Pitted Keratolysis

What are they?
This is a non-contagious bacterial infection that primarily affects the bottom of the foot and creates a large number of small crater or cavity like marks on the ball of the foot, toes and under the heel.

How to Treat Them?
You need to deal with the excessive amount of sweat that permits this condition to develop:

  1. Limit the use of occlusive footwear. Wear open footwear as much as possible.
  2. Wear absorbent cotton socks and change them regularly.
  3. Apply astringents that can help decrease the sweating.
  4. Moisture absorbing insoles can be used (you need two pair that can the worn on alternative days so they can dry out).

To specifically deal with the infection:

  1. Follow the advice above to deal with the excessive moisture
  2. Apply a twice daily topical antiseptic

When to see the doctor?
See a doctor or Podiatrist if the above does not help. A topical antibiotic will be more effective than an over-the-counter antiseptic. Whatever is done the steps above to decrease the accumulation of sweat will need to be continued over the longer term to keep the moisture from accumulating.

More Information:
eMedicine | Podiatry Arena

 

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