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Understanding keratolysis exfoliativa

About

A skin condition in which there is focal peeling of the palms and occasionally of the soles that keep on recurring in few weeks is known as exfoliative keratolysis.

Common during the summer months in about 50% of affected individuals[1]

● Is usually self-diagnosable
● Requires lab tests and image testing for diagnosis.
● Can happen to men and women.
● Medium term: resolves within months.

Keratolysis exfoliativa is also known as dyshidrosis lamellosa sicca, and focal palmar.
It could be common with people who have sweaty palms and it spreads easily. Also, partly prevented by a vaccine. Symptoms increases when peeled hands are exposed to irritants like water, soaps, detergents, and solvents. In this condition skin on palms eventually becomes normal but peeling of skin recurs within a few weeks.

Symptoms

● Peeling of the skin, mainly on the palms and soles
● Small, superficial, air-filled blister on fingers or palms
● Skin becomes red, tender, dry, and cracked
● No pain or itchiness
● Rarely, fingertips become split, and the cracks can go deeper, leading to numbness of the skin

Treatment

Self-Care: You can self-treat by using good moisturizing, wearing gloves, and cleaning hands to protect from irritation. Aggressive moisturization is often the safest and most effective treatment modality.

Medicines: Your doctor may prescribe you with medicines, gels, lotions or creams containing urea, lactic acid, ammonium lactate, or salicylic acid.

Specialists: For better understanding, you can connect with a specialist at mfine who will guide you with the holistic treatment program.

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Dr. Jaidev N.C.

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