Australas J Dermatol. Athletes foot In addition, the patient is advised to wear minimal clothing sometimes just underwear so the body can be openly exposed. Most of the time, when a patient walks in for help, the disease has already worsened and has repeatedly recurred. A deficiency of Niacin, which is one of the B Vitamins, causes the peeling of skin around the hands and legs. Also, keep in mind that exposure to soaps and detergents will make exfoliative keratolysis worse. 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. Keratolysis exfoliativa does not improve with topical steroids, unlike hand dermatitis. A trial of potent (betamethasone dipropionate 0.05% or equivalent) or ultrapotent (clobetasol 0.05% or equivalent) topical corticosteroid applied twice daily for no more than 2 weeks could be attempted; however, these are typically not found to be very beneficial as this disease is characterized by a lack of inflammation. It is also known as exfoliative keratolysis, dyshidrosis lamellosa sicca, and focal palmar peeling. Others may associate it with hyperhidrosis. Cutaneous T-cell lymphoma However, there are situations that local approach is utilized. Inquire about any history of atopic dermatitis. 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. Yes, sometimes skin peel offs may occur due to a deficit or an excess of a few vitamins. No sponsor or advertiser has participated in, approved or paid for the content provided by Decision Support in Medicine LLC. keratolysis exfoliativa has no known causes in Indians but the condition is found in young adults who are active throughout the day. Just another site 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. Although rare, it can also affect the palm of your hand. Psoriasis: Psoriasis is a chronic condition that affects the skin. 2021 Mar;72(3):215-224. doi: 10.1007/s00105-021-04765-w. Epub 2021 Feb 12. There are different ways to do the treatment. Your healthcare provider will prescribe topical antibiotics that you rub on your skin like a lotion. These lesions burst later to reveal a new layer of skin. - And More, (A report of three cases of recurrent focal palmar peeling, of which two were misdiagnosed as chronic dermatitis. Author: DrAmanda Oakley, Dermatologist, Hamilton, New Zealand, 1999. Salt water, sun, and other bacteria can cause skin peeling. Disclaimer. When the keratin breaks down, the skin loses its strength and begins to shed, or exfoliate. Toxic shock syndrome, Keratolysis Exfoliativas symptoms are quickly noticed and require no lab tests. A patient does not feel any pain with dry skin. Federal government websites often end in .gov or .mil. (I am still searching tha The condition is also accompanied by a few blisters around the palms of the hand. The odor caused by the infection occurs because the bacteria release a stinky sulfur compound. It is best to stay away from such irritants. Use of topical steroids and cortisone cream and even increased levels of prednisone is also effective in treating the problem. Exfoliative keratolysis is mostly a seasonal disease. Worldwide, there is no racial or ethnic preference observed, A positive family history of the condition is observed sometimes, Keratolysis Exfoliativa is more common during the warm summers. As they do so, new skin is born out of the process. 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. Advertising on our site helps support our mission. When keratin breaks down, it impairs the skins strength and elasticity. Exfoliative keratolysis is the medical term of what we have commonly known as skin peeling disease. Use this soak for a few minutes. The following may be helpful: Protection from irritants Emollient hand creams especially those containing urea, lactic acid, or silicone Acitretin Photochemotherapy. Latest News Your top articles for Saturday, Continuing Medical Education (CME/CE) Courses. Changing your shoes and socks when they get wet. Patients typically complain of asymptomatic peeling on the palms (and occasionally the soles) that recurs every few weeks. She is passionate about digital marketing and loves to work with fashion-related niches like nails, hairstyles etc. The hand cream can prevent the excessive scales and dryness that lead to peeling from forming. So extra attention should be drawn to the sweaty parts of the body. You can soak your feet in a diluted mixture of hydrogen peroxide and water to clean your feet. In case it doesn't, a dermatologist will prescribe keratolysis exfoliativa creams and keratolysis exfoliativa ointments. and transmitted securely. 