Current medical treatment: I have a case of Pitted Keratolysis, and have decided to try to self treat with a regime of 17%salicylic acid, 10% benzoyl peroxide cream, and 500 unit per gram bacitracin ointment, along with tap water ionotophoresis to control my sweating.
You shouldn’t try any self-treatment without a doctor’s recommendation and supervision.
First, you can do something to decrease the humidity in your feet. You can limit the use of occlusive footwear and reduce foot friction with properly fitting footwear. Absorbent cotton socks should be changed frequently to prevent excessive foot moisture. Wool socks tend to whisk moisture away from the skin and may be helpful. In some cases, reducing any associated hyperhidrosis with the application of a roll-on antiperspirant, 20% aluminum chloride solution, may be helpful.
Local (topic) antibiotics are effective because Plantar Pitted Keratolysis is, in fact, a bacterial infection of the skin surface. Twice daily applications of erythromycin or clindamycin (solutions or gel formulations) are effective. Topical mupirocin is also effective. For cases resistant to topical antibiotic treatments and/or associated with hyperhidrosis, the use of botulinum toxin injections has been effective.
Effective treatment of pitted keratolysis clears both the lesions and odor in 3-4 weeks.
You should consult a dermatologist about this.
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