What does body odour feel like with pitted keratolysis?

Pitted keratolysis affects the outer skin of the feet, particularly areas that stay warm, damp, and enclosed by shoes. The odour may be sharp, musty, or unusually unpleasant and can return soon after washing when moisture and sweating continue. The skin may feel soft, soggy, or unusually moist. Small shallow pits or crater-like openings can sometimes be seen on the soles, and the affected area may feel slightly tender or itchy, although some people notice little sensation beyond the smell.

The odour comes from substances produced as microorganisms break down sweat and keratin on the skin surface. Most people with Pitted Keratolysis notice body odour, but body odour alone has many possible explanations and does not identify one condition.

Keep feet dry by changing socks when damp, choosing breathable footwear, and allowing shoes to dry fully between uses. Wash the feet gently, dry between the toes, and avoid harsh scrubbing that can irritate softened skin. A clinician can check for pits and discuss an appropriate antimicrobial treatment if the odour persists. Do not share towels, socks, or footwear while the skin is affected.

Arrange a medical review if the smell continues despite careful drying, if pits spread, or if the skin becomes painful, red, swollen, cracked, or draining. Seek prompt care for rapidly worsening pain, fever, or redness moving beyond the affected area, because those features can signal a more serious infection.

Ask whether the sole changes fit pitted keratolysis, whether another foot condition could be contributing, and how long to use the recommended treatment. You can also ask how to reduce moisture at work, during exercise, or inside safety footwear.