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. The condition can be treated at home by taking necessary precautions: The formation of numerous skin tags will look like the skin from the hand is peeling. Lee YC, Rycroft RJ, White IR, McFadden JP. Your use of this website constitutes acceptance of Haymarket Medias Privacy Policy and Terms & Conditions. The process is usually painless but the underlying skin may get hard and rough because of the recurring condition. Another is to be extra careful during outbreaks particularly summer season. How can I prevent this condition from returning in the future? Br J Dermatol. Often times, these creams also contain silicone and urea. Sometimes, it lasts for only a few weeks and sometimes a number of months pass by without any relief. Exfoliative keratolysis treatment is available; however, the treatment is more of a palliative solution. In some cases, the blisters leave a deeper split in the skin that makes the skin around the fingers hard and numb. Familial continual skin peeling. (https://accessmedicine-mhmedical-com.ccmain.ohionet.org/content.aspx?bookid=2570§ionid=210430286), Visitation, mask requirements and COVID-19 information. Chiriac, A., & Solovan, C. (2013). If you have any concerns with your skin or its treatment, see a dermatologist for advice. Exfoliative keratolysis can also be called "focal palmar peeling" or "keratolysis exfoliativa." In generic terms it's known as the "skin peeling disease." Exfoliative keratolysis is such a problem that gives a bad feeling to the beholders of the affected hands. Try to prevent sweating by using topical agents. First, lets take a look at how the outer layer of the skin, the epidermis, is involved in the development of exfoliative keratolysis. Before that, we should know what it really is. This process also involves the application of psoralensplant compounds that include trisoralen, 5-methoxypsoralen, and methoxsalen. - Conference Coverage Drysol, applied to dry skin at bedtime, or oral glycopyrrolate, starting at a dosage of 1mg by mouth 2-3 times daily, may be helpful. No genetic abnormality has been detected to date (2018). The peeling skin on hands and feet usually occurs when the temperature is hotter than normal. Some effective essential oils include ginger oil, clove oil, myrrh oil, lavender oil, and frankincense oil. 23-31. For example, avoiding irritants such as soap, detergents and solvents can really prevent the condition from recurring again. No, pitted keratolysis isnt contagious and cant spread from person to person. 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. Wende, G. W. (1919). Take Care Of Your Nails At Home: Easy Pro Guide. Medication side effects This is usually repeated 2-3 rows in a week. 10 Most Common Nail Diseases And Disorders. 2016 Oct;107(8):702-4. doi: 10.1016/j.ad.2016.03.006. The application of cucumber juice, aloe vera gel, witch hazel, or pineapple juice can also help improve exfoliative keratolysis. Eventually normal skin forms, but frequently exfoliative keratolysis recurs within a few weeks. Visit your healthcare provider if your symptoms dont improve after taking antibiotics for one week. However, this is not generally itchy in contrast to eczema. But, this is not suggested till one can endure the pain. National Library of Medicine Keratolysis exfoliativa generally presents in young active adults. The peeling is not limited to the hands and feet. Some risk factors are more important than others. Lastly, stress can be an important triggering factor for Exfoliative Keratolysis. Photograph of keratolysis exfoliativa on the hand. The differential diagnosis of keratolysis exfoliativa includes the following entities: 1. 2.ICD-10-CM classification code L08.89 5. The condition isnt constricted to the skin on the hands and face, one may even notice skin peeling on the face. Symptoms of pitted keratolysis affect your feet, specifically the web spaces between your toes and the ball, heel and soles of your foot. The site is secure. A risk factor increases ones chances of getting a condition compared to an individual without the risk factors. fix microsoft teams not displaying images and gifs. 10 Ways to Control Blood Sugar without Medication, What Is Exfoliative Keratolysis? Thus, the skin peels off and sometimes cause pain too. official website and that any information you provide is encrypted If you wish to read unlimited content, please log in or register below. An official website of the United States government. 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. KE may also resemble acral peeling skin syndrome and localized epidermolysis bullosa simplex. We hope youre enjoying the latest clinical news, full-length features, case studies, and more. However, they are not generally itchy. Make sure to clean hands to prevent bacteria from spreading and developing as it penetrates inside the open skin and worsesn the situation. There may be an association with underlying atopic dermatitis, thus one may also see a combination of asthma and allergies more frequently. The exact cause of exfoliative keratolysis is not known. 