How pitted keratolysis differs in athletes

The condition produces tiny crater-like pits on pressure-bearing areas of the soles, especially beneath the toes and the front of the foot. The pits may join into shallow erosions, and a strong unpleasant smell can occur. Itching is not always prominent, so an athlete may first notice odour, softened skin, or changes after removing sports shoes.

Training, sweating, shared changing areas, tight shoes, and socks that stay damp can keep the skin moist. This pattern differs from a simple blister or dry callus, although more than one foot problem can occur at the same time.

Wash the feet and dry carefully between the toes after exercise. Change socks when damp, rotate breathable shoes so they can dry fully, and avoid wearing the same wet footwear for another session. Use an antiperspirant for feet only if a clinician or pharmacist confirms it is suitable for you.

A clinician may recommend a topical antibacterial treatment and review excessive sweating. Keep personal towels, socks, and footwear separate from others until the problem has improved, and do not scrape the pits or apply harsh household chemicals.

Arrange an examination if pits or odour persist despite keeping the feet dry, if the diagnosis is uncertain, or if the skin is painful. Seek prompt care for spreading redness, warmth, swelling, pus, fever, or difficulty walking, particularly if you have diabetes or reduced sensation in your feet.

Ask whether the sole changes fit pitted keratolysis or another infection, which treatment is suitable for training days, how to control sweating, and when it is reasonable to return to shared sports facilities.