Pitted Keratolysis: A foot skin bacteria
Today we are going to discuss the bacterial foot skin condition called ‘Pitted keratolysis’ – which primarily affects the soles of the feet and less commonly the palms of the hands.
The bacteria thrives in moist, warm conditions, making the feet a prime location, especially for individuals who sweat excessively or wear non-breathable shoes.
Symptoms of Pitted Keratolysis
It is characterized by small, crater-like pits on the skin surface and is often associated with a foul odor. Small, round depressions (or “pits”) that are typically 1–2 mm in diameter form. Sometimes they group together, creating larger patches.
The affected areas may appear white due to maceration, or develop a reddish-brown tint over time.
The bacteria break down keratin and produce sulfur compounds, which causes a strong, musty or cheesy smell.
Tenderness or mild discomfort, though pain is usually not a prominent feature.
Prevention
Maintaining good foot hygiene such as regularly washing and drying your feet can prevent bacterial overgrowth.
Wearing breathable shoes and changing socks regularly are also recommended to reduce chances of the condition developing.
It’s preferable to wear bamboo socks and change them after activities that can cause heavy sweating.
Avoiding occlusive footwear. Opt for shoes that allow air circulation.
We are independent prescribers able to prescribe any medication from the BNF relevant to the lower limb, foot and ankle.
Are you suffering from any hand or 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
Pitted Keratolysis: A foot skin bacteria
