Acral skin eruption observed during SARSCoV2 pandemic: possible keratolysis exfoliativa with red palms and soles. In addition to amino acids and lactic acids, urea is a natural moisturizing factor (NMF) that is commonly found in the outermost layer of . Provides a good description of the clinical features of recurrent focal palmar peeling and how to differentiate it from other conditions. 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. Often times, these creams also contain silicone and urea. (A report of three cases of recurrent focal palmar peeling, of which two were misdiagnosed as chronic dermatitis. Your healthcare provider will prescribe topical antibiotics that you rub on your skin like a lotion. 5.3k views Answered >2 years ago. Familial continual skin peeling. A deficiency of Niacin, which is one of the B Vitamins, causes the peeling of skin around the hands and legs. For an accurate diagnosis of exfoliative keratolysis, a negative result from a patch test is required. Hyperhidrosis 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). Coconut oil is the best natural moisturizer due to its antimicrobial, antifungal, and antibacterial properties that may speed healing and soothe the skin. Lets take a brief look at the possible exfoliative keratolysis causes below: One of the first key exfoliative keratolysis symptoms is air-filled blisters that later peel in a circular pattern, or split and form skin tags. Fifthly, prolonged exposure to salt water and the bacteria present on sea creatures contributes to skin peeling. What is the treatment for keratolysis exfoliativa? 3.Reasoning: a. No advanced study has been carried out about what might be the cause of exfoliative keratolysis. Stevens-Johnson syndrome 166. doi: 10.1111/jdv.16881. Keratolysis exfoliativa is also characterized by a lack of inflammation. PUVA ultimately serves as a last-resort treatment when exfoliative keratolysis becomes too severe. Thanks for visiting Dermatology Advisor. Keratolysis exfoliativa generally presents in young active adults. vol. Acitretin has previously been used to treat diseases of abnormal corneocyte desquamation, for example Netherton's disease. Interference with other drugs you take, which prevents the medication from working effectively. When the weather is so hot, it can cause skin peeling that may eventually lead to lamellar dyshidrosis and to prevent that it is strongly advised to apply lotion in the sensitive prone areas such as the fingers and the feet. The disruption and premature separation of corneocytes are responsible for this disease. It is thought that for some reason the desmosomes on the corneocytes separate from each other prematurely. Archives of Dermatology and Syphilology, 23(3), 445-471. The condition causes discomfort in the skin that leads to persistent itching. In addition, exfoliative keratolysis treatment will include topical steroids and cortisone creams; topical emollients that contain lactic acid, silicone, and urea; photochemotherapy; and a number of home remedies and natural treatments. Patients should be aware that this treatment is purely anecdotal and data to support its benefit is lacking. Keratolysis exfoliativa. (https://accessmedicine-mhmedical-com.ccmain.ohionet.org/content.aspx?bookid=2570§ionid=210430286), Visitation, mask requirements and COVID-19 information. Changing your shoes and socks when they get wet. 1983. pp. Persistent itching. Pitted keratolysis is a bacterial skin infection that causes a foul odor and itchiness. The epidermis is made of several layers of keratina protein necessary for skin strength and flexibility. The hand cream can prevent the excessive scales and dryness that lead to peeling from forming. MacKee, G. M., & Lewis, G. M. (1931). keratolysis exfoliativa has no known causes in Indians but the condition is found in young adults who are active throughout the day. The https:// ensures that you are connecting to the Keratolysis exfoliativa. - Drug Monographs As now we know that exfoliative keratolysis is not sever or dangerous. Bookshelf 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. Use this soak for a few minutes. 