2001. pp. 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. What Is Exfoliative Keratolysis? Causes and Treatment Wearing shoes with good airflow; avoid rubber boots. J. Cutan. This can ensure that exfoliative keratolysis will not be exacerbated by secondary infections. 2020 Dec;34(12):e783-e785. Athletes foot is a contagious fungal infection that causes an itchy rash on your feet. Keratolysis exfoliativa is diagnosed clinically. Antibiotics effectively treat the condition to make the odor go away. PDF | An 8 year-old boy, previously healthy, presented on the emergency department, during the summer, with air-filled blisters on the volar aspect of. When this is the case, it is best to consult your doctor for exfoliative keratolysis treatment. 1. 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). Red spots arise on the skin that turn into blisters and finally into ulcers. How do I avoid peeling skin? Fifthly, prolonged exposure to salt water and the bacteria present on sea creatures contributes to skin peeling. The first sign of this condition is constant discomfort on the skin that provokes itching. After putting together clinical findings, special studies on tissues (if needed) and with microscope findings, the pathologist arrives at a definitive diagnosis, Tinea manuum (fungal infection of the hand), Avoiding known irritants, chemicals, and friction, where possible, Application of topical agents such as lactic acid or silicone cream. 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). Salt water, sun, and other bacteria can cause skin peeling. The formation of numerous skin tags will look like the skin from the hand is peeling. 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. 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. 10 Most Common Nail Diseases And Disorders. Patients typically complain of asymptomatic peeling on the palms (and occasionally the soles) that recurs every few weeks. It is best to stay away from such irritants. 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. J Cutan Dis, 37, 174-175. vol. 2015 Dec 16;21(12). What type of shoes do you recommend I wear? Keratolysis exfoliativa Secrets That You All Need To Know! For an accurate diagnosis of exfoliative keratolysis, a negative result from a patch test is required. It may be more common in those with sweaty palms due to localised hyperhidrosis. Keratolysis Exfoliativa isnt a condition that is of grave concern in India. 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. There has been no conventional drug proven to be effective to heal exfoliative keratolysis. Exfoliative keratolysis treatment. Any one of these can be applied up to twice daily. The skin thickens, hardens into a callus, dries out, and peels off. Causes and Treatment. References Hausauer AK, Cohen DE. The peeling may be painful in some cases and it is best to get it treated immediately. Having said all that, we want to enumerate some risk factors that intrigue this disease. Sometimes, allergic reactions may cause peeling of the skin. Pitted keratolysis home treatment. Keratolysis Exfoliativa - DoveMed Another sign of the condition is the appearance of skin tags. On the other hand, a skin that is prone to peel off can make your hands look ugly and dirty. Often times, these creams also contain silicone and urea. Keratolysis Exfoliativa is a common skin condition in India that can be noticed around the palms and soles. Epub 2012 Oct 5. The application of cucumber juice, aloe vera gel, witch hazel, or pineapple juice can also help improve exfoliative keratolysis. Therefore, management of exfoliative keratolysis may still be limited, and treatment is quite difficult. We do not endorse non-Cleveland Clinic products or services. It is a result when blisters concentrated on the palm peel off and split making it look like it is shredding. It may not be possible to prevent Keratolysis Exfoliativa in many cases. Pitted keratolysis can affect anyone who has feet but its most common among men and people assigned male at birth (AMAB). It most commonly occurs in young adults and is typically worse in the summer months or with warm weather. 2021 Mar;72(3):215-224. doi: 10.1007/s00105-021-04765-w. Epub 2021 Feb 12. Exfoliative keratolysis mainly attacks and is common during the summer months. Zinia is an SEO specialist born and raised in Bangladesh. Still, it will reappear weeks and even months later. Eating a healthy diet can be a good source of natural components which may heal the skin. Eating different kinds of nuts is good for skin. Mupirocin. The condition may be seen around other parts of the body as well. Keratolysis Exfoliativa in India may arise due to sunburns or infections that directly cause damage to the skin. 1996. pp. No, pitted keratolysis isnt contagious and cant spread from person to person. In other words, treatment can only deal with the symptoms and signs associated with the condition. Exfoliative Keratolysis (Peeling Skin): Causes & Home Remedies It is distinct from other diseases of volar skin, such as dyshidrosis, contact dermatitis, tinea, epidermolysis bullosa, and acral skin peeling. 