Treatment for Pitted Keratolysis
Pitted keratolysis often exhibits spontaneous episodes of exacerbations and remissions, and the condition can last for many years if left untreated. Effective treatment of this disorder requires the removal of the moist and warm environment that promotes the growth of bacteria.
Pitted keratolysis treatment is generally quite simple and straight forward. The initial step is of course to treat any co-existing excessive sweating in the palms or soles, also called palmoplantar hyperhidrosis. Sometimes such common sense steps as thorough foot drying and ventilation are enough to clear up the infection. In most cases, a course of topical fusidic acid ointment over two to three weeks is sufficient to clear up the condition. In recurrent or severe cases, a two-week course of oral erythromycin or azithromycin should clear up even the most stubborn lesions completely. Topical clotrimazole is also commonly used to eradicate pitted keratolysis.
An over the counter pitting keratolysis remedy many sufferers swear by is applying acne medication containing 10 percent benzoyl peroxide to the area of infection.
Your health care provider may also recommend a prescription-strength antiperspirant containing aluminum chloride to address any excessive sweating issues. In rare and severe cases of this disease, your physician may suggestion treatment with injections of botulinum toxin.