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. How can you prevent exfoliative keratolysis? Hausauer, A. K., & Cohen, D. E. (2015). Pitted keratolysis occurs as a result of a bacterial infection that causes smelly and itchy feet. 2023 mfine Pvt Ltd. Ultraviolet radiation treatment is also called photochemotherapy (PUVA), and uses ultraviolet rays to treat exfoliative keratolysis. And because of that, the condition is recurrent as the root problem of the disorder isnt directly addressed. Exfoliative keratolysis is a common skin condition characterized by recurrent focal palmar peeling that often affects the palms of the hands, the focal surface of the fingers and the soles of the feet.Exfoliative keratolysis is also known by other names such as keratolysis exfoliativa, recurrent palmar peeling and lamellar dyshidrosis. However, after a few months or sometimes even after a few weeks the condition recurs again. When keratin breaks down, it impairs the skins strength and elasticity. European Journal of Pediatric Dermatology, 23(2), 125-125. Seborrheic dermatitis Antibiotics treat the infection to remove the bacteria from your body. Visit your healthcare provider if you have symptoms so they can offer treatment to remove the infection from your body. Peeling skin can be a menace to treat in India. 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. 2016 Oct;107(8):702-4. doi: 10.1016/j.ad.2016.03.006. Photograph of keratolysis exfoliativa on the hand. Another is to be extra careful during outbreaks particularly summer season. Do the antibiotics interfere with any of the medications I currently take? 143-4. Some effective essential oils include ginger oil, clove oil, myrrh oil, lavender oil, and frankincense oil. Lee, YC, Rycroft, RJ, White, IR, McFadden, JP. vol. Eczema can be painful too unlike the aforementioned which doesnt have accompanying pain. (2020). After you start taking an antibiotic, it will begin working within your body to rid it of bacteria. Keratolysis Exfoliativa . For this procedure, the patient is contained in a cabinet consisting 24 UVA fluorescent bulbs. The peeling off the skin in keratolysis exfoliativa worsens when the peeling skin will be associated with harsh chemical irritants. This is usually repeated 2-3 rows in a week. An official website of the United States government. Our expert physicians and surgeons provide a full range of dermatologic, reconstructive and aesthetic treatments options at Cleveland Clinic. So, there is actually little room to apply drugs. The cause of development of Keratolysis Exfoliativa is currently unknown. No genetic abnormality has been detected to date (2018). 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Washing your feet and hands with soap and water when you remove your shoes and socks. The infection caused by wearing tight or restricting footwear and due to excessive sweating. As there is no known remedy for this disease, one can try the precautions and home remedies to get rid of this problem. The treatment process in India does not require any surgery or frequent doctor visits. Fusidic acid. Your skin pits or forms small indentations because the bacteria (protease enzyme) destroys layers of your skin cells that continuously shed dead skin cells (stratum corneum or the horny layer). Chiriac, A., & Solovan, C. (2013). The best way to treat the condition is to avoid the causative factors. Keratolysis exfoliativa is a straightforward diagnosis; for any unusual clinical presentations, the correct diagnosis should be questioned. Young adult people are mostly victims of this disease. When it comes to the blisters, the former is usually air filled while the latter tend to be fluid filled. 24/7 visits - just $44! Pits can cluster together to form a sore (lesion) that looks like a crater. The same also occurs when the condition affects the palm or the soles of the feet. However, one has to take psoralen by mouth or apply topical psoralen before exposing oneself to the sun as it is difficult to calibrate the correct amount of exposure. They are also advised to take on protective goggles to shield the eyes from being exposed to the harmful radiation. - And More, (A report of three cases of recurrent focal palmar peeling, of which two were misdiagnosed as chronic dermatitis. 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. Connect with a U.S. board-certified doctor by text or video anytime, anywhere. It can activate the condition or worsen it if one is already afflicted by it. Split Fingernails (Onychoschizia): Symptoms, Causes & Remedies, Beaus Lines 101: Causes, Treatments & Whos At Risk, Black Spot on Toenails: Symptoms, Causes & Treatments, 11 Practical Ways to Stop Biting Your Nails, Subungual Melanoma Addressing All Your Concerns, White Superficial Onychomycosis: Types, Symptoms, Causes & Treatment, 22 Vacation Nail Designs for Your Next Getaway, Black & Gold Nail Designs: 51 Fabulous Ways To Rockem, 18 Best Tropical Nail Designs Try These Trends, 33 Stylish Patriotic Nail Designs to Celebrate, 21 Trendiest Red and Silver Nail Designs for 2023, 35 Trendy Ways to Wear Navy Blue Nails in 2023, How To Use Cuticle Remover Tool: Step-by-Step Guide. (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. Exfoliative keratolysis treatment is available; however, the treatment is more of a palliative solution. Maintaining good personal hygiene and avoiding overexposure to the sun. Any of these conditions cause irritation in the skin, resulting in itching and the peeling of the skin. ), Abdel-Hafez, K, Safer, AM, Selim, MM, Rehak, A. Stay away from skin irritants and allergens that may cause peeling of skin Proper hand hygiene: Maintain hygiene with frequent cutting of your toenails and fingernails. In many cases, Keratolysis Exfoliativa may not require any treatment; the condition is also known to spontaneously resolve in a majority of individuals. 