Often times, these creams also contain silicone and urea. It is important to explain the natural history of keratolysis exfoliativa to the patient before initiating any treatment. Home remedies or preventions are more effective with respect to this problem. In such situations, one may consult a doctor and use medication that is prescribed by them. Keratolysis exfoliativa is distinct from the following conditions. Your healthcare provider may perform additional tests to rule out other clinical conditions to arrive at a definitive diagnosis. Acral Peeling Skin Syndrome: A Case Report and Literature Review. As a result, the skin begins to shred. J Cutan Dis, 37, 174-175. PubMed. Exfoliative Keratolysis Treatment Picture 2: Palm with Exfoliative Keratolysis The best way to treat the condition is to avoid the causative factors. The condition is recurring causing the skin to harden and become rough. Patients typically complain of asymptomatic peeling on the palms (and occasionally the soles) that recurs every few weeks. Keratolysis exfoliativa is more common during the summer months in about 50% of affected individuals. The condition causes discomfort in the skin that leads to persistent itching. Lane, J. E. (1919). Lee, YC, Rycroft, RJ, White, IR, McFadden, JP. Exfoliative keratolysis is such a problem that gives a bad feeling to the beholders of the affected hands. 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. Ultraviolet radiation treatment is also called photochemotherapy (PUVA), and uses ultraviolet rays to treat exfoliative keratolysis. How often should I apply topical antibiotics to my skin? Worried about the skin peeling off hands or legs? However, after a few months or sometimes even after a few weeks the condition recurs again. This article will detail everything you need to know about exfoliative keratolysis causes, symptoms, treatments, natural home remedies, and tips to prevent the condition. The example can be best explained by skin asthma. A deficiency of Niacin, which is one of the B Vitamins, causes the peeling of skin around the hands and legs. Urea is a natural moisturizing factor found in the outer epidermis. 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. The cause of development of Keratolysis Exfoliativa is currently unknown. For example, avoiding irritants such as soap, detergents and solvents can really prevent the condition from recurring again. These ointments and lotions will help reduce the discomfort that causes itching in the skin. There has been no conventional drug proven to be effective to heal exfoliative keratolysis. The first sign of the condition in India is generally flaky dry skin around the fingers and skin peeling on palms. 2. Wende, G. W. (1919). FOIA The formation of numerous skin tags will look like the skin from the hand is peeling. No genetic abnormality has been detected to date (2018). 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. No, pitted keratolysis isnt contagious and cant spread from person to person. The following are some of the better home remedies you can try: 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. Hyperhidrosis Interference with other drugs you take, which prevents the medication from working effectively. Seborrheic dermatitis 2021 Mar;72(3):215-224. doi: 10.1007/s00105-021-04765-w. Epub 2021 Feb 12. There is no definitive cause for Exfoliative Keratolysis, however, there are a couple of situations that make someone susceptible to accumulating the disease. (2020). The epidermis is made up of several layers of keratin, a type of protein which helps the skin to remain flexible, strong and waterproof. renowned by other titles, such as Lamellar dyshidrosis, recurrent focal palmar peeling and recurrent palmar peeling, keratolysis exfoliativa afflicts the palms of the hands and tender soles of the feet. Photochemotherapy can be applied if the disease goes beyond control. 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. In het boek wordt de geschiedenis beschreven van de Groningse leerstoel huid-en geslachtziekten van 15 september 1913, toen prof. dr. RA Reddingius bij Koninklijk Besluit werd, 466. 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. An official website of the United States government. Your use of this website constitutes acceptance of Haymarket Medias Privacy Policy and Terms & Conditions. 8600 Rockville Pike Policy. Keratolysis exfoliativa treatment. - Drug Monographs Its becausepeople dont consult a doctor or go to the clinic with this type of minor sickness. A beautiful hand with nice and thin fingers can add personality to ones style. Br J Dermatol. 