Home remedies for pitted keratolysis

Pitted keratolysis is a bacterial condition affecting the thick skin of the soles, especially areas exposed to sweat, heat, and prolonged shoe wear. Tiny shallow pits or crater-like depressions may appear, and odour can be prominent. The skin may feel softened or macerated rather than simply dry. Body odour from another source, eczema, or a fungal foot problem can look different, so a diagnosis matters before choosing a remedy.

Wash feet daily and dry carefully between the toes and across the soles. Change damp socks promptly and choose breathable footwear; rotate shoes so they can dry fully before reuse. Avoid sharing towels, socks, or shoes, and wash items that become sweaty. An over-the-counter antiperspirant may help some people manage moisture, but stop if it causes irritation and ask a clinician how to use it safely. Do not scrape the pits or apply undiluted acids, bleach, or strong household disinfectants. Medical care may include Topical Antibiotic Therapy, and Prescription Antiperspirant can be considered when sweating keeps returning.

Book an assessment if pits, softened skin, or odour persist despite careful drying, or if the problem keeps returning. Seek prompt help for spreading redness, swelling, warmth, drainage, marked pain, fever, or difficulty walking. People with diabetes, reduced circulation, or reduced sensation in the feet should obtain advice early because foot skin problems can worsen without obvious warning.

Do the pits fit pitted keratolysis or another foot condition? Is a topical antibiotic appropriate? How can I control sweating and reduce recurrence?