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). and transmitted securely. Treatment for exfoliative keratolysis typically involves the use of antibiotics or antifungal medications. Treatment for Keratolysis Exfoliativa in India doesnt require any major medical processes. Eventually normal skin forms, but frequently exfoliative keratolysis recurs within a few weeks. Keratolysis exfoliativa (dyshidrosis lamellosa sicca), een aparte peelingentiteit. In cases like this, it would be recommended to consult a physician for extensive treatment and care but their management can only be limited too as it is best to treat the condition on its early episodes. There are no associated systemic implications or complications seen in patients with keratolysis exfoliativa. One of the more common forms of treatment for exfoliative keratolysis is the application of a lactic acid-infused hand cream. 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. Eczema is also a quite painful condition, whereas exfoliative keratolysis doesnt hurt as much. Pitted keratolysis can affect anyone who has feet but its most common among men and people assigned male at birth (AMAB). Copyright 2017, 2013 Decision Support in Medicine, LLC. The hands and feet should also always be well cleaned. 1. Dry skin Arch Dermatol, 3(202), 11. Is the reason for your skin peeling keratolysis exfoliativa Speak to a doctor on MFine and find out how to tackle it! Protection from irritants, wear gloves, good moisturization. Supportive investigations may be undertaken. In most cases, it starts with the advent of summer and ends when simmer departs. Please remove adblock to help us create the best medical content found on the Internet. The latter isnt seasonal as well and happens all year round and is also common for people who have skin asthma. How to treat keratolysis exfoliativa? Instead, eat plenty of anti-inflammatory, essential fatty acid-rich foods like flaxseed oil and wild-caught fish, and other foods that assist with wound healing like vitamin A-rich foods, probiotic-rich foods, and pumpkin seeds and chia seeds. Natural moisturizers: Since dry skin is both a symptom and cause of exfoliative keratolysis, it is important to moisturize the affected skin at least twice each day. Psoralens Another way to treat the condition is the use of PUVB ( this is a mixture of psoralens and short wave ultraviolet radiation). Youve viewed {{metering-count}} of {{metering-total}} articles this month. It is distinct from other diseases of volar skin, such as dyshidrosis, contact dermatitis, tinea, epidermolysis bullosa, and acral skin peeling. If you notice an odor, along with tiny indentations in the skin on the bottom of your foot, visit your healthcare provider. We hope youre enjoying the latest clinical news, full-length features, case studies, and more. Background: Keratolysis exfoliativa (KE), also known as dyshidrosis lamellosa sicca, is a palmoplantar dermatosis characterized by air-filled blisters and collarette desquamation. Contact Dermatitis:Contact Dermatitis is a condition that causes acute inflammation of the skin. vol. Prevent the bacteria from returning by changing your shoes and socks when they get wet and wearing shoes with good airflow. The skin thickens, hardens into a callus, dries out, and peels off. List of photos, images and pictures ofExfoliative Keratolysis: The health information provided on this web site is for educational purposes only and is not to be used as a substitute for medical advice, diagnosis or treatment. Federal government websites often end in .gov or .mil. How long does Exfoliative Keratolysis last? There has been no conventional drug proven to be effective to heal exfoliative keratolysis. What causes keratolysis exfoliativa in Indians? Keratolysis exfoliativa is a common skin condition that causes the palms and soles to peel more intensely than usual. Exfoliative keratolysis is a skin condition that causes the shedding of the top layer of skin. Wear shoes and/or socks that are too tight (occlusive) and have limited airflow.