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. A person suffering from exfoliative keratolysis could experience sores and peeling skin; skin peeling occurs gradually over time resulting in formation of very dry and itchy skin. Examples of these include urea 20% or 40% cream, ammonium lactate 12% cream, salicyclic acid 6% cream, and lactic acid 12% cream. Photograph of keratolysis exfoliativa on the hand. Skin shedding (keratolysis exfoliativa congenita): report of a case. Most of the time, when a patient walks in for help, the disease has already worsened and has repeatedly recurred. Keratolysis Exfoliativa is a common skin condition in India that can be noticed around the palms and soles. The treatment process in India does not require any surgery or frequent doctor visits. Eventually normal skin forms, but frequently exfoliative keratolysis recurs within a few weeks. 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). In most cases the condition subsides on its own. The condition causes a foul odor and itchiness. The best exfoliative keratolysis treatment is to avoid factors that cause the condition, including irritants like soaps, solvents, and detergents. 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 can activate the condition or worsen it if one is already afflicted by it. Youre most at risk of developing pitted keratolysis if you have sweaty feet and wear shoes with limited airflow. Some effective essential oils include ginger oil, clove oil, myrrh oil, lavender oil, and frankincense oil. These ointments and lotions will help reduce the discomfort that causes itching in the skin. Persistent itching. No worries! Books about skin diseasesBooks about the skin 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). Symptoms of pitted keratolysis affect your feet, specifically the web spaces between your toes and the ball, heel and soles of your foot. Because of this prevalent condition, the disease is sometimes mistaken for eczema. DermNet does not provide an online consultation service. Created for people with ongoing healthcare needs but benefits everyone. Recurrent focal palmar peeling. Before that, we should know what it really is. The site is secure. (adsbygoogle = window.adsbygoogle || []).push({}); Heart Palpitations at Night: Common Causes and How to Treat, Essential Oils for Cough, Cold and Congestion, Sudden High Blood Pressure: Causes, Symptoms and Prevention Tips, Sore Throat on One Side: 7 Causes and Treatments, Natural Remedies for the Burning Sensation in Your Stomach After Eating, Hibiscus Tea: Health Benefits, Nutrition, Side Effects, and Recipes, Vegetable Oil Substitutes: 5 Healthy Alternatives for Baking, Frying, and More, How to Treat Nausea After Eating Eggs or Chicken, Diarrhea after Eating: Causes and Natural Treatments, Top 11 Homeopathic Remedies for High Blood Pressure, Heavy Breathing: Common Causes and Treatments, Pineapple Juice for Cough: Effective Homemade Cough Remedies, Pain in the Left Temple of the Head: 10 Causes and Treatments. doi: 10.1111/jdv.16881. The skin loses its strength with breakdown of keratin, as a result it begins to peel off or exfoliate. It can also fortify the epidermal barrier that may prevent future exfoliative keratolysis outbreaks. Get useful, helpful and relevant health + wellness information. Contact Dermatitis:Contact Dermatitis is a condition that causes acute inflammation of the skin. Keratolysis exfoliativa also known as focal palmar peeling is a common disorder that is rarely reported and often overlooked as hand eczema. Antibiotics effectively treat the condition to make the odor go away. Getting oneself rehydrated is a good condition as well as well hydrated cells arent easily affected by extremely hot weather conditions. That being said, there are certain scenarios that make someone more susceptible to exfoliative keratolysis. References Hausauer AK, Cohen DE. Thus, the skin peels off and sometimes cause pain too. Youre most at risk if you have sweaty feet and wear shoes that dont offer adequate airflow. The most affected areas of the body are usually the fingers and the soles. 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. Dont apply bleach or apple cider vinegar to your skin to make the odor from pitted keratolysis go away. It is possible that sweaty palms are to blame, as hyperhidrosis in the palms is more common. Chang YY, van der Velden J, van der Wier G, et al. The .gov means its official. The same also occurs when the condition affects the palm or the soles of the feet. Refer to more of our medical guides for information on nutrition and diet remedies for similar conditions in India. The symptoms are aggravated by exposure to irritants including water, soap, detergents and solvents. So, there is actually little room to apply drugs. 