisters take over the skin of palms and/or soles. Tenia pedis. The skin loses its strength with breakdown of keratin, as a result it begins to peel off or exfoliate. A risk factor increases ones chances of getting a condition compared to an individual without the risk factors. Epub 2020 Sep 10. To enhance improvement, add a few drops of anti-inflammatory essential oils to the hand bath. It is a result when blisters concentrated on the palm peel off and split making it look like it is shredding. However, they are not generally itchy. When it comes to the blisters, the former is usually air filled while the latter tend to be fluid filled. It is also known as Focal Palmar Peeling and is typically observed in young adults The procedure runs from a minimum of one minute to a maximum of 30 minutes depending on the patients tolerance. In extreme cases, a doctor may recommend photochemotherapy, which is a combination of Psoralen and Ultraviolet. When the condition affects the lower body, it causes foot skin peeling. The latest research on exfoliative keratolysis suggests that there is a link between corneocytes and 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. Erythromycin. Last modified on March 2021With inputs from Dr.Vedalatha Kakani, General Physician. Any exacerbating factors should be controlled. 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. Peeling skin syndrome (PSS), or keratolysis exfoliativa congenita, is an unusual autosomal recessive disease characterized by life-long, spontaneous superficial peeling of the skin that may be persistent or periodic.104-106 The Nikolsky sign tends to be positive. 2. Ruiz Rivero J, Campos Dominguez M, Parra Blanco V, Surez Fernndez R. Actas Dermosifiliogr. Normally, its not painful but swelling blisters or inflamed layer of skins can cause pain to the body. Urea is a natural moisturizing factor found in the outer epidermis. The condition can be treated at home by taking necessary precautions: In such situations, one may consult a doctor and use medication that is prescribed by them. A deficiency of Niacin, which is one of the B Vitamins, causes the peeling of skin around the hands and legs. 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. The condition requires no medical test and is detected by a well experienced dermatologist. It is also recommended to keep the hands clean to keep the bacteria away from getting inside the cracks.