This image shows a typical case of pitted keratolysis on the bottom of a foot and toes. This image displays numerous, dark, fine depressions typical of pitted keratolysis. This image displays numerous pits that are often associated with increased sweating and foot moisture. This image displays numerous, fine pits caused a bacterial infection in pitted keratolysis. This image displays the subtle pits, or depressions, in the skin of the foot typical of pitted keratolysis. This image displays "pits" of pitted keratolysis that appear flat and not as deep pits.
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Picture of Pitted Keratolysis: This image shows a typical case of pitted keratolysis on the bottom of a foot and toes. Divider line
This image shows a typical case of pitted keratolysis on the bottom of a foot and toes.
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Signs and Symptoms
The most common locations for pitted keratolysis include:
  • Pressure-bearing sites on the soles of the feet, especially the heels
  • Non-pressure-bearing sites on the soles of the feet
  • Palms of the hands
In these areas, the condition appears as white patches studded with small (0.5–5 mm), shallow pits in the superficial skin. These pits can sometimes join together (coalesce) to form larger, crater-like lesions.

Pitted keratolysis may occasionally be itchy or painful. The foot odor often associated with pitted keratolysis may be socially embarrassing.
Last Modified: 29 Jan 2008
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