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. Toxic shock syndrome, Keratolysis Exfoliativas symptoms are quickly noticed and require no lab tests. Pits or tiny indentations in the patch of skin that look like small holes. Ruiz Rivero J, Campos Dominguez M, Parra Blanco V, Surez Fernndez R. Actas Dermosifiliogr. Speak to a doctor on MFine to know more about its causes and risk factors today! Treating Exfoliative Keratolysis at Home Keratolysis can be treated at home if it is in the nascent stages. This is your part and enjoy being different. Some patients may find that this condition is exacerbated by chemical or physical irritants such as water, soap, and detergents. Exfoliative keratolysis treatment is available; however, the treatment is more of a palliative solution. The possible complications due to Keratolysis Exfoliativa include: Mild and localized cases of Keratolysis Exfoliativa may not require any medical intervention since the exfoliated areas are generally replaced by normal skin. It is distinct from other diseases of volar skin, such as dyshidrosis, contact dermatitis, tinea, epidermolysis bullosa, and acral skin peeling. Updated by Dr Oakley, December 2018. Peeling skin syndrome (PSS), or keratolysis exfoliativa congenita, is an unusual autosomal recessive disease characterized by life-long, spontaneous superficial peeling of the skin that may be persistent or periodic.104-106 The Nikolsky sign tends to be positive. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). 1996. pp. First, lets take a look at how the outer layer of the skin, the epidermis, is involved in the development of exfoliative keratolysis. The differential diagnosis of keratolysis exfoliativa includes the following entities: 1. As they do so, new skin is born out of the process. Keratolysis exfoliativa. Protection from irritants, wear gloves, good moisturization. The peeling skin on hands and feet usually occurs when the temperature is hotter than normal. Another medical approach to treat the disorder is photochemotherapy (PUVA). (https://accessmedicine-mhmedical-com.ccmain.ohionet.org/content.aspx?bookid=2570§ionid=210430286), Visitation, mask requirements and COVID-19 information. This is common among fishermen but no significant evidence has been correlated to this incident. The peeling is not limited to the hands and feet. To enhance improvement, add a few drops of anti-inflammatory essential oils to the hand bath. If you suffer from this condition, you will see red plaques on the skin accompanied by skin peeling on feet and other affected areas. Proper hand hygiene: Maintain hygiene with frequent cutting of your toenails and fingernails. And, a less confirmed theory says that this is somewhat related to the genetic inheritance. The condition arises to allergens or irritants that come in contact with the patient. In some cases, the blisters leave a deeper split in the skin that makes the skin around the fingers hard and numb. Therefore, management of exfoliative keratolysis may still be limited, and treatment is quite difficult. Skin peeling on hands is the first thing your general physician may notice before diagnosing you with Keratolysis Exfoliativa. Medication side effects Inquire about any history of atopic dermatitis. 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. Plant-based applications: Try making a natural homemade exfoliative keratolysis cream with raw honey, shea butter, and coconut oil. Red spots arise on the skin that turn into blisters and finally into ulcers. Treat hyperhidrosis if present. Dermatology online journal, 21(12). Some believe that it is more frequently associated with underlying atopic dermatitis, while others report an association with primary hyperhidrosis. These hollow spaces are actually the peeked areas. 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. Keratolysis exfoliativa is a straightforward diagnosis; for any unusual clinical presentations, the correct diagnosis should be questioned. Some of the precautions and home remedies are given below. 37. Keratolysis Exfoliativa may be wrongly diagnosed as any of the following skin peeling off conditions: When the condition affects the lower body, it causes foot skin peeling. Young adult people are mostly victims of this disease. 2014 Jun;150(6):647-8. doi: 10.1001/jamadermatol.2013.9190. We hope youre enjoying the latest clinical news, full-length features, case studies, and more. Chang YY, van der Velden J, van der Wier G, Kramer D, Diercks GF, van Geel M, Coenraads PJ, Zeeuwen PL, Jonkman MF. We do not endorse non-Cleveland Clinic products or services. This further hardens and numbs the skin. As there is no known remedy for this disease, one can try the precautions and home remedies to get rid of this problem. The usage of lotions that are rich in Salicylic Acid and Lactic Acid may prevent infection Keratolysis exfoliativa. Psychiatry 27 years experience. No advanced study has been carried out about what might be the cause of exfoliative keratolysis. ), Close more info about Keratolysis exfoliativa (Lamellar dyshidrosis, Recurrent focal palmar peeling, Recurrent palmar peeling). Dry skin flakes blister and slough off, leaving behind . Common symptoms that accompany skin peeling are rashes, itching, dryness and other irritants. 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. vol. Keratolysis exfoliativa. 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. This site needs JavaScript to work properly. Exfoliative keratolysis can also be called "focal palmar peeling" or "keratolysis exfoliativa." In generic terms it's known as the "skin peeling disease."

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