The loss of this horny layer of the skin, which protects the underlying layers, leaves the skin more vulnerable to dryness and cracking. The first sign of keratolysis exfoliativa is one or more superficial air-filled blisters on the fingers or palms.

Another very common cause has been reported from salt water fishermen, who often suffer from these symptoms.

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Keratolysis exfoliativa (also known as "lamellar dyshidrosis",[1] "recurrent focal palmar peeling",[2] "recurrent palmar peeling"[1]:212[2]) is a sometimes harmless, sometimes painful skin condition that can affect the focal surface of the fingers and/or the palm or soles of the feet.

On the other hand, some patients experience cracking and even bleeding in extreme cases. Lee YC, Rycroft RJ, White IR, McFadden JP. Recurrent focal palmar peeling. , 1999. Sometimes on the ends of the fingers, the split in the skin is deeper, in which case the skin feels hard and numb and takes longer to peel off. Most often this condition recurs in a matter few weeks and seldom reported due to its largely asymptomatic nature. The first sign of keratolysis exfoliativa is one or more superficial air-filled blisters on the fingers or palms. Due to excessive sweating and friction, in for example athletic shoes, the skin can start to exfoliate. Other factors that can cause exfoliation are detergents and solvents. James, William; Berger, Timothy; Elston, Dirk (2005). DermNet provides Google Translate, a free machine translation service. These peeled areas lack a normal barrier function and may become dry and cracked. No immediate cause has been associated with Exfoliative Keratolysis to … Causes. It may be more common in those with sweaty palms due to localised hyperhidrosis. Supportive investigations may be undertaken. Eventually normal skin forms, but frequently exfoliative keratolysis recurs within a few weeks. Other factors that can cause exfoliation are detergents and solvents. Rash in Corner of Mouth: Angular Cheilitis and its Treatment, Heat rash in Babies: Best ways to Treat and Prevent, Minocycline Topical Foam 1.5% Approved by FDA for Rosacea, What is Maskne (Mask Acne): Its Treatment and Prevention, Use emollient hand creams, which contain silicone, lactic acid or urea. Exfoliative Keratolysis can rarely present as painful where it leaves behind red inflamed underlying layers of skin. Exfoliative keratolysis. Keratolysis exfoliativa is distinct from the following conditions. Keratolysis exfoliativa is more common during the summer months in about 50% of affected individuals. Keratolysis exfoliativa normally appears during warm weather. Sponsored content: melanomas are notoriously difficult to discover and diagnose. You can't! 2015 Dec 16;21(12). » However, they are not generally itchy. 2012 Nov;167(5):1076–84. Keratolysis exfoliativa does not improve with topical steroids, unlike hand dermatitis. shows cleavage and partially degraded corneodesmosomes within the stratum corneum. Keratolysis exfoliativa generally presents in young active adults. Australas J Dermatol. Keratolysis exfoliativa (dyshidrosis lamellosa sicca): a distinct peeling entity. Keratolysis exfoliativa is diagnosed clinically. Br J Dermatol. Primary Care Dermatology Society.

Treatment of Exfoliative keratolysis. Due to excessive sweating and friction, in for example athletic shoes, the skin can start to exfoliate. Contact us to sponsor a DermNet newsletter. DermNet NZ does not provide an online consultation service. Your email address will not be published. It is thought that for some reason the desmosomes on the corneocytes separate from each other prematurely. Keratolysis exfoliativa is more common during the summer months in about 50% of affected individuals. It is not a severe skin disorder. Updated by Dr Oakley, December 2018. With your help, we can update and expand the website.

Epub 2012 Oct 5.

PubMed PMID: Chang YY, van der Velden J, van der Wier G, et al. Updated by Dr Oakley, December 2018. Author: Dr Amanda Oakley, Dermatologist, Hamilton, New Zealand, 1999. The blisters burst to leave expanding collarettes of scale and circular or oval, tender, erythematous peeled areas. [3] It is characterized by dry skin and superficial, air-filled blisters. Skin Care Blogs by DermaTalk. Right now we don't know the cause behind it. See smartphone apps to check your skin. If you have any concerns with your skin or its treatment, see a dermatologist for advice. » There can be multiple layers of peeling skin (lamellae). Normally, exfoliation is restricted to a particular area and normal skin will replace the exfoliated parts, so no treatment is needed. Dermatol Online J. The leading primary care society for dermatology and skin surgery. There is no severe harm from this condition recorded yet. Keratolysis exfoliativa — codes and concepts. Creams, especially those with silicone and lactic acid are also helpful. DermNet NZ does not provide an online consultation service. Tension, stress might also cause the skin problems or aggravate any underlying instances of skin infections. Photochemotherapy – a technique used to boost the immune system.

It may be more common in those with sweaty palms due to localised hyperhidrosis.

Lack of research and mild severity is the reason even no genetical abnormality is recorded yet. Home 1996 Aug;37(3):143–4. PubMed PMID. Another very common cause has been reported from salt water fishermen, who often suffer from these symptoms. If you have any concerns with your skin or its treatment, see a dermatologist for advice. https://en.wikipedia.org/w/index.php?title=Keratolysis_exfoliativa&oldid=951609669, Creative Commons Attribution-ShareAlike License, This page was last edited on 18 April 2020, at 00:10. Treatment was initiated with 1,000 mg/m 2 of cyclophosphamide and 300 mg/m 2 of carboplatin on day 1, as well as 10 μg/kg of granulocyte-macrophage colony-stimulating factor every 12 hours on days −6 to −2 and days 2 to 15 three weeks postoperatively. In most cases exfoliation resolves spontaneously and no lasting damage is seen. Keratolysis exfoliativa. It is also known as exfoliative keratolysis, dyshidrosis lamellosa sicca, and focal palmar peeling. Eventually normal skin forms, but frequently exfoliative keratolysis recurs within a few weeks. It is often misdiagnosed as chronic contact dermatitis or psoriasis. It is not sure whether it is from the salt water or whether it is from some bacteria from fish. Exfoliative keratolysis could be triggered by genetic disposition to skin infections; this may happen after skin is being exposed to some outside factors. In severe cases, photochemotherapy is an option. Exfoliative keratolysis can also be called “focal palmar peeling” or “keratolysis exfoliativa.” In generic terms it’s known as the “skin peeling disease.” One big problem with EK is that sufferers often delay a doctor’s visit because the condition is not usually painful. doi: 10.1111/j.1365-2133.2012.11175.x.

Since keratolysis exfoliativa is caused by friction, detergents, and solvents, these factors should be avoided. Note that this may not provide an exact translation in all languages, breadcrumbs Exfoliative keratolysis also known as ‘keratolysis exfoliativa’, and ‘focal palmar peeling’ is a common skin condition that causes the skin of the palms and soles of foot to peel off. The cause of keratolysis exfoliativa is unknown. These blisters can be peeled off very easily and will leave reddish, tender areas.

Microscopy reveals cleavage within the outside horny layer of skin, the stratum corneum. Topics A–Z Exfoliative keratolysis aggravates during summer, and most often affects teenagers. Hausauer AK, Cohen DE. No genetic abnormality has been detected to date (2018). Keratolysis exfoliativa normally appears during warm weather. During the second cycle of treatment, diffuse erythroderma, desquamation, and peripheral blood eosinophilia developed. The symptoms are aggravated by exposure to irritants including water, soap, detergents and solvents. Keratolysis exfoliativa is a common skin condition in which there is focal peeling of the palms and less often the soles. Some individuals have a family history of the disorder.

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