A deficiency of Niacin, which is one of the B Vitamins, causes the peeling of skin around the hands and legs. Exfoliative keratolysis will hibernate beneath the skin once the redness and scales have healed. Lee HJ, Ha SJ, Ahn WK, Kim D, Park YM, Byun DG, Kim JW Pediatr Dermatol 2001 Mar-Apr;18 (2):102-6. doi: 10.1046/j.1525-1470.2001.018002102.x. We do not endorse non-Cleveland Clinic products or services. It is its own thing. pii: 13030/qt6mv338nx. Ultraviolet radiation treatment is also called photochemotherapy (PUVA), and uses ultraviolet rays to treat exfoliative keratolysis. MeSH Keratolysis exfoliativa (KE) is a palmoplantar eruption of air-filled bullae on an erythematous base, which results in lamellar peeling with hallmark superficial collarettes of scale. Would you like email updates of new search results? 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. Contact dermatitis There are some home remedies to get rid of this problem. Unable to load your collection due to an error, Unable to load your delegates due to an error. If you have any concerns with your skin or its treatment, see a dermatologist for advice. If you suffer from this condition, you will see red plaques on the skin accompanied by skin peeling on feet and other affected areas. Fans and air conditioning equipments are readily available to neutralize the heating process as lengthened periods of treatment tend to get very hot sometimes. Epub 2012 Oct 5. Although exfoliative keratolysis is often painless and relatively harmless at times, the appearance of peeled skin may lead to embarrassment and depression. Exfoliative Keratolysis (Causes,Symptoms,Treatment) Peeling skin can be a menace to treat in India. Hausauer, A. K., & Cohen, D. E. (2015). Firstly, exposure to allergens can cause the condition to develop as it can sometimes be a result of an allergic reaction. doi: 10.1111/jdv.16881. 3.Reasoning: a. Get useful, helpful and relevant health + wellness information. Dont apply bleach or apple cider vinegar to your skin to make the odor from pitted keratolysis go away. If the peeling of skin does not reduce or the condition does not improve, a specialist may recommend using photochemotherapy. The latest research on exfoliative keratolysis suggests that there is a link between corneocytes and exfoliative keratolysis. It has been regarded as a subtype of dyshidrotic eczema, a fungal infection or a dermatophytid reaction. Exfoliative Keratolysis - Symptoms, Causes, Treatment, Pictures - Healthh Want to talk to an expert regarding your diet? 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. Unauthorized use of these marks is strictly prohibited. It is triggered by allergic reactions to substances, food or even air. 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. The majority of patients, with only mild disease, can be treated with topical moisturizers or keratolytics and followed up as needed. If you notice an odor, along with tiny indentations in the skin on the bottom of your foot, visit your healthcare provider. The hand cream can prevent the excessive scales and dryness that lead to peeling from forming. This should include protecting the hands from any physical or chemical irritants and encouraging the patient to wear gloves when possible. Neri I, Patrizi A, Gabrielli L, Virdi A, Veronesi G, Corsini I, Lazzarotto T, Lanari M, Misciali C, Guglielmo A. J Eur Acad Dermatol Venereol. Exfoliative Keratolysis: Causes Symptoms And Treatment The infection caused by wearing tight or restricting footwear and due to excessive sweating. PMC Sign Up for the Latest Health News and Tips, Home Skin Care What Is Exfoliative Keratolysis? 2. Any one of these can be applied up to twice daily. Keratolysis Exfoliativa is the condition of peeling of the skin around the palms and soles. Summer is the period when it attacks. Non-Hodgkins lymphoma Treatment for exfoliative keratolysis typically involves the use of antibiotics or antifungal medications. This approach has been present since 1976 and uses ultraviolet rays to treat the condition. She is passionate about digital marketing and loves to work with fashion-related niches like nails, hairstyles etc. Want to know more about exfoliative keratolysis? There may be an association with underlying atopic dermatitis, thus one may also see a combination of asthma and allergies more frequently. Tenia pedis. However, the condition is recurrent sometime after the skin returns to normal. How often should I apply topical antibiotics to my skin? In such