References Hausauer AK, Cohen DE. The peeling off the skin in keratolysis exfoliativa worsens when the peeling skin will be associated with harsh chemical irritants. Lee YC, Rycroft RJ, White IR, McFadden JP. The condition causes a foul odor and itchiness. 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Youre most at risk if you have sweaty feet and wear shoes that dont offer adequate airflow. 1.clinical diagnosis- Pitted keratolysis. The condition does not limit itself to the hands. Around half of the individuals present the condition in summer months, Individuals with sweaty palms have a higher risk, Exposure to saltwater (especially seawater), Air-filled blister formation on the finger or palm of the hand. - Conference Coverage Some effective essential oils include ginger oil, clove oil, myrrh oil, lavender oil, and frankincense oil. So extra attention should be drawn to the sweaty parts of the body. Although PUVA can be effective, it can also have various side effects, like itching, burning, eye damage, and skin cancer. What is the treatment for keratolysis exfoliativa? There is also some suggestion that it is incited by low-grade physical or chemical damage to the stratum corneum of the volar skin, leading to a superficial separation of the stratum corneum. Acute exfoliative keratolysis: It is a primary stage of skin peeling of hands. This is usually repeated 2-3 rows in a week. All rights reserved. Young adult people are mostly victims of this disease. Eventually normal skin forms, but frequently exfoliative keratolysis recurs within a few weeks. 1996. pp. How often should I apply topical antibiotics to my skin? (A report of three cases of recurrent focal palmar peeling, of which two were misdiagnosed as chronic dermatitis. Exfoliative keratolysis. The scales are also tender and dry after the skin has peeled off. Toxic shock syndrome, Keratolysis Exfoliativas symptoms are quickly noticed and require no lab tests. After putting together clinical findings, special studies on tissues (if needed) and with microscope findings, the pathologist arrives at a definitive diagnosis, Tinea manuum (fungal infection of the hand), Avoiding known irritants, chemicals, and friction, where possible, Application of topical agents such as lactic acid or silicone cream. Because of this, the skins ability to heal is compromised. The example can be best explained by skin asthma. Inquire about any history of atopic dermatitis. Thirdly, detergents, irritating soaps and sometimes solvents can cultivate exfoliation reactions. Keratolysis Exfoliativa . 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. At the same time, several factors can lead to the skin peeling associated with exfoliative keratolysis. Wear shoes and/or socks that are too tight (occlusive) and have limited airflow. I need to mention after peeling it gives me very shiny,healthy and soft hands. Aggressive moisturization is one of the most important treatments and is often the safest and most effective treatment modality. ), (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. Speak to a dietician on MFine to know how changes in your food can help you address your situation today! PMC If the peeling of skin does not reduce or the condition does not improve, a specialist may recommend using photochemotherapy. If you regularly use essential oils, like tea tree oil, ask your healthcare provider before using it on your affected skin. 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. Symptoms of pitted keratolysis affect your feet, specifically the web spaces between your toes and the ball, heel and soles of your foot. Treating Exfoliative Keratolysis at Home Keratolysis can be treated at home if it is in the nascent stages. Examples of these include urea 20% or 40% cream, ammonium lactate 12% cream, salicyclic acid 6% cream, and lactic acid 12% cream. Dont apply bleach or apple cider vinegar to your skin to make the odor from pitted keratolysis go away. The infection is characterised by craterlike pits on the surface of the feet and toes. Skin peeling on hands is the first thing your general physician may notice before diagnosing you with Keratolysis Exfoliativa. The hand cream can prevent the excessive scales and dryness that lead to peeling from forming. Keratolysis Exfoliativa may be wrongly diagnosed as any of the following skin peeling off conditions: arrow-right-small-blue Fans and air conditioning equipments are readily available to neutralize the heating process as lengthened periods of treatment tend to get very hot sometimes. Recent histopathologic and molecular studies have linked KE to premature corneo-desmosomal disruption. Once the scales and the redness heals, the condition hibernates. Use of topical steroids and cortisone cream and even increased levels of prednisone is also effective in treating the problem. Atopic dermatitis (eczema) 166. Exfoliative keratolysis is such a problem that gives a bad feeling to the beholders of the affected hands. White patch of skin or a patch thats lighter than your natural skin tone. What Is Exfoliative Keratolysis? Keratolysis exfoliativa MedGen UID: 575367 Concept ID: C0343064 Congenital Abnormality; Disease or Syndrome Recent clinical studies Etiology Clinical evaluation of atopic hand-foot dermatitis. 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. Try to prevent sweating by using topical agents. How is keratolysis exfoliativa treated in India? Washing your feet and hands with soap and water when you remove your shoes and socks. They are also advised to take on protective goggles to shield the eyes from being exposed to the harmful radiation. Often times, these creams also contain silicone and urea. Changing your shoes and socks when they get wet. Once the skin is completely peeled off has healed, normal skin reforms, but Keratolysis Exfoliativa usually recurs in the following weeks. 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. 