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SKIN DISEASES: Pitted keratolysis

Dermatlas: Pitted Keratolysis

Dermatlas: Pitted Keratolysis
Pitted keratolysis

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Location: primarily affects the pressure-bearing aspects of the plantar surface of the feet and, occasionally, the palms of the hand as collarettes of scale.

Symptoms: crateriform pitting, painful burning of the feet after wearing occlusive footwear in warm, damp environments. Examination reveals small, punctate, pitted lesions on calloused areas of the feet and a disagreeable foot odor.

Treatments: Frequent cleansing of the feet and application of topical erythromycin are generally effective in eliminating the infection. Use of antiperspirants also aids in cure and prevents recurrence.

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