Teledermatology is the delivery of dermatologic health care to remote locations by means of telecommunications and information technology. It facilitates delivery of services by a dermatologist at a different time and place than the patient who receives them. Both real-time videoconferences and store-and-forward systems have proven to be highly reliable and accurate in teledermatologic diagnosis compared to traditional face-to-face diagnosis.

Monday, May 23, 2005

What causes pitted keratolysis and how would you treat this condition?

How would you manage a case of pitted keratolysis?

posted by Dr. Shahbaz A.Janjua at 7:38 PM

2 Comments:

Blogger Dr Ian McColl said...

Dear Shahbaz,
Most cases will respond to oral erythromycin or topical clindamycin lotion.Over time the concentration of Corneybacteria will build up again and keratolysis will occur.
Best wishes

3:17 AM

 
Blogger Dr. Shahbaz A.Janjua said...

Dr.Amor Khachemoune,MD responded,
Thanks for sharing. Almost anything would work. Here is a summary from a short article we wrote 3 years ago.
Treatment:
Our patient was treated with topical clindamycin phosphate (Cleocin T solution) for 10 days with complete healing (see above photo). When managing patients with PK, your aim should be to reduce moisture by instructing patients to wear properly fitting shoes with absorbent cotton
socks. Patients should frequently change their socks and avoid
occluding their feet for long periods of time. In addition, applying antiperspirants
such as aluminum chloride 20% solution is helpful in reducing
hyperhidrosis. Inert antiseptic foot powders may also be used.
Antimicrobial therapy with topical erythromycin or clindamycin applied
to the entire plantar surfaces of the feet is effective. Topical mupirocin(Bactroban), benzoyl peroxide wash or gel, clotrimazole (Lotrimin,
Mycelex), miconazole (Lotrimin AF, Micatin), and Whitfield’s ointment are also effective. Successful treatment with topical antiseptics, such as glutaraldehyde and formaldehyde, has also been reported. Oral
erythromycin is another option, especially for resistant cases. This usually clears
both the lesions and odor in 3 to 4 weeks.

6:35 AM

 

Post a Comment

<< Home