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.

small holes in feet pitted keratolysis
Pitted keratolysis
Pitted keratolysis

Pitted keratolysis can be successfully treated with topical antibiotics and antiseptics including:

  • Fusidic acid
  • Benzoyl peroxide
  • Erythromycin
  • Clindamycin
  • Mupirocin

Medical Care and Management

Albeit no examinations are distributed on cleanliness, a few defensive measures for anticipating pitted keratolysis have been prescribed after some time. Utmost the utilization of occlusive footwear and diminish foot erosion by wearing legitimately fitted footwear. Permeable cotton socks must be changed every now and again to forestall intemperate foot dampness. Fleece socks tend to whisk dampness far from the skin and might be useful. In 2008, Blaise et al prescribed that influenced patients should wash their socks at a temperature of 60ºC to murder the Corynebacterium that might be exchanged to the socks from skin scaling. Sometimes, lessening any related hyperhidrosis with the utilization of a move on antiperspirant, 20% aluminum chloride arrangement, might be useful.