Dealing with Peeling Skin: Keratolysis Exfoliativa
Are you constantly experiencing peeling of the outer layer of the skin, especially on the palms of the hands and soles of the feet?
There’s a condition called ‘Keratolysis exfoliativa’ and peeling of skin on the palms of the hands as well as soles of the feet is the most prominent feature.
It is generally a benign condition and is not associated with systemic disease, but it can be uncomfortable and distressing for those affected.
Characteristics and Symptoms
- Peeling Skin. The most prominent feature of keratolysis exfoliativa is the peeling of the stratum corneum, which is the outermost layer of the skin. This peeling typically starts with small, air-filled blisters that are usually painless.
- Erythema. Mild redness or inflammation may be present, particularly in areas where the skin has peeled.
- Scaling. After the blisters rupture, the skin may scale and slough off, leaving behind patches of dry skin.
- Recurrent Nature. The condition tends to recur, especially during warmer months or when the skin is frequently exposed to water or irritants.
- Location. Most commonly affects the palms, especially the fingertips and sometimes the soles of the feet. It is not typically seen on other parts of the body.
Causes
Keratolysis exfoliativa’s exact cause is not well understood. However, there are several factors that contribute to its development:
- Environmental Factors. Warm, humid weather can exacerbate the condition. Excessive sweating (hyperhidrosis) of the hands or feet can also play a role.
- Irritants. Frequent exposure to soaps, detergents and other chemical irritants can strip the skin of its natural oils, leading to dryness and peeling.
- Genetic Predisposition. Some individuals may be more genetically predisposed to developing this condition.
- Friction and Trauma. Repeated rubbing or minor trauma to the skin can precipitate the peeling.
Differential Diagnosis
It’s important to differentiate keratolysis exfoliativa from other conditions that may present with similar symptoms, such as:
- Dyshidrotic Eczema. Characterized by small, itchy blisters on the edges of the fingers, toes, palms and soles.
- Psoriasis. Can cause scaling and redness, typically with more persistent and widespread involvement.
- Tinea Manuum. Fungal infection of the hands that can cause peeling and scaling.
We are now independent prescribers able to prescribe any medication from the BNF relevant to the lower limb, foot and ankle.
Are you suffering from any foot condition? At The Chelsea Clinic, we can help. One of our podiatrist can assist and then recommend what treatments are best to get you back on track. Podiatrist South Kensington
Schedule an appointment here or you may call us at +44 (0) 207 101 4000.
We hope you have a feetastic day!
-The Chelsea Clinic and Team
