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Keratolysis exfoliativa: what it is and how to treat it

Exfoliative keratolysis, also called dyshidrosis lamellosa sicca, recurrent focal palmar peeling, or recurrent palmar peeling, is a skin condition that presents as scaling of the epidermis and affects hands and feet most. It occurs mostly in adolescents and children, more rarely in adults. The causes are not yet well known, but this condition occurs mostly in people who often have sweaty hands and feet or suffer from hyperhidrosis.


What are the symptoms of exfoliative keratolysis and how to find out if you have this condition?

This condition is usually clearly visible on the skin. It begins with the presence of small blisters that, as they burst, leave circular scales on the skin, which appear red and obviously cracked. This condition is usually harmless as it does not present pain, itching or lesions and is confined to the hands and feet.
The only way to be certain that it is this condition is through allergy testing and clinical trials. This disease can often be confused with dyshidrosis itself, in its eczematous variant.


What are the triggers?

The infection that causes the manifestation of this condition can usually be attributed to a damp and closed environment. The tendency to sweat excessively or in wearing heavy, closed shoes are two of the most common causes of keratolysis.


What to do in case of keratolysis?

Unfortunately, there is no cure for this condition. What you can do is to have some precautions while you wait for the symptoms to disappear.

  • Do not use irritants such as detergents and soaps;
  • Always keep your hands and feet as clean and dry as possible;
  • Use specific creams to combat dryness such as our Hand and Foot Cream made with Shea butter and almond and rice oils;
  • Wear socks or cotton clothes that allow the skin to breathe while keeping it dry;