Keratolysis exfoliativa
| Keratolysis exfoliativa | |
|---|---|
| Synonyms | Exfoliative keratolysis, Focal palmar peeling |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Peeling of the skin on the palms and sometimes the soles |
| Complications | Possible secondary infection |
| Onset | Often in warm weather |
| Duration | Chronic, with episodes |
| Types | N/A |
| Causes | Unknown, possibly related to sweating or irritants |
| Risks | Atopic dermatitis, allergic contact dermatitis |
| Diagnosis | Clinical examination |
| Differential diagnosis | Dyshidrosis, psoriasis, contact dermatitis |
| Prevention | N/A |
| Treatment | Emollients, topical corticosteroids |
| Medication | N/A |
| Prognosis | N/A |
| Frequency | Common |
| Deaths | N/A |
Keratolysis exfoliativa is a skin condition characterized by the peeling of the skin on the palms of the hands and soles of the feet. It is also known as lamellar dyshidrosis, dyshidrosis lamellosa sicca, and focal palmoplantar peeling.
Symptoms
The primary symptom of keratolysis exfoliativa is the peeling of the skin on the palms and soles. This peeling is usually painless and does not cause any discomfort. However, in some cases, the affected skin may become red, tender, or inflamed.
Causes
The exact cause of keratolysis exfoliativa is unknown. However, it is believed to be related to excessive sweating, frequent hand washing, or exposure to certain chemicals or irritants. It is also more common in individuals with a history of eczema or dermatitis.
Diagnosis
Keratolysis exfoliativa is typically diagnosed based on the appearance of the skin. A dermatologist may also perform a skin biopsy to rule out other conditions that can cause similar symptoms, such as psoriasis or fungal infections.
Treatment
There is no specific treatment for keratolysis exfoliativa. However, the condition often resolves on its own without treatment. In some cases, a dermatologist may recommend using a moisturizer or a topical steroid cream to help soothe the skin and reduce inflammation.
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Contributors: Prab R. Tumpati, MD