The cause of development of Keratolysis Exfoliativa is currently unknown. Chang YY, van der Velden J, van der Wier G, Kramer D, Diercks GF, van Geel M, Coenraads PJ, Zeeuwen PL, Jonkman MF. The skin thickens, hardens into a callus, dries out, and peels off. Keratolysis exfoliativa also known as focal palmar peeling is a common disorder that is rarely reported and often overlooked as hand eczema. The following are some of the better home remedies you can try: 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. Do the antibiotics interfere with any of the medications I currently take? 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. 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. Worried about the skin peeling off hands or legs? PUVA ultimately serves as a last-resort treatment when exfoliative keratolysis becomes too severe. Archives of Dermatology and Syphilology, 23(3), 445-471. And because of that, the condition is recurrent as the root problem of the disorder isnt directly addressed. Pediatr Dermatol. The first sign of this condition is constant discomfort on the skin that provokes itching. Thanks for visiting Dermatology Advisor. Psoriasis: Psoriasis is a chronic condition that affects the skin. The skin may swell and become red due to inflammation. doi: 10.1111/jdv.16881. The pathologist examines the biopsy under a microscope. Last reviewed by a Cleveland Clinic medical professional on 06/17/2022. Though it looks like dry, peeling skin, water makes it worse. Recurrent focal palmar peeling. vol. Wende, G. W. (1919). In case it doesn't, a dermatologist will prescribe keratolysis exfoliativa creams and keratolysis exfoliativa ointments. Exfoliative keratolysis. Sign Up for the Latest Health News and Tips, Home Skin Care What Is Exfoliative Keratolysis? In most cases the condition subsides on its own. Sometimes, it lasts for only a few weeks and sometimes a number of months pass by without any relief. If you take an antibiotic and dont see an improvement in your symptoms after a week, talk to your healthcare provider. Zinia is an SEO specialist born and raised in Bangladesh. Unable to load your collection due to an error, Unable to load your delegates due to an error. Urea is a natural moisturizing factor found in the outer epidermis. Speak to a doctor on MFine to know more about its causes and risk factors today! 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. JAMA Dermatol. Patients should be aware that this treatment is purely anecdotal and data to support its benefit is lacking. Pitted keratolysis is a bacterial skin infection that causes a foul odor and itchiness. Take Care Of Your Nails At Home: Easy Pro Guide. Want to talk to an expert regarding your diet? The majority of patients, with only mild disease, can be treated with topical moisturizers or keratolytics and followed up as needed. How long does Exfoliative Keratolysis last? Staph infections 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. This can ensure that exfoliative keratolysis will not be exacerbated by secondary infections. (I am still searching tha No sponsor or advertiser has participated in, approved or paid for the content provided by Decision Support in Medicine LLC. Make sure to clean hands to prevent bacteria from spreading and developing as it penetrates inside the open skin and worsesn the situation. Youre most at risk if you have sweaty feet and wear shoes that dont offer adequate airflow. It is important to explain the natural history of keratolysis exfoliativa to the patient before initiating any treatment. It is also recommended to keep the hands clean to keep the bacteria away from getting inside the cracks. 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. Acne pitted scar treatment. The difference between the two is that the former only peels and shreds while the latter has an accompanying itchy feeling on the skin. Keratolysis exfoliativa (dyshidrosis lamellosa sicca): a distinct peeling entity. Applying lactic acid hand cream to the skin is one of the more common exfoliative keratolysis treatments. Clinical evaluation of atopic hand-foot dermatitis. Your healthcare provider will prescribe topical antibiotics that you rub on your skin like a lotion. PMC Inquire about any history of atopic dermatitis. Pitted keratolysis and athletes foot are both conditions that affect your feet. If you suffer from this condition, you will see red plaques on the skin accompanied by skin peeling on feet and other affected areas. Keratolysis exfoliativa is a common skin condition that causes the palms and soles to peel more intensely than usual. Keratolysis exfoliativa treatment. Neri, I., Patrizi, A., Gabrielli, L., Virdi, A., Veronesi, G., Corsini, I., & Guglielmo, A. The scaling gradually extends peripherally, leaving an adherent collarette. Dry skin flakes blister and slough off, leaving behind . When the keratin breaks down, the skin loses its strength and begins to shed, or exfoliate. Photograph of keratolysis exfoliativa on the hand. 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. Exposure to irritants such as washing powder, soap, detergent etc. Athletes foot 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. It is always important to discuss the effect of risk factors with your healthcare provider. In turn, the loss of strength causes the skin to exfoliate. Ruiz Rivero J, Campos Dominguez M, Parra Blanco V, Surez Fernndez R. Actas Dermosifiliogr. Updated by Dr Oakley, December 2018. - And More, (A report of three cases of recurrent focal palmar peeling, of which two were misdiagnosed as chronic dermatitis. The best way to treat the condition is to avoid the causative factors. 4. This is common among fishermen but no significant evidence has been correlated to this incident. A dermatologist may notice these signs and up on further investigation recommend the right treatment for the patient. It is possible that sweaty palms are to blame, as hyperhidrosis in the palms is more common. b. Some Observations on Keratolysis Exfoliativa. Keratolysis Exfoliativa is the condition of peeling of the skin around the palms and soles. Thus, the skin peels off and sometimes cause pain too. J. Cutan. There are also forms of exfoliative keratolysis natural treatment that may help relieve the condition. When keratin breaks down, it impairs the skins strength and elasticity. Dermatology online journal, 21(12). If there is a component of primary hyperhidrosis, attempt to treat it with topical medication. If you have any concerns with your skin or its treatment, see a dermatologist for advice. I need to mention after peeling it gives me very shiny,healthy and soft hands. If the peeling of skin does not reduce or the condition does not improve, a specialist may recommend using photochemotherapy. 