Pitted Keratolysis

Pitted keratolysis is bacterial infection (Kytococcus sedentarius/Dermatophilus/ Corynebacterium) of plantar skin, presenting with small pits/hyperhidrosis/foul odor on pressure-bearing areas of soles. Treatment: topical mupirocin/clindamycin/erythromycin; keep feet dry; absorbent socks; antiperspirants (aluminum chloride); footwear hygiene; oral antibiotics if extensive; follow-up.

Common Symptoms

Plantar pits; hyperhidrosis; foul odor; weight-bearing areas

Causes and Pathogenesis

Bacterial proteases break down stratum corneum in moist occluded feet.

Treatment

Topical antibiotics; keep dry; antiperspirants; footwear hygiene

Preventive Measures

Dry feet; change socks; breathable footwear.

Department to Visit

It is recommended to visit the Dermatology department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.