Non-Hodgkins lymphoma EK is a strange skin condition that is not eczema or psoriasis. Exfoliative keratolysis. doi: 10.1111/j.1365-2133.2012.11175.x. However, they are not generally itchy. Photograph of keratolysis exfoliativa on the hand. 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. However, the condition is recurrent sometime after the skin returns to normal. Fifthly, prolonged exposure to salt water and the bacteria present on sea creatures contributes to skin peeling. Zinia is an SEO specialist born and raised in Bangladesh. Proper hand hygiene: Maintain hygiene with frequent cutting of your toenails and fingernails. 2.ICD-10-CM classification code L08.89 5. There are no associated systemic implications or complications seen in patients with keratolysis exfoliativa. The condition is typically caused by an overgrowth of bacteria on the skin or by a reaction to a medication. Jock itch The epidermis is made up of several layers of keratin, a type of protein which helps the skin to remain flexible, strong and waterproof. These lesions burst later to reveal a new layer of skin. Atopic dermatitis (eczema) When it comes to skin conditions, exfoliative keratolysis is, at times, harmless but also sometimes quite painful. Careers. Wear shoes and/or socks that are too tight (occlusive) and have limited airflow. These peeled areas lack a normal barrier function and may become dry and cracked. Also, keep in mind that exposure to soaps and detergents will make exfoliative keratolysis worse. Dr. Heidi Fowler answered. 1. The example can be best explained by skin asthma. If you work in an environment where youre on your feet all day, choose shoes with good ventilation to improve how much air reaches your feet. Pitted keratolysis is a bacterial infection that can cause your feet to smell bad. 23-31. Physical and mental stress can affect the skin sometimes. Keratolytic creams containing urea, lactic acid, ammonium lactate, or salicylic acid have been the most beneficial treatment for the majority of patients. The disease is thought about as seasonal as this usually affects young adults during summer. Exfoliative Keratolysis Treatment The ideal treatment is avoiding the risk factors that are its primary causes. The peeling off the skin in keratolysis exfoliativa worsens when the peeling skin will be associated with harsh chemical irritants. Keratolysis exfoliativa is a straightforward diagnosis; for any unusual clinical presentations, the correct diagnosis should be questioned. A 21-year-old male asked: . The latest research on exfoliative keratolysis suggests that there is a link between corneocytes and exfoliative keratolysis. The diagnosis of keratolysis exfoliativa is made based on history and clinical examination. Pits or tiny indentations in the patch of skin that look like small holes. No genetic abnormality has been detected to date (2018). 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. It is best to stay away from such irritants. Refer to more of our medical guides for information on nutrition and diet remedies for similar conditions. Epub 2016 May 18. Superficial Cutaneous Infections and Pyodermas. 2012 Nov;167(5):1076-84. doi: 10.1111/j.1365-2133.2012.11175.x. The condition is also accompanied by a few blisters around the palms of the hand. Exfoliative keratolysis creates air-filled blisters, while eczema creates fluid-filled blisters. Contact dermatitis Athletes foot Dont apply bleach or apple cider vinegar to your skin to make the odor from pitted keratolysis go away. Yes, sometimes skin peel offs may occur due to a deficit or an excess of a few vitamins. Clinical evaluation of atopic hand-foot dermatitis. (1895). Eventually normal skin forms, but frequently exfoliative keratolysis recurs within a few weeks, Hausauer AK, Cohen DE. Young adult people are mostly victims of this disease. Firstly, exposure to allergens can cause the condition to develop as it can sometimes be a result of an allergic reaction. Take Care Of Your Nails At Home: Easy Pro Guide. Any exacerbating factors should be controlled. Aloe vera juice is a completely natural moisturizer which can run the extra mile for your skin. Reports the frequency of keratolysis exfoliativa in patients with atopic dermatitis. To the best of our knowledge, this report is the first that documents the efficacy of the use of systemic acitretin in KE. It may not be possible to prevent Keratolysis Exfoliativa in many cases. Medication side effects 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. Split Fingernails: Symptoms, Causes & Remedies. Unfortunately, what causes exfoliative keratolysis is relatively unknown. This further hardens and numbs the skin. The best material to improve airflow to your feet through your socks is cotton. Exfoliative keratolysis is a skin condition that causes the shedding of the top layer of skin. Pitted keratolysis can affect anyone who has feet but its most common among men and people assigned male at birth (AMAB). Topical steroids are not known to be helpful, Phototherapy may be considered for severe cases, Avoid using soaps, detergents, and harsh chemicals, If seawater aggravates the condition, then minimizing or avoiding exposure to the same, Where possible, avoid activities that cause friction in the affected palms or soles, Try to use suitable gloves to protect the hands, where necessary, The prognosis of Keratolysis Exfoliativa is generally good as a majority of the cases are self-limited and a spontaneous resolution is noted, In some individuals, the condition may be severe with frequent recurrences being noted. For example, avoiding irritants such as soap, detergents and solvents can really prevent the condition from recurring again. The scaling gradually extends peripherally, leaving an adherent collarette. The peeling skin on hands and feet usually occurs when the temperature is hotter than normal. It can be treated with an application of coconut oil and keep your hand moist. The .gov means its official. Exfoliative keratolysis treatment is available; however, the treatment is more of a palliative solution. We hope youre enjoying the latest clinical news, full-length features, case studies, and more. ), (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), (A study that characterizes the clinical characteristics of 108 atopic dermatitis patients with hand-foot dermatitis. Advertising on our site helps support our mission. Updated by Dr Oakley, December 2018. It is important to explain the natural history of keratolysis exfoliativa to the patient before initiating any treatment. Pits can cluster together to form a sore (lesion) that looks like a crater. 