Tips on dealing with a malodorous affliction

PITTED keratolysis is a skin disorder that usually affects the pressure-bearing aspects of the plantar surface of the feet (forefoot), and occasionally the palms of the hand as collarettes of scale.

It is associated with an appalling smell and excessive sweating (Figures 1 [below] and 2 [above]).

The disorder is also associated with multiple small of clusters of punched-out pits, lesions or larger shallow craters on the skin (Figure 2, above). The manifestation is worse when the feet are drenched.

The cause is superficial bacterial infection.

Note that this condition can be confused