What is the first treatment for pitted keratolysis?

Pitted keratolysis is a superficial bacterial infection that affects sweaty, enclosed areas of the soles. It can cause tiny pits, a strong odour, and softened or macerated skin. Topical Antibiotic Therapy targets bacteria at the surface. Prescription Antiperspirant may be added when sweating keeps returning or makes treatment difficult. The exact medicine and duration depend on the examination, the extent of the pits, and whether the skin is cracked or inflamed.

Wash the feet gently, dry carefully between the toes, change damp socks, and alternate breathable shoes so they can dry fully. Avoid sharing towels or footwear while the area is active. Apply prescribed medicine exactly as directed and do not cover it with occlusive material unless told to do so. A clinician may want to check persistent odour or pits because fungal infection, dermatitis, and other conditions can look similar.

Arrange an assessment if pits or odour persist despite careful drying, or if the skin becomes painful, swollen, cracked, or drains fluid. Seek prompt care when redness spreads, walking becomes difficult, or you have diabetes, poor circulation, or reduced sensation in the feet. These factors can make a foot infection more consequential.

Do the pits fit pitted keratolysis or another foot condition? Should I use a topical antibiotic, an antiperspirant, or both? How should I dry my shoes and protect the skin from cracking during treatment?