1983. pp. 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. Br J Dermatol. Because of this, the skins ability to heal is compromised. Treating Exfoliative Keratolysis at Home Keratolysis can be treated at home if it is in the nascent stages. Flaky dry skin around the affected area In such cases, the cracked skin on fingertips takes longer to peel off and heal. The difference between the two is that the former only peels and shreds while the latter has an accompanying itchy feeling on the skin. It is important to explain the natural history of keratolysis exfoliativa to the patient before initiating any treatment. Your healthcare provider will prescribe topical antibiotics that you rub on your skin like a lotion. Lee, YC, Rycroft, RJ, White, IR, McFadden, JP. Allergic contact dermatitis (differentiated by its pruritic nature, response to topical steroids, inflammatory appearance with erythema on exam, and a possible exposure history), 4. In most cases the condition subsides on its own. It may be more common in those with sweaty palms due to localised hyperhidrosis. Exfoliative keratolysis creates air-filled blisters, while eczema creates fluid-filled blisters. 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. We hope youre enjoying the latest clinical news, full-length features, case studies, and more. While Indian home remedies may give fruitful results, some cases are too severe to be treated with these remedies. Adverts are the main source of Revenue for DoveMed. (2020). The peeling is not limited to the hands and feet. Plant-based applications: Try making a natural homemade exfoliative keratolysis cream with raw honey, shea butter, and coconut oil. (I am still searching tha The palms of the hands, the tips of the fingers, and soles of the feet are the most often affected areas. The symptoms are aggravated by exposure to irritants including water, soap, detergents and solvents. It is possible that sweaty palms are to blame, as hyperhidrosis in the palms is more common. As you already know there are no fixed reasons behind exfoliative keratolysis. When it comes to the blisters, the former is usually air filled while the latter tend to be fluid filled. ), Abdel-Hafez, K, Safer, AM, Selim, MM, Rehak, A. If possible, use drugs which can reduce sweating excessively. 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. Acral skin eruption observed during SARSCoV2 pandemic: possible keratolysis exfoliativa with red palms and soles. These hollow spaces are actually the peeked areas. Staph infections Fourthly, although unproven, medical researchers believe that extremely hot climate during summer increases episodes of perspiration. 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. It is distinct from other diseases of volar skin, such as dyshidrosis, contact dermatitis, tinea, epidermolysis bullosa, and acral skin peeling. Exfoliative Keratolysis - Symptoms, Causes, Treatment, Pictures - Healthh Keratolysis exfoliativa Secrets That You All Need To Know! Keratolysis Exfoliativa - DoveMed - Drug Monographs I need to mention after peeling it gives me very shiny,healthy and soft hands. Keratolytic creams containing urea, lactic acid, ammonium lactate, or salicylic acid have been the most beneficial treatment for the majority of patients. 1. Firstly, exposure to allergens can cause the condition to develop as it can sometimes be a result of an allergic reaction. However, exfoliative keratolysis will recur several weeks after skin appears to return to normal. 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. In many cases, Keratolysis Exfoliativa may not require any treatment; the condition is also known to spontaneously resolve in a majority of individuals. The cause of keratolysis exfoliativa is unknown. Exfoliative keratolysis can also be called "focal palmar peeling" or "keratolysis exfoliativa." In generic terms it's known as the "skin peeling disease." Keratolysis exfoliativa is distinct from the following conditions. 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. Last reviewed by a Cleveland Clinic medical professional on 06/17/2022. 