1. At times it may affect the tips of the fingers; cracks formed due to the skin condition could go deeper into the skin. Avoiding drying agents, allergens, and irritants by wearing gloves. The condition requires no medical test and is detected by a well experienced dermatologist. Copyright 2023 Haymarket Media, Inc. All Rights Reserved. Also, be sure to clean your hands to keep bacteria from getting inside the cracks on your hands and fingers. When your hands are covered in ruptured blisters, the first thing you want to know is the cause of this irritating skin condition. Exfoliative keratolysis is such a problem that gives a bad feeling to the beholders of the affected hands. Keratolysis exfoliativa is distinct from the following conditions. Keratolysis exfoliativa is a straightforward diagnosis; for any unusual clinical presentations, the correct diagnosis should be questioned. Australas J Dermatol. Epub 2016 May 18. To enhance improvement, add a few drops of anti-inflammatory essential oils to the hand bath. Pitted keratolysis is a bacterial infection that affects the skin on your feet. Coconut oil is the best natural moisturizer due to its antimicrobial, antifungal, and antibacterial properties that may speed healing and soothe the skin. The peeling is not limited to the hands and feet. Some individuals have a family history of the disorder. Cutaneous T-cell lymphoma In addition to the above, topical use of emollients that contain urea, silicone and lactic acid is also beneficial in keeping the skins layers healthy because the disease usually attacks the outermost layer of the skin therefore it is best to make sure this is protected. Keratolysis exfoliativa (dyshidrosis lamellosa sicca): a distinct peeling entity. The first sign of the condition in India is generally flaky dry skin around the fingers and skin peeling on palms. The https:// ensures that you are connecting to the Once the scales and the redness heals, the condition hibernates. The lower body may also see such signs of flaking in the form of skin peeling on legs. We do not endorse non-Cleveland Clinic products or services. 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. Scarlet fever Protection from irritants, wear gloves, good moisturization. Hand dermatitis can be a very difficult condition to diagnosis due to the numerous conditions that mimic one another when presenting on the hands. It could take between two to three days before you start to feel better. The .gov means its official. The hands and feet should also always be well cleaned. Common symptoms that accompany skin peeling are rashes, itching, dryness and other irritants. The peeling may be painful in some cases and it is best to get it treated immediately. Antibiotics effectively treat the condition to make the odor go away. Bookshelf Therefore, management of exfoliative keratolysis may still be limited, and treatment is quite difficult. Exfoliative keratolysis treatment. 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. Consult Indias top dermatologists online to get suitable skin treatment from the comfort of your home. The condition is recurring causing the skin to harden and become rough. Skin peeling on hands is the first thing your general physician may notice before diagnosing you with Keratolysis Exfoliativa. Summer is the period when it attacks. Visit your healthcare provider if you experience anxiety related to your phobia, as well as symptoms of pitted keratolysis. The condition causes a foul odor and itchiness. Lee YC, Rycroft RJ, White IR, McFadden JP. 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. Dont miss out on todays top content on Dermatology Advisor. Latest News Your top articles for Saturday, Continuing Medical Education (CME/CE) Courses. and transmitted securely. That being said, there are certain scenarios that make someone more susceptible to exfoliative keratolysis. 2014 Jun;150(6):647-8. doi: 10.1001/jamadermatol.2013.9190. Although exfoliative keratolysis is often painless and relatively harmless at times, the appearance of peeled skin may lead to embarrassment and depression. The latest research on exfoliative keratolysis suggests that there is a link between corneocytes and exfoliative keratolysis. Epub 2012 Oct 5. Non-Hodgkins lymphoma 2012 Nov;167(5):1076-84. doi: 10.1111/j.1365-2133.2012.11175.x. Aloe vera juice is a completely natural moisturizer which can run the extra mile for your skin. Peeling skin can be a menace to treat in India. Still, it will reappear weeks and even months later. 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. The process is usually painless but the underlying skin may get hard and rough because of the recurring condition. The same also occurs when the condition affects the palm or the soles of the feet. It is best to stay away from such irritants. Almonds, walnuts, cashew nuts etc. Any exacerbating factors should be controlled. Familial continual skin peeling. Pompholyx or dyshidrotic eczema (differentiated by its chronic nature, associated pruritus, fissures, and lichenification seen on examination), 2. Initially, it doesnt cause any pain or abnormality but gradually some air-filledblisters take over the skin of palms and/or soles. I experience it twice in a year. Ultraviolet radiation treatment is also called photochemotherapy (PUVA), and uses ultraviolet rays to treat exfoliative keratolysis. Symptoms of pitted keratolysis affect your feet, specifically the web spaces between your toes and the ball, heel and soles of your foot. The condition often causes air-filled blisters that eventually peel, and leaves the skin looking reddish, tender, dry, and cracked. Your healthcare provider may perform additional tests to rule out other clinical conditions to arrive at a definitive diagnosis. 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.