Pitted keratolysis (also called caratolysis plantare salcomam, keratoma plantar salcum, and ringed carotalysis) is a bacterial infection of the foot. Transition is characterized by craterlike pit on the sole of the feet and toes, especially weighing areas.
Pitted keratolysis is a descriptive title for a surface bacterial skin infection that affects the soles of the feet, and often affects the palms of the hands. This is one of the causes of smelly feet. It is characterized by white skin and screw-out pit cluster.
Infection Corynebacterium species is caused by bacteria and sometimes Kytococcus sedentarius. The excessive sweating of the feet and the use of projection shoes provides an environment in which these bacteria grow and therefore increase the risk of developing Pitted keratolysis.
This situation is quite common, especially in the army where wet shoes / shoes are worn for extended period without removal / cleaning. Skin biopsy samples are usually not used because the diagnosis of Pitted keratolysis is often done by identifying the visual examination and the specialty odor. Wood lamp examination results are incompatible. Antibiotics such as benzoyl peroxide, clindamycin, erythromycin, fusidic acid, or mupirosine are required for the treatment of Pitted keratolysis. The purpose of prevention efforts is to keep the feet dry using moisturizing shoes and socks as well as antiperspirants.
Signs and SymptomsPitted keratolysis usually presents white discoloration of the skin and many different, “screw-out” pit with lesions or caries, usually located on the soles of the feet. Pit usually consists of 1-7 millimeters in diameter. These globular and shallow pit are characteristic of Pitted keratolysis, and often overlap to produce larger areas of erosion. The characteristic of this condition becomes the presence of wounds becomes more pronounced when the affected area is wet or submerged in water. Occasionally these wounds are present in a green or brown color and within the pit. Read More
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