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). government site. 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. Exfoliative keratolysis will hibernate beneath the skin once the redness and scales have healed. DermNet does not provide an online consultation service.If you have any concerns with your skin or its treatment, see a dermatologist for advice. These hollow spaces are actually the peeked areas. 24/7 visits - just $44! SANGSTER, A. Sometimes, allergic reactions may cause peeling of the skin. Exfoliative Keratolysis Treatment Picture 2: Palm with Exfoliative Keratolysis The best way to treat the condition is to avoid the causative factors. The process is usually painless but the underlying skin may get hard and rough because of the recurring condition. 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. This should be reserved for severe or symptomatic patients, as otherwise the risks outweigh the benefits. Patients typically complain of asymptomatic peeling on the palms (and occasionally the soles) that recurs every few weeks. Scarlet fever 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. Neri, I., Patrizi, A., Gabrielli, L., Virdi, A., Veronesi, G., Corsini, I., & Guglielmo, A. As you already know there are no fixed reasons behind exfoliative keratolysis. Eventually normal skin forms, but frequently exfoliative keratolysis recurs within a few weeks. The condition usually develops in the summer and people with sweaty palms are the first to notice their skin peeling off on their palms. Lee YC, Rycroft RJ, White IR, McFadden JP. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event, (https://www.aocd.org/page/PittedKeratolysis), (https://dermnetnz.org/topics/pitted-keratolysis), (https://accessmedicine-mhmedical-com.ccmain.ohionet.org/content.aspx?bookid=2585§ionid=211767935). As a result, the skin begins to shred. Exfoliative keratolysis is mostly a seasonal disease. But, treatment is best during the early episodes. If the skins of the palms and the soles start to peel off, thats the first sign of exfoliative keratolysis. So, we should take care of the skin and look after the affected area gently. Applying lactic acid hand cream to the skin is one of the more common exfoliative keratolysis treatments. Keratolysis Exfoliativa is usually seen in young Indian adults who are active throughout the day. Bethesda, MD 20894, Web Policies For this scenario, only the affected hands or feet are soaked in methoxsalen solution for half an hour before it is being exposed to UVA rays. Although there has not been any studies to confirm it, it is very rampant around that time of the year. The odor caused by the infection occurs because the bacteria release a stinky sulfur compound. Protection from irritants, wear gloves, good moisturization. Some risk factors are more important than others. The etiology of keratolysis exfoliativa is unknown, but the condition appears to be worsened by heat or sweating. Synthetic materials or blended materials in socks can restrict airflow to your feet. (2020). Any of these conditions cause irritation in the skin, resulting in itching and the peeling of the skin. A dermatologist may recommend the use of keratolysis exfoliativa creams and keratolysis exfoliativa ointments. Books about skin diseasesBooks about the skin It is also a good idea to avoid the warm weather during the summer, since this can lead to skin peeling that may eventually develop into exfoliative keratolysis. Keratolysis Exfoliativa isnt a condition that is of grave concern in India. If you wish to read unlimited content, please log in or register below. 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. Ruiz Rivero J, Campos Dominguez M, Parra Blanco V, Surez Fernndez R. Actas Dermosifiliogr. It is performed to examine the change in skin pigmentation, Skin biopsy, if necessary: A skin tissue biopsy is performed and sent to a laboratory for a pathological examination. American Osteopathic College of Dermatology. The following may be helpful: Protection from irritants Emollient hand creams especially those containing urea, lactic acid, or silicone Acitretin Photochemotherapy. Enjoying our content? Cutaneous T-cell lymphoma Thus, the skin peels off and sometimes cause pain too. Antibiotics effectively treat the condition to make the odor go away. If you are struggling with exfoliative keratolysis or another skin condition, visit a dermatologist or a natural health practitioner familiar with skin problems to learn more about the best treatment approaches available for you. At times it may affect the tips of the fingers; cracks formed due to the skin condition could go deeper into the skin. A CASE OF CONGENITAL EXFOLIATION OF THE SKIN.(KERATOLYSIS EXFOLIATIVA?). Disclaimer: Results are not guaranteed*** and may vary from person to person***. Journal of the European Academy of Dermatology and Venereology. The following may be helpful: Protect the affected area from irritants