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exfoliative keratolysis; keratolysis exfoliativa; lamellar dyshidrosis; recurrent focal palmar peeling; recurrent palmar peeling
Etiology:
- due to excessive sweating & friction
- detergents & solvents
- salt water vs bacteria from fish
Epidemiology:
- normally appears during warm weather
- common in salt water fisherman
Pathology:
- benign
- loss of horny layer of the skin, which protects the underlying layers, leaves skin more vulnerable to dryness & cracking
Clinical manifestations:
- sometimes painful skin condition
- can affect the focal surface of the fingers &/or the palm or soles of the feet
- dry skin & superficial, air-filled blisters
- blisters are easily peeled off & leave reddish, tender areas
Differential diagnosis:
- contact dermatitis
- psoriasis
Management:
- generally no treatment necessary
- creams, especially those with silicone & lactic acid may be helpful
General
keratolysis
exfoliation (desquamation)
References
- Wikipedia: Keratolysis exfoliativa
https://en.wikipedia.org/wiki/Keratolysis_exfoliativa