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Pitted keratolysis

This is  a bacterial infection affecting the soles.  It is usually noticed by the patient as small eroded areas.  The typical patient usually notices increased sweating with an increased odor.  It is caused by a bacteria called micrococcus sedantarius while some workers believe a bacteria called Dermatophilus congolensis may be implicated.  Small circular erosions are seen on the heels, forefoot and web spaces are seen.

No  investigations  are  necessary as the clinical picture is typical.  

Treatment:-

Measures should be made to counteract increase sweating see HYPERHIDROSIS

Topical antibiotics like Fucidin ointment, clindamycin, erythromycin, benzoyl peroxide gel are effective.  Other treatments that also clear up the erosions are clotrimazole miconazole ( both are available over the counter-please ask your pharmacist )

PITTED KERATOLYSIS  - CLICK HERE