cases, the cracked skin on fingertips takes longer to peel off and heal. Exfoliative Keratolysis - Treatment, Pictures, Causes, Symptoms Exfoliative Keratolysis: Causes, Symptoms and Diagnosis The condition requires no medical test and is detected by a well experienced dermatologist. The condition is diagnosed when your dermatologist notices peeling skin on palms of hands and cracked skin on fingertips. A diagnosis of Keratolysis Exfoliativa may involve the following exams and procedures: A differential diagnosis may be necessary to eliminate other conditions that present similar signs and symptoms such as: Many clinical conditions may have similar signs and symptoms. Learn how we can help. The same also occurs when the condition affects the palm or the soles of the feet. Some risk factors are more important than others. Normal skin gradually develops as the blisters split and new skin forms. - Conference Coverage 102-6. Revitaderm 40 for Exfoliative Keratolysis on My Thumbs KE may also resemble acral peeling skin syndrome and localized epidermolysis bullosa simplex. 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. 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). Exfoliative keratolysis at the fingers base will often take longer to heal due to frequent skin peeling. The process is usually painless but the underlying skin may get hard and rough because of the recurring condition. Copyright 2023 Haymarket Media, Inc. All Rights Reserved. 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. How can you prevent exfoliative keratolysis? Just another site How is keratolysis exfoliativa treated in India? PubMed. | Find, read and cite all the research you . Chang YY, van der Velden J, van der Wier G, Kramer D, Diercks GF, van Geel M, Coenraads PJ, Zeeuwen PL, Jonkman MF. Although rare, it can also affect the palm of your hand. Exfoliative Keratolysis: Pictures, Causes, Symptoms, Diagnosis ), Close more info about Keratolysis exfoliativa (Lamellar dyshidrosis, Recurrent focal palmar peeling, Recurrent palmar peeling). In most cases the condition subsides on its own. The best way to treat the condition is to avoid the causative factors. Cleveland Clinic is a non-profit academic medical center. Once the scales and the redness heals, the condition hibernates. Mood Disorder: Ect or electroconvulsive therapy is used for the treatment of mood disorders such as severe recalcitrant depression. It is periodic. The diagnosis of keratolysis exfoliativa is made based on history and clinical examination. In this condition, the skin cells multiply consistently at a speed that is faster than normal. Psoriasis The epidermis is made up of several layers of keratin, a type of protein which helps the skin to remain flexible, strong and waterproof. Kawasaki disease White patch of skin or a patch thats lighter than your natural skin tone. Youre most at risk of developing pitted keratolysis if you have sweaty feet and wear shoes with limited airflow. Choosing socks and shoes that fit your feet and arent too tight. The condition isnt constricted to the skin on the hands and face, one may even notice skin peeling on the face. Pediatr Dermatol. Fusidic acid. Is the reason for your skin peeling keratolysis exfoliativa Speak to a doctor on MFine and find out how to tackle it! 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. Provides a good description of the clinical features of recurrent focal palmar peeling and how to differentiate it from other conditions. Superficial Cutaneous Infections and Pyodermas. 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. Supportive investigations may be undertaken. Erythromycin. In most cases, it starts with the advent of summer and ends when simmer departs. If the skins of the palms and the soles start to peel off, thats the first sign of exfoliative keratolysis. Exfoliative keratolysis mainly attacks and is common during the summer months. Try to prevent sweating by using topical agents. 