Pitted keratolysis is a skin condition that affects the soles of the feet and is characterized by the appearance of small, shallow pits or depressions on the skin. The condition is caused by the overgrowth of certain types of bacteria, particularly Corynebacterium species, in the moist and warm environment of the sweaty feet.
There really is no one treatment for pitted keratolysis, but there is a suite of approaches that all probably need to be used if you want to get rid of the pitted keratolysis:
Keep feet dry:
Moisture and sweat can exacerbate the condition, so it’s essential to keep the affected area as dry as possible. Use absorbent foot powders or antiperspirants to reduce sweating. Wear breathable footwear: Choose shoes made of breathable materials like cotton or leather that allow proper ventilation for your feet. Use socks that can help absorb the moisture and replace them several times during the day.
Practice good foot hygiene:
Wash your feet daily with soap and water, and make sure to dry them thoroughly, especially between the toes.
Use topical treatments:
Topical antibiotics or antiseptics to help clear the infection. Some common medications include clindamycin, erythromycin, or benzoyl peroxide. This on its own is usually not enough and it is important to deal with the moist environment inside.
These agents help remove the top layer of dead skin cells, which can contribute to the formation of the pits. Salicylic acid and alpha hydroxy acids are examples of keratolytic agents. The pits in the skin will return quickly if the sweaty feet are not addressed.
Give your shoes a chance to dry out thoroughly between wears by rotating them. Avoid occlusive footwear: Shoes that trap moisture and sweat, like rubber or plastic shoes, should be avoided.