What should you know about foot pitted keratolysis treatment?

Pitted keratolysis affects the thick skin of the soles, especially pressure points. Tiny shallow pits may merge into larger eroded areas, and the skin can look softened or pale after sweating. A strong foot odour is common because bacteria break down material on the wet skin surface.

A clinician usually diagnoses it by examining the soles and asking about sweating, footwear, and recurrence. The pits can resemble other causes of peeling or irritation, so persistent symptoms deserve an assessment rather than repeated self-treatment.

Wash the feet gently, dry carefully between the toes, change damp socks, and rotate breathable shoes so they can dry fully. Avoid sharing towels and wear footwear that allows airflow. Do not scrub the pits aggressively, as friction can damage softened skin.

Use topical antibiotic therapy only as prescribed and apply it to clean, dry skin. If sweating keeps the condition returning, a clinician may discuss prescription antiperspirant. Keep using the recommended prevention routine after the smell improves, because surface improvement does not always mean the bacteria have cleared.

Arrange a review if pits spread, walking becomes painful, the skin becomes red or swollen, or symptoms return after treatment. Seek prompt care for pus, warmth extending beyond the affected area, fever, or a wound that is not healing. People with diabetes, poor circulation, or reduced sensation should seek advice early.

Ask how to distinguish pitted keratolysis from athlete's foot or another rash, how long to use the prescribed treatment, whether sweating needs separate control, and how to clean or replace footwear. Mention previous episodes, skin breaks, and products that have irritated you.