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. Generally, the condition does not require any lab tests to be performed. A few observable symptoms in India: 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. Then, the blisters burstand it leaves a hollow and blank space underneath the skin. Familial continual skin peeling. Symptoms of pitted keratolysis affect your feet, specifically the web spaces between your toes and the ball, heel and soles of your foot. Treatments are mainly anecdotal and may or may not lead to improvement. Dermatologie, U. M. C. G., & Jonkman, M. F. (2013). Photochemotherapy can be applied if the disease goes beyond control. Our body demands special care from us. Physical and mental stress can affect the skin sometimes. All rights reserved. Keratolysis exfoliativa - Primary Care Dermatology Society The following may be helpful: Protect the affected area from irritants JAMA Dermatol. As a result, the disorder is already difficult to treat. Please enable it to take advantage of the complete set of features! It is distinct from other diseases of volar skin, such as dyshidrosis, contact dermatitis, tinea, epidermolysis bullosa, and acral skin peeling. Revitaderm 40 for Exfoliative Keratolysis on My Thumbs Foot skin peeling Supportive investigations may be undertaken. Keratolysis exfoliativa codes and concepts. Pompholyx or dyshidrotic eczema (differentiated by its chronic nature, associated pruritus, fissures, and lichenification seen on examination), 2. How often should I apply topical antibiotics to my skin? You can soak your feet in a diluted mixture of hydrogen peroxide and water to clean your feet. (https://accessmedicine-mhmedical-com.ccmain.ohionet.org/content.aspx?bookid=2570§ionid=210430286), Visitation, mask requirements and COVID-19 information. These ointments and lotions will help reduce the discomfort that causes itching in the skin. It can activate the condition or worsen it if one is already afflicted by it. DermNet does not provide an online consultation service.If you have any concerns with your skin or its treatment, see a dermatologist for advice. Author: DrAmanda Oakley, Dermatologist, Hamilton, New Zealand, 1999. PMC Clinical evaluation of atopic hand-foot dermatitis. vol. 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. 8600 Rockville Pike If you have any concerns with your skin or its treatment, see a dermatologist for advice. 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. How is keratolysis exfoliativa treated in India? National Library of Medicine However, the cause of the constant skin shedding in exfoliative keratolysis remains a mystery. Can my diet help in avoiding peeling skin? Exfoliative keratolysis treatment is available; however, the treatment is more of a palliative solution. Persistent itching. It is always important to discuss the effect of risk factors with your healthcare provider. Sometimes on the ends of the fingers, the split in the skin is deeper, in which case the skin feels hard and numb and takes longer to peel off. Fifthly, prolonged exposure to salt water and the bacteria present on sea creatures contributes to skin peeling. Keratolysis exfoliativa Causes and Treatment. Pitted keratolysis is a bacterial infection that affects the skin on your feet. There can be multiple layers of peeling skin (lamellae). Often misdiagnosed as psoriasis, eczema, or chronic contact dermatitis, exfoliative keratolysis is more common in children and young adults, in those with sweaty hands, and during the summer months. Approved by: Krish Tangella MD, MBA, FCAP. Disclaimer: Results are not guaranteed*** and may vary from person to person***. Chang, Y. Y., Van der Velden, J., Van der Wier, G., Kramer, D., Diercks, G. F. H., van Geel, M., & Jonkman, M. F. (2012). As they do so, new skin is born out of the process. Once the skin is completely peeled off has healed, normal skin reforms, but Keratolysis Exfoliativa usually recurs in the following weeks. However, there are situations that local approach is utilized. Skin peels off the feet and around the fingers is also a common indication of Keratolysis Exfoliativa in India. Talk to a doctor now . This painful or harmless skin problem also goes by names such as keratolysis exfoliativa, lamellar dyshidrosis, dyshidrosis lamellosa sicca, and recurrent palmar peeling. Keratolysis Exfoliativa isnt a condition that is of grave concern in India. Policy. A person suffering from exfoliative keratolysis could experience sores and peeling skin; skin peeling occurs gradually over time resulting in formation of very dry and itchy skin. Exfoliative keratolysis mainly attacks and is common during the summer months. 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). Keratolysis exfoliativa MedGen UID: 575367 Concept ID: C0343064 Congenital Abnormality; Disease or Syndrome Recent clinical studies Etiology Clinical evaluation of atopic hand-foot dermatitis. The disruption and premature separation of corneocytes are responsible for this disease. The epidermis is made of several layers of keratina protein necessary for skin strength and flexibility. Another cause of the skin peeling is sweating in your shoes. 