Pitted Keratolysis

Figure 4.11 A: Erythrasma B: Erythrasma (Wood’s light) C: Pitted keratolysis (Courtesy of Dr. Paul Getz) D: Pitted keratolysis (Courtesy of Dr. Paul Getz)
Figure 4.11
A: Erythrasma
B: Erythrasma (Wood’s light)
C: Pitted keratolysis
(Courtesy of Dr. Paul Getz)
D: Pitted keratolysis
(Courtesy of Dr. Paul Getz)
(Figure 4.11C, D)
  • Noninflammatory infection due to Corynebacteria spp. or Kytococcus sedentarius (previously called Micrococcus)
  • Bacteria produce keratin-degrading proteases
  • Presents with asymptomatic shallow crater-like depressions over weight-bearing areas of feet, accompanying hyperhidrosis and malodor
  • Treatment: topical clindamycin, erythromycin, or benzoyl peroxide