2001. pp. After bursting, hand blisters will leave scales that look cracked and reddish. We hope youre enjoying the latest clinical news, full-length features, case studies, and more. Neri, I., Patrizi, A., Gabrielli, L., Virdi, A., Veronesi, G., Corsini, I., & Guglielmo, A. For example, avoiding irritants such as soap, detergents and solvents can really prevent the condition from recurring again. Keratolysis exfoliativa (dyshidrosis lamellosa sicca): a distinct peeling entity. It most often affects the skin on your feet. This method has been used by Egyptians thousands of years ago to treat severe integumentary disorders. EK is a strange skin condition that is not eczema or psoriasis. Keratolysis exfoliativa is a common skin condition in which there is focal peeling of the palms and less often the soles. This situation is linked to destruction of keratin layers in the epidermis resulting to unwarranted skin exfoliation. It may not be possible to prevent Keratolysis Exfoliativa in many cases. British Journal of Dermatology,7(2), 37-39. This oral Soriatane (Acitretin) has been reported as the only one effective drug that has shown improvementwhen used to treat this disease. Updated by Dr Oakley, December 2018. JAMA Dermatol. Normal skin will develop in due time, although it is common for exfoliative keratolysis to return within a few weeks after normal skin has formed. Our body demands special care from us. When the keratin breaks down, the skin loses its strength and begins to shed, or exfoliate. Dont miss out on todays top content on Dermatology Advisor. Your doctor may identify Keratolysis Exfoliativa when air filled lesions appear on the skin near the hands or legs. Youre most at risk if you have sweaty feet and wear shoes that dont offer adequate airflow. Some believe that it is more frequently associated with underlying atopic dermatitis, while others report an association with primary hyperhidrosis. FOIA However, exfoliative keratolysis will recur several weeks after skin appears to return to normal. 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. The most affected areas of the body are usually the fingers and the soles. Blisters that form and split at the base of a finger often have deeper cracks that later make the skin feel numb and hard. Also, be sure to clean your hands to keep bacteria from getting inside the cracks on your hands and fingers. Antibiotics treat the infection to remove the bacteria from your body. Keratolysis exfoliativa is diagnosed clinically. 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. Some patients may find that this condition is exacerbated by chemical or physical irritants such as water, soap, and detergents. Skin peeling on hands is the first thing your general physician may notice before diagnosing you with Keratolysis Exfoliativa. While Indian home remedies may give fruitful results, some cases are too severe to be treated with these remedies. Presently, it is not known to occur from genetic factors, even though a family history is occasionally noted. When it comes to the blisters, the former is usually air filled while the latter tend to be fluid filled. This process also involves the application of psoralensplant compounds that include trisoralen, 5-methoxypsoralen, and methoxsalen. Secondly, genetic predisposition may also expose someone to this condition as certain environmental or external factors can trigger the disease to develop. Any of these conditions cause irritation in the skin, resulting in itching and the peeling of the skin. Avoid certain bathroom products: Stay away from products with substances that may contribute to exfoliative keratolysis, including solvents, antibacterial soaps, and certain fabrics. After you start taking an antibiotic, it will begin working within your body to rid it of bacteria. The etiology of keratolysis exfoliativa is unknown, but the condition appears to be worsened by heat or sweating. The condition rarely goes away on its own without treatment from your healthcare provider. Coconut oil is the best natural moisturizer due to its antimicrobial, antifungal, and antibacterial properties that may speed healing and soothe the skin. Lifelong desquamation of the hands and feet. The condition can be treated at home by taking necessary precautions: The example can be best explained by skin asthma. Exfoliative keratolysis. How can I prevent this condition from returning in the future? Note that this may not provide an exact translation in all languages, Home Epub 2012 Oct 5. Keratolysis exfoliativa LAST UPDATED: Jul 14, 2021 Introduction Refer to the chapter Peeling skin conditions Disclaimer - the author PCDS cannot accept responsibility for any misleading or incorrect statements, and the management of individual patients remains the direct responsibility of the individual doctor. When your hands are covered in ruptured blisters, the first thing you want to know is the cause of this irritating skin condition. Federal government websites often end in .gov or .mil. Keratolysis exfoliativa treatment | HealthTap Online Doctor