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. Keratolysis exfoliativa is diagnosed clinically. As use of PUVA can be costly sometimes, some dermatologists recommend exposure to sunlight as it is safer compared to methoxsalen. FOIA Register for free and gain unlimited access to: - Clinical Updates, with personalized daily picks for you 10 Ways to Control Blood Sugar without Medication, What Is Exfoliative Keratolysis? Wearing shoes with good airflow; avoid rubber boots. Keratolysis Exfoliativa is usually seen in young Indian adults who are active throughout the day. Normal skin gradually develops as the blisters split and new skin forms. To the best of our knowledge, this report is the first that documents the efficacy of the use of systemic acitretin in KE. Usually, a skin test can determine the real disease. Youll be sure from this test whether this is due to an allergic problem or other underlying problems which should be determined. ), Close more info about Keratolysis exfoliativa (Lamellar dyshidrosis, Recurrent focal palmar peeling, Recurrent palmar peeling). This problem is more prevalent in younger age groups. Federal government websites often end in .gov or .mil. The most common types of bacteria that can cause infection include: These types of bacteria grow and thrive in warm and moist conditions, which is why it commonly affects your feet if youre wearing tight socks and shoes with minimal airflow. This should include protecting the hands from any physical or chemical irritants and encouraging the patient to wear gloves when possible. 1. Avoid certain bathroom products: Stay away from products with substances that may contribute to exfoliative keratolysis, including solvents, antibacterial soaps, and certain fabrics. Exfoliative Keratolysis Treatment The ideal treatment is avoiding the risk factors that are its primary causes. 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 the patients condition worsens or becomes symptomatic, then the diagnosis should be questioned and it may be important to review the differential diagnosis and re-evaluate the patient to rule out other etiologies. Your body isnt able to stop future infections (. Keratolysis exfoliativa. Books about skin diseasesBooks about the skin 166. Additionally, numbing sensations of the skin are marked accompanied by hardening of the skin as well. Keratolysis Exfoliativa . 5.3k views Answered >2 years ago. Note that this may not provide an exact translation in all languages, Home 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. So, there is actually little room to apply drugs. This is your part and enjoy being different. Exfoliative keratolysis (keratolysis exfoliativa, focal palmar peeling Toxic shock syndrome, Keratolysis Exfoliativas symptoms are quickly noticed and require no lab tests. The majority of patients, with only mild disease, can be treated with topical moisturizers or keratolytics and followed up as needed. 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. Reports the frequency of keratolysis exfoliativa in patients with atopic dermatitis.). (Provides a description of the microscopic pattern of splitting seen in keratolysis exfoliativa and contrasts these finding with that of familial continual peeling of the skin), Lee, HJ, Ha, SJ, Ahn, WK, Kim, D, Park, YM, Byun, DG. When it comes to skin conditions, exfoliative keratolysis is, at times, harmless but also sometimes quite painful. Topical psoralen emollients such as gels or lotions are typically applied to the affected areas for 10 minutes before skin is exposed to UVA. Exfoliative Keratolysis Treatment Topical steroids are often given exfoliative keratolysis. Seborrheic dermatitis Advertising on our site helps support our mission. official website and that any information you provide is encrypted The Licensed Content is the property of and copyrighted by DSM. Exfoliative keratolysis at the fingers base will often take longer to heal due to frequent skin peeling. 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. Some individuals have a family history of the disorder. Dry skin Lets take a deeper look at some of the other exfoliative keratolysis treatments available. Thirdly, detergents, irritating soaps and sometimes solvents can cultivate exfoliation reactions. Sometimes, it lasts for only a few weeks and sometimes a number of months pass by without any relief. The .gov means its official. How to treat keratolysis exfoliativa? Keratolysis exfoliativa, as a self-limiting condition, can be treated.