How common is body odour in pitted keratolysis?

Pitted keratolysis affects the outer layer of skin, most often on the soles and weight-bearing areas. Bacteria break down the surface and can produce a strong smell. Small shallow pits or crater-like marks may be easier to see when the feet are wet, while the skin may feel soft or soggy after time in closed shoes. Odour tends to be worse with heavy sweating, prolonged shoe wear, or footwear that does not ventilate. Smell without pits is not enough to establish the diagnosis because several foot conditions can overlap.

Wash the feet gently, dry carefully between the toes, and change socks after sweating. Rotate shoes so they can dry fully, and choose breathable footwear when practical. Avoid sharing shoes, socks, or towels. A clinician may recommend a topical antibacterial treatment and a plan to manage excessive moisture. Do not cut into the pits or use harsh acids at home, since damaged skin can become more irritated and vulnerable.

Book an assessment when foot odour continues, pits deepen, walking becomes uncomfortable, or the skin is peeling or sore. Get prompt medical advice for spreading redness, warmth, swelling, pus, or an open wound. If you have diabetes, circulation problems, or reduced feeling in your feet, have persistent changes checked early. Fever or rapidly increasing pain needs urgent attention.

Do the pits and smell fit pitted keratolysis? Could another foot problem be present as well? Which antibacterial product should I use, for how long, and how can I control sweating and shoe moisture?