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. Created for people with ongoing healthcare needs but benefits everyone. Hand dermatitis can be a very difficult condition to diagnosis due to the numerous conditions that mimic one another when presenting on the hands. While Indian home remedies may give fruitful results, some cases are too severe to be treated with these remedies. Usually, a skin test can determine the real disease. Bethesda, MD 20894, Web Policies Avoid certain bathroom products: Stay away from products with substances that may contribute to exfoliative keratolysis, including solvents, antibacterial soaps, and certain fabrics. This method has been used by Egyptians thousands of years ago to treat severe integumentary disorders. HHS Vulnerability Disclosure, Help However, there are situations that local approach is utilized. DermNet does not provide an online consultation service. 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 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. A patient does not feel any pain with dry skin. We hope youre enjoying the latest clinical news, full-length features, case studies, and more. It is important to explain the natural history of keratolysis exfoliativa to the patient before initiating any treatment. In case it doesnt, a dermatologist will prescribe keratolysis exfoliativa creams and keratolysis exfoliativa ointments. Reports the frequency of keratolysis exfoliativa in patients with atopic dermatitis.). Clinical evaluation of atopic hand-foot dermatitis. No sponsor or advertiser has participated in, approved or paid for the content provided by Decision Support in Medicine LLC. Cleveland Clinic is a non-profit academic medical center. Speak to a doctor on MFine to know more about its causes and risk factors today! Thanks for visiting Dermatology Advisor. In most cases the condition subsides on its own. Chang, Y. Y., Van der Velden, J., Van der Wier, G., Kramer, D., Diercks, G. F. H., van Geel, M., & Jonkman, M. F. (2012). Microscopy reveals cleavage within the outside horny layer of skin, the stratum corneum. Is the reason for your skin peeling keratolysis exfoliativa Speak to a doctor on MFine and find out how to tackle it! Differential diagnosis. Keratolysis exfoliativa. The condition is typically caused by an overgrowth of bacteria on the skin or by a reaction to a medication. MeSH You can soak your feet in a diluted mixture of hydrogen peroxide and water to clean your feet. Br J Dermatol. To the best of our knowledge, this report is the first that documents the efficacy of the use of systemic acitretin in KE. Some patients may find that this condition is exacerbated by chemical or physical irritants such as water, soap, and detergents. It is always important to discuss the effect of risk factors with your healthcare provider. Exfoliative Keratolysis (Causes,Symptoms,Treatment) The skin may swell and become red due to inflammation. Ruiz Rivero J, Campos Dominguez M, Parra Blanco V, Surez Fernndez R. Actas Dermosifiliogr. Lastly, stress can be an important triggering factor for Exfoliative Keratolysis. Picture 2: Palm with Exfoliative Keratolysis. 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. Psoriasis: Psoriasis is a chronic condition that affects the skin. doi: 10.1111/j.1365-2133.2012.11175.x. One common mistake while doing the diagnosis of this disease is, some doctor confuses it with the following diseases. It most often affects the skin on your feet. Others may associate it with hyperhidrosis. Wear shoes and/or socks that are too tight (occlusive) and have limited airflow. In this condition, the skin cells multiply consistently at a speed that is faster than normal. 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. Exfoliative keratolysis at the fingers base will often take longer to heal due to frequent skin peeling. Epub 2012 Oct 5. 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. The best way to treat the condition is to avoid the causative factors. Wende, G. W. (1919). While eczema and exfoliative keratolysis look very similar, the difference is that exfoliative keratolysis will peel and shed, whereas eczema also produces itchy skin. For example, avoiding irritants such as soap, detergents and solvents can really prevent the condition from recurring again.