WHAT IS EXFOLIATIVE KERATOLYSIS?
It is a common skin condition where patients present with localised peeling of skin from palms and soles.
Other medical terms used to describe it are- dyshidrosis lamellosa sicca and focal palmar peeling.
It is more commonly found in:
Most of the cases resolve gradually on their own but a few cases may present with deep cracks and bleeding.
The first sign is one or more thin layered blisters on the fingers of palms or soles.
These blisters then burst to leave many scales along with a red, round and tender peeled area. These peeled areas later become dry and cracked.
These lesions are not generally itchy.
The exact cause of exfoliative keratolysis is unknown. Some studies have shown that there is premature separation of 2 layers of skin which gives rise to this condition.
Keratolysis exfoliativa is diagnosed by visualising the skin clinically.
Other supportive investigations includes:
Keratolysis exfoliativa does not improve with topical steroids. Patients are advised to wear protection when exposed to irritants, hand creams containing urea or lactic acid are also advised in some cases.
Homeopathic medicines give very good results with this condition. It even ends the tendency to its recurrence. Some of the common useful remedies are- graphites, mezereum, hepar sulph, arsenic album, psorinum, rhus tox, sulphur, antim crud etc.