Keratolysis exfoliativa

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Keratolysis exfoliativa
SpecialtyDermatology

Keratolysis exfoliativa (also known as "lamellar dyshidrosis",

blisters. These blisters can be peeled off very easily and will leave reddish, tender areas. The loss of this corneal layer
of the skin, which protects the underlying layers, leaves the skin more vulnerable to dryness and cracking.

Causes

Keratolysis exfoliativa normally appears during warm weather. Due to excessive sweating and friction, in for example athletic shoes, the skin can start to exfoliate. Other factors that can cause exfoliation are

solvents
. Another very common cause has been reported from salt water fishermen, who often suffer from these symptoms. It is not sure whether it is from the salt water or whether it is from some bacteria from fish.

Treatment

Normally, exfoliation is restricted to a particular area and normal skin will replace the exfoliated parts, so no treatment is needed. Since keratolysis exfoliativa is caused by friction, detergents, and solvents, these factors should be avoided. Creams, especially those with

photochemotherapy
is an option.

Prognosis

In most cases exfoliation resolves spontaneously and no lasting damage is seen. However, some patients experience cracking and even bleeding in extreme cases.

See also

References

External links