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Pitted keratolysis

Pitted keratolysis causes small crater-like pits in the outer horny layer of the soles, due to bacteria that thrive in sweat and enclosed footwear. The condition is usually superficial and treatable by keeping feet dry and using targeted topical treatment.

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Pitted keratolysis causes small crater-like pits in the outer horny layer of the soles, due to bacteria that thrive in sweat and enclosed footwear. The condition is usually superficial and treatable by keeping feet dry and using targeted topical treatment.

  • Many small, shallow, round pits a few millimetres across on the heel, ball of the foot or toes.
  • Pits may merge into larger irregular areas of superficial skin loss on weight-bearing skin.
  • Wash feet daily with mild soap and dry them carefully, including between the toes.
  • Change socks as soon as they are damp and choose material that draws sweat away from the skin.
  • Make an appointment if the pits and odour do not clearly improve after one to two weeks of measures to keep feet dry.
  • For urgent GP care outside normal opening hours, call HAP 9252. Call Ambulance 912 only for an immediately life-threatening situation.

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