Pitted Keratolysis- a common & curable cause of smelly feet
What is Pitted Keratolysis?
Pitted Keratolysis is a common cause of smelly feet. But unless you look closely you may not realise you have it. Several different bacteria may be to blame, including Corynebacteria, Dermatophilus Congolensis, and Micrococcus Sedentarius.
What are the symptoms of Pitted Keratolysis?
Pitted Keratolysis causes particularly bad foot odour or smelly feet, and on closer inspection you’ll see lots of small “pits” on soles of the feet (tiny round shallow holes in the surface of the skin). Often these are most obvious on the thicker skin of the weight bearing areas. Sometimes these pits join up to form larger lesions.
Who gets Pitted Keratolysis and why does it happen?
Anyone can get it, though it’s more common in men, possibly due to getting sweaty feet from physical work, particularly if wearing non-breathable footwear. The pitting happens because the bacteria produce enzymes which break down the outer layers of skin, and the foot odour is caused by sulphur-based substances released by the bacteria.
How do you treat Pitting Keratolyisis?
To alleviate the pitting and smelly feet, there are a number of things you can do.
Simple self-treatment of Pitting Keratolysis:
A few simple steps may help get rid of Pitting Keratolysis, and should be continued after the infection settles, to prevent it happening again.
- Avoid wearing non-breathable footwear that causes your feet to sweat
- Wear moisture-absorbing insoles- have a few pairs so you can rotate them on a daily basis
- Wear cotton socks, and change them every day
- Try to wear open footwear like sandals or thongs when you can.
- Wash your feet twice a day with soapy water and/or water containing antiseptic (e.g Betadine, Dettol etc)
- If you have very sweaty feet, a roll-on 20% Aluminium antiperspirant may be used on a daily basis also.
- Wash socks in a high temperature machine wash- it has been recommended that temperatures over 60C are needed to kill Corynebacterium from fabric.
Topical Antibiotics
A variety of antibiotic creams can help. They usually need to be applied twice a day for 3-4 weeks to clear the infection fully.
Oral Antibiotics
Oral antibiotics are rarely required, but in severe cases may need to be considered.
There are other causes of smelly feet, including fungal infections. Certain forms of eczema and other infections may cause an unpleasant odour.
If you’re not sure what is causing your foot odour, speak to your GP, podiatrist or pharmacist.
Article Resources
Do breast implants cause cancer?
Do breast implants cause cancer? What is Breast Implant Associated Anaplastic Large Cell Lymphoma? Breast Implant Associated Anaplastic Large Cell Lymphoma (BIA-ACLC) has been in the news of late. [...]
Is it ok to take HRT (Hormone Replacement Therapy)?
Is it OK to use HRT (hormone replacement therapy) ? Not infrequently, I have a newly diagnosed breast cancer patient who has been on HRT (Hormone Replacement Therapy). The [...]
What’s the best cure for a hangover?
What's the best cure for a hangover?? Why does alcohol cause a Hangover? Most adults have experienced a hangover at some time in their lives- the tremulous vomiting, the violent headache, the [...]
How to treat Head Lice
How to treat Head Lice What are Head Lice? Head Lice are small insects that live in human hair and feed on blood from the scalp. Outbreaks are very [...]
What is Bali Belly?
What is Bali Belly? causes prevention treatment What causes Bali Belly? Bali Belly is also known as “Traveller’s Diarrhoea” It comes from eating contaminated food [...]
Painful fingers in the winter? It could be Chilblains
Painful fingers in winter? It could be Chilblains What are Chilblains? Chilblains are caused by repeated exposure to cold air, leading to inflammation of the small blood vessels in [...]