Signs and Symptoms for Pitted Keratolysis
The most obvious sign that a person is suffering from pitted keratolysis is its classic appearance. The circular and shallow pits are the calling card of pitted keratolysis. The pits often overlap in places to produce larger areas of erosion. Occasionally these legions present with a green or brown hue around and within the pits. These superficial erosions are found under the toes and on the soles of the feet, and especially at the pressure bearing points such as the heel. Both sides of the foot are usually equally effected. Pitted keratolysis is often linked to excessive sweating of the palms or soles (palmoplantar hyperhidrosis.) The bacterial digestion of the keratin results in a very foul odor, causing many of its suffers great anxiety, especially in social situations. Thankfully, irritation is generally minimal, though occasionally burning, itching, and soreness are experienced with pitted keratolysis. The appearance of this condition's characteristic lesions is much more pronounced when the affected area is wet.