143-4. Keratolysis exfoliativa (dyshidrosis lamellosa sicca): a distinct peeling entity. They might ask questions about the type of shoes and socks you wear, especially around the time you noticed your symptoms. Psoralens Another way to treat the condition is the use of PUVB ( this is a mixture of psoralens and short wave ultraviolet radiation). Epub 2012 Oct 5. Protection from irritants, wear gloves, good moisturization. Cleveland Clinic is a non-profit academic medical center. Scarlet fever Also, be sure to clean your hands to keep bacteria from getting inside the cracks on your hands and fingers. 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. #1 Protect from Irritants. In most cases the condition subsides on its own. Skin peels off the feet and around the fingers is also a common indication of Keratolysis Exfoliativa in India. Archives of Dermatology and Syphilology, 23(3), 445-471. 37. Pitted keratolysis is a bacterial skin infection that causes a foul odor and itchiness. JAMA Dermatol. The Licensed Content is the property of and copyrighted by DSM. Provides a good description of the clinical features of recurrent focal palmar peeling and how to differentiate it from other conditions. And, a less confirmed theory says that this is somewhat related to the genetic inheritance. Dis., 37, 223. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). These peeled areas lack a normal barrier function and may become dry and cracked. In many cases, Keratolysis Exfoliativa may not require any treatment; the condition is also known to spontaneously resolve in a majority of individuals. Eating a healthy diet can be a good source of natural components which may heal the skin. In this condition, the skin cells multiply consistently at a speed that is faster than normal. Please enable it to take advantage of the complete set of features! Causes and Treatment. J. Cutan. 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. sharing sensitive information, make sure youre on a federal This approach has been present since 1976 and uses ultraviolet rays to treat the condition. 24/7 visits - just $44! Enjoying our content? Generally, skin peeling on fingers is a common symptom in Indians. 166. Intravenous steroids may be given in severe cases, but steroids usage has its own side effects, when used for a long time. Neri, I., Patrizi, A., Gabrielli, L., Virdi, A., Veronesi, G., Corsini, I., & Guglielmo, A. It can be treated with an application of coconut oil and keep your hand moist. Keratolysis exfoliativa is a innocuous but bothersome skin status in which the slim epidermis of the skin flakes, blisters and peels off. The first sign of this condition is constant discomfort on the skin that provokes itching. Keratolysis exfoliativa is a common skin condition in which there is focal peeling of the palms and less often the soles. There are no associated systemic implications or complications seen in patients with keratolysis exfoliativa. Exfoliative keratolysis will hibernate beneath the skin once the redness and scales have healed. Copyright and all rights reserved. Its dangerous to apply at-home remedies to your skin without approval from your healthcare provider. 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. This situation is linked to destruction of keratin layers in the epidermis resulting to unwarranted skin exfoliation. Dermatology online journal, 21(12). 2014 Jun;150(6):647-8. doi: 10.1001/jamadermatol.2013.9190. Choosing socks and shoes that fit your feet and arent too tight. Treat hyperhidrosis if present. 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. Youre most at risk of developing pitted keratolysis if you have sweaty feet and wear shoes with limited airflow. Exfoliative Keratolysis Treatment The ideal treatment is avoiding the risk factors that are its primary causes. This material may not be published, broadcast, rewritten or redistributed in any form without prior authorization. The palms of the hands, the tips of the fingers, and soles of the feet are the most often affected areas. Zinia is an SEO specialist born and raised in Bangladesh. Keratolysis Exfoliativa is a common skin condition in India that can be noticed around the palms and soles. Interference with other drugs you take, which prevents the medication from working effectively. The blisters burst to leave expanding collarettes of scale and circular or oval, tender, erythematous peeled areas. Stevens-Johnson syndrome Synthetic materials or blended materials in socks can restrict airflow to your feet. What type of shoes do you recommend I wear?