Exfoliative Keratolysis

Exfoliative keratolysis also known as ‘keratolysis exfoliativa’, and ‘focal palmar peeling’ is a common skin condition that causes the skin of the palms and soles of foot to peel off. Exfoliative keratolysis aggravates during summer, and most often affects teenagers. Sometimes, on the end of a finger, the split on the skin may be deeper, and it can make the skin feel numb and hard, and can take longer time to peel off.

Exfoliative keratolysis may be lead by pompholyx, which is an itchy form of eczema having small fluid-filled blisters.

Exfoliative keratolysis (EK) can be initially identified with air-filled blisters apparent on the palms, fingers or soles of feet. With time, these blisters rips open and leaves small collars of peeled scales of skin. The skin beneath becomes tender, dry and red. EK is usually not itchy.

Condition of EK can be confused with another autoimmune skin disorder, called “psoriasis“, which causes scaly patches of the skin.

The symptoms of EK generally aggravates if exposed to irritants. Such irritants may include detergents, soap, solvents and water. In due course, normal skin forms, but exfoliative keratolysis recurs frequently.

Exfoliative Keratolysis

Exfoliative Keratolysis

Exfoliative Keratolysis Causes
There is no known cause that causes this skin condition, but factors believed to be responsible include genetic factors and allergy. Though stress may not be the leading factor for EK, but it can trigger or aggravate the condition to make it worse.

Exfoliative Keratolysis Treatment

Topical steroids are often given exfoliative keratolysis. Intravenous steroids may be given in severe cases, but steroids usage has its own side effects, when used for a long time. The following may be helpful:

  • Protect the affected area from irritants
  • Use emollient hand creams, which contain silicone, lactic acid or urea
  • Photochemotherapy – a technique used to boost the immune system.

Conclusion:

Exfoliative keratolysis is not a disease that aggravates to such a condition that may cause a threat to life. By maintaining proper lifestyle and avoiding the irritants, the pain or tenderness of this skin condition can be reduced.

Comments

  1. Exfoliate Keratolysis does have cure!!!!
    Indian Hemp Grease,glob it on day and night the more the better!
    Also Iv been taking apple cider vinergar pills and olive tree extract to help the body from the inside to kill this curse iv had for 30 years!next grab some syrup and mix it wirh apple cider vinergar evenly and dip ur hands into it for 10 mins at a time daily,also before a shower spray ur self with vinegar all over so the fungus has nowhere to hide,carefull with the fumes,u will feel clean and new down to ur thoughts!lastly use baking soda toothpaste to catch any fungus hiding in the teeth.

  2. Mike Newcombe says:

    Hi,
    I have had EK for 10yrs now and have tried all the cures listed to no avail, i started trying to work out what is causing it, it appears on hands and feet so logic states what’s on your hands and feet but no where else? Answer nails, when i have EK bad i also notice a change in my nails (they get thicker and harder to cut, samples of skin from effected areas test negative to fungal infection).
    I decided to start trying something new, I cut my finger/toe nails short and have kept them short, then twice a day (morning and evening)i applied antiseptic tea tree nail solution (made by Optima under the name Australian tea tree)on the top of my nails and crucially under the cut short nails where the skin meets the nail.
    I have stopped using Urea cream and steroid cream and my skin has improved to such a point i felt it only fair to share my descovery, i must also point out i am a manual worker and have suffered this condition quite badly until now.
    I hope this works for you as well as it has for me. Tea tree has more antiseptic/anti fungal strength than carbolic acid.

  3. I am 20 years old and have suffered from this my entire life. Doctors always told me never to use harsh soaps and detergents so I avoided them at all costs, opting for ‘soap free’ products instead. I can safely say now however that I have not had this happen in a year from performing one simple routine. Thourough hand washing.
    I began studying nursing a year ago and obviously a requirement of this is clinical handwashing with hospital grade soaps. I was scared to wash my hands as I thought they would get worse but within a week my skin had cleared up. I now do at least 2 clinical hand washes each day and the skin on my hands has been perfect ever since! I’m not saying that this will work for everyone but for me it has been my cure.
    I notice that if I do not wash my hands as much the skin will begin to peel again, but I will just step up the hand washing and it goes away before it gets bad.
    Always moisturise after washing though!

  4. I, too, suffer from exfoliative keratolysis but have discovered some things that work for me. Quite by accident, I discovered that eating peanut butter daily kept my symptoms mostly at bay but not completely gone. Then I started taking hyaluronic acid for knee pain and my symptoms completely disappeared. If I stop taking the hyaluronic acid, the symptoms reappear. My cholesterol, triglycerides and LDL are very low and my HDL is high. I have wondered if this problem arises from not enough fatty acids in my diet. Does anyone know if any studies have been done looking at this?

  5. I also have Exfolitive keratolysis, which started 5 yrs ago after the removal of a massive ovarian brenners tumor and ovaries were removed. I find that my symptoms disapeer if I stop eating eggs. (from chickens). If I eat one flour tortilla I get a break out. Ive also researched and found that this could be from a mineral and vitamin difficiency. Ive also taken calcarea sulfurica, a homeopathic remedy, which seemed to help a lot!

  6. This all sounds exact,lay like me. I have had these symptoms recurrently for 30 years. The odd thing is that it is only on my left hand, my dominant hand. I have even had my nails have dents as they come away from the cuticle and fall off as the dent grows out.

  7. Had Ek for a few years now, it’s usually bad in summer and bearable in winter. I’ve realised that during hot season I tend to shower or be involved in water based activities a lot more than in cold seasons. I have started using gloves while showering, cut off some water activities and keeping my skin moisturised all of the time. skin seems to get better.
    Some precaution (works for me)
    – wear Gloves every time you have a shower make sure you seal off on the wrist.
    -keep hands moisturised
    -always use gloves protect your hands from irritants, like soap, or friction from weights at the gym, or tools if you are a handy person.

  8. Julie Tuggle says:

    I found a product called salted coconut hand scrub that polishes off the little bits of dry skin and moisturizes. It’s by LUSH cosmetics. Some of the lotions leave my hands feeling greasy and this hand scrub washes off.

  9. I have suffered from EK for 3 years now. Tryed every emollient cream outhere including corticosteroids. ..to no avail.
    Than l started to do some research on skins conditions and what l have founed is that allmost all of them are not caused by external factors but rather internal . Your skin is the biggest organ in the human body and when something is wrong on an internal level it will let you know though external symptoms. All major autoimmune skin conditions are actually caused by a compromised gut flora! YES you are what you eat. So l started taking care of my intestinal flora and after only 2 months my skin improved faster and better than in 3 years after using tens of emollients and corticosteroids. All l did was to take probiotics and Indian herbal antibiotic which is an excellent blood purifier ! My fingers are almost entirely clear and my condition has improved a great deal. I’m not an expert but ut worked for me so l do recommend you try it.

  10. Princess Piselli says:

    Nice content, I will share this

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