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. Presently, it is not known to occur from genetic factors, even though a family history is occasionally noted. The first indication of Keratolysis Exfoliativa in Indians is peeling of the skin. Dr. Heidi Fowler answered. Unfortunately, what causes exfoliative keratolysis is relatively unknown. Almonds, walnuts, cashew nuts etc. When it comes to the blisters, the former is usually air filled while the latter tend to be fluid filled. Patients typically complain of asymptomatic peeling on the palms (and occasionally the soles) that recurs every few weeks. Approved by: Krish Tangella MD, MBA, FCAP. 2001. pp. Do the antibiotics interfere with any of the medications I currently take? Lane, J. E. (1919). Exfoliative keratolysis is a skin condition where there is frequent focal skin peeling on the palms of the hands, the surface of the fingers, and, less often, on the soles of the feet. Antibiotics treat the infection to remove the bacteria from your body. 2. This method has been used by Egyptians thousands of years ago to treat severe integumentary disorders. A deficiency of Niacin, which is one of the B Vitamins, causes the peeling of skin around the hands and legs. Antibiotics effectively treat the condition to make the odor go away. Choosing socks and shoes that fit your feet and arent too tight. Keratolysis exfoliativa is a common skin condition that causes the palms and soles to peel more intensely than usual. Keratolysis Exfoliativa is the condition of peeling of the skin around the palms and soles. Dermatologie, U. M. C. G., & Jonkman, M. F. (2013). Dry skin flakes blister and slough off, leaving behind . For example, rubber boots dont offer sufficient airflow. Lee, YC, Rycroft, RJ, White, IR, McFadden, JP. Refer to more of our medical guides for information on nutrition and diet remedies for similar conditions. Topics AZ Generally, the condition does not require any lab tests to be performed. Treatment for pitted keratolysis focuses on removing the bacterial infection from your body. sharing sensitive information, make sure youre on a federal It may be more common in those with sweaty palms due to localised hyperhidrosis. #1 Protect from Irritants. Pediatr Dermatol. Its dangerous to apply at-home remedies to your skin without approval from your healthcare provider. There are different ways to do the treatment. (I am still searching tha Exfoliative keratolysis can also be called "focal palmar peeling" or "keratolysis exfoliativa." In generic terms it's known as the "skin peeling disease." The peeled skin from the fingers and fingertips is often harder due to constant peeling before healing takes place. In such situations, one may consult a doctor and use medication that is prescribed by them. 18. But, treatment is best during the early episodes. 2012 Nov;167(5):1076-84. doi: 10.1111/j.1365-2133.2012.11175.x. Fifthly, prolonged exposure to salt water and the bacteria present on sea creatures contributes to skin peeling. , 1999. Exfoliative keratolysis creates air-filled blisters, while eczema creates fluid-filled blisters. The following may be helpful: Protect the affected area from irritants Updated by Dr Oakley, December 2018. Skin shedding (keratolysis exfoliativa congenita): report of a case. Flaky dry skin around the affected area It is also wise to eat a healthy anti-inflammatory diet and maintain proper hygiene by cutting your nails on a regular basis and washing your hands and feet. Arch Dermatol, 3(202), 11. PubMed. DermNet does not provide an online consultation service. Your healthcare provider will prescribe topical antibiotics that you rub on your skin like a lotion. The most affected areas of the body are usually the fingers and the soles. When the keratin breaks down, the skin loses its strength and begins to shed, or exfoliate. Books about skin diseasesBooks about the skin This situation is linked to destruction of keratin layers in the epidermis resulting to unwarranted skin exfoliation. It could take between two to three days before you start to feel better. Synthetic materials or blended materials in socks can restrict airflow to your feet. Australas J Dermatol. Chang YY, van der Velden J, van der Wier G, et al. The condition may also be a sign of immune system disorders. In addition to amino acids and lactic acids, urea is a natural moisturizing factor (NMF) that is commonly found in the outermost layer of . This approach has been present since 1976 and uses ultraviolet rays to treat the condition. It is important to note that prolonged healing occurs when the blisters centers on the base of the fingers due to consistent shredding and peeling of the skin. In extreme cases, a doctor may recommend photochemotherapy, which is a combination of Psoralen and Ultraviolet. Policy. Epub 2012 Oct 5. Some individuals have a family history of the disorder. In other words, treatment can only deal with the symptoms and signs associated with the condition. Although treatments are available, it is more of palliative. These lesions burst later to reveal a new layer of skin. So, we should take care of the skin and look after the affected area gently. Athletes foot Non-Hodgkins lymphoma Background: Keratolysis exfoliativa (KE), also known as dyshidrosis lamellosa sicca, is a palmoplantar dermatosis characterized by air-filled blisters and collarette desquamation. Visit your healthcare provider if your symptoms dont improve after taking antibiotics for one week. After a long day on your feet, you might notice a foul odor coming from your feet, shoes and socks. Physical and mental stress can affect the skin sometimes. Keratolysis Exfoliativa isnt a condition that is of grave concern in India. Reports the frequency of keratolysis exfoliativa in patients with atopic dermatitis. 8600 Rockville Pike Keratolysis exfoliativa. 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. Oatmeal bath this gains improvement when practiced daily, Taking daily Vitamin supplements as weakened immune system predisposes someone to the disorder, Mint application on affected area; mint contains healing properties and has moisturizing effects as well, Pineapple juice applied over to damaged skin, Eating protein rich foods such as meat, liver, carrots as they aid in cell repair, Drinking apple cider vinegar pills and olive extracts, Frequent cutting of fingernails and toenails to maintain hygiene, Avoidance of eating egg as it is a known allergen as well as crustaceans or seafoods. Exfoliative keratolysis is the medical term of what we have commonly known as skin peeling disease. Copyright and all rights reserved. Red spots arise on the skin that turn into blisters and finally into ulcers. There is usually no need for further diagnostic testing, as this is typically a clinical diagnosis; however, in more difficult cases, a potassium hydroxide (KOH) scraping or fungal culture to rule out tinea should be negative and patch testing to rule out allergic contact dermatitis should also be negative. If the skins of the palms and the soles start to peel off, thats the first sign of exfoliative keratolysis. Keratolysis exfoliativa is a innocuous but bothersome skin status in which the slim epidermis of the skin flakes, blisters and peels off. The cause of keratolysis exfoliativa is unknown. This process also involves the application of psoralensplant compounds that include trisoralen, 5-methoxypsoralen, and methoxsalen.