keratolysis exfoliativa home treatment

1. Epub 2012 Oct 5. Keratolysis exfoliativa is a common skin condition in which there is focal peeling of the palms and less often the soles. 143-4. Key Takeaway: PubMed. The condition causes a foul odor and itchiness. DermNet provides Google Translate, a free machine translation service. Pitted keratolysis and athletes foot are both conditions that affect your feet. Contact Dermatitis:Contact Dermatitis is a condition that causes acute inflammation of the skin. vol. Fifthly, prolonged exposure to salt water and the bacteria present on sea creatures contributes to skin peeling. When it comes to exfoliative keratolysis treatment, although moisturizers help, more advanced skin therapies may be needed to fully relieve symptoms. Examples of these include urea 20% or 40% cream, ammonium lactate 12% cream, salicyclic acid 6% cream, and lactic acid 12% cream. A few cases witness skin peeling on face as well. British Journal of Dermatology,7(2), 37-39. Keratolysis exfoliativa is a condition that is treatable at home. So extra attention should be drawn to the sweaty parts of the body. Dr. Heidi Fowler answered. Split Fingernails: Symptoms, Causes & Remedies. European Journal of Pediatric Dermatology, 23(2), 125-125. Before that, we should know what it really is. Thanks for visiting Dermatology Advisor. ), Abdel-Hafez, K, Safer, AM, Selim, MM, Rehak, A. Hand dermatitis can be a very difficult condition to diagnosis due to the numerous conditions that mimic one another when presenting on the hands. Your skin pits or forms small indentations because the bacteria (protease enzyme) destroys layers of your skin cells that continuously shed dead skin cells (stratum corneum or the horny layer). Exfoliative keratolysis at the fingers base will often take longer to heal due to frequent skin peeling. It can also fortify the epidermal barrier that may prevent future exfoliative keratolysis outbreaks. Acute exfoliative keratolysis: It is a primary stage of skin peeling of hands. Applying lactic acid hand cream to the skin is one of the more common exfoliative keratolysis treatments. Author: DrAmanda Oakley, Dermatologist, Hamilton, New Zealand, 1999. Skin peels off the feet and around the fingers is also a common indication of Keratolysis Exfoliativa in India. If you wish to read unlimited content, please log in or register below. Australas J Dermatol. If possible, use drugs which can reduce sweating excessively. This can be done by applying the medical ointments like OTC moisturizer on the affected area and then avoiding any water or moisture contact with that affected region. If you have a condition that causes excessive sweating, like hyperhidrosis, your healthcare provider will offer additional treatment for your sweating to prevent pitted keratolysis from returning in the future. Antibiotics could include: Antiseptics like benzoyl peroxide gel or cream can help clear the infection from your feet. There may be an association with underlying atopic dermatitis, thus one may also see a combination of asthma and allergies more frequently. Also, not having a risk factor does not mean that an individual will not get the condition. Keratolysis exfoliativa also known as focal palmar peeling is a common disorder that is rarely reported and often overlooked as hand eczema. It is also recommended to keep the hands clean to keep the bacteria away from getting inside the cracks. In case you come into contact with any allergens, use lotions that will soothe the skin and reduce the itching that is associated with peeling. The infection is characterised by craterlike pits on the surface of the feet and toes. This is common among fishermen but no significant evidence has been correlated to this incident. If you have any concerns with your skin or its treatment, see a dermatologist for advice. Hyperhidrosis Australas J Dermatol. The Licensed Content is the property of and copyrighted by DSM. The cause of development of Keratolysis Exfoliativa is currently unknown. Its becausepeople dont consult a doctor or go to the clinic with this type of minor sickness. In many cases, Keratolysis Exfoliativa may not require any treatment; the condition is also known to spontaneously resolve in a majority of individuals. Use of topical steroids and cortisone cream and even increased levels of prednisone is also effective in treating the problem. There is usually no need for further diagnostic testing, as this is typically a clinical diagnosis; however, in more difficult cases, a potassium hydroxide (KOH) scraping or fungal culture to rule out tinea should be negative and patch testing to rule out allergic contact dermatitis should also be negative. (Provides a description of the microscopic pattern of splitting seen in keratolysis exfoliativa and contrasts these finding with that of familial continual peeling of the skin), Lee, HJ, Ha, SJ, Ahn, WK, Kim, D, Park, YM, Byun, DG. The peeling skin on hands and feet usually occurs when the temperature is hotter than normal. The blisters burst to leave expanding collarettes of scale and circular or oval, tender, erythematous peeled areas. How is keratolysis exfoliativa treated in India? If you suffer from this condition, you will see red plaques on the skin accompanied by skin peeling on feet and other affected areas. Psoriasis: Psoriasis is a chronic condition that affects the skin. When it comes to the blisters, the former is usually air filled while the latter tend to be fluid filled. The most affected areas of the body are usually the fingers and the soles. Lifelong desquamation of the hands and feet. In most cases the condition subsides on its own. The first indication of Keratolysis Exfoliativa in Indians is peeling of the skin. One of the primary signs of the disease starts with bursting blisters, scales that peel and are circular in shape, and areas appear to be cracked and peeled too. A patient complains of dry skin of the palm with initial air-filled blisters on fingers. Keratolysis exfoliativa does not improve with topical steroids, unlike hand dermatitis. Almonds, walnuts, cashew nuts etc. | Find, read and cite all the research you . The peroxide solution should be no more than one part hydrogen peroxide to three parts warm water. Fourthly, although unproven, medical researchers believe that extremely hot climate during summer increases episodes of perspiration. This is a very common disease where the skin starts to peel off automatically causing eruptions and dryness to the palms of hands and, sometimes, to the soles of feet. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event, (https://www.aocd.org/page/PittedKeratolysis), (https://dermnetnz.org/topics/pitted-keratolysis), (https://accessmedicine-mhmedical-com.ccmain.ohionet.org/content.aspx?bookid=2585§ionid=211767935). This oral Soriatane (Acitretin) has been reported as the only one effective drug that has shown improvementwhen used to treat this disease. This process also involves the application of psoralensplant compounds that include trisoralen, 5-methoxypsoralen, and methoxsalen. The hand cream can prevent the excessive scales and dryness that lead to peeling from forming. Keratolysis exfoliativa is distinct from the following conditions. But, this is not suggested till one can endure the pain. Keratolysis exfoliativa. Generally, skin peeling on fingers is a common symptom in Indians. Protection from irritants, wear gloves, good moisturization. How to treat keratolysis exfoliativa? An official website of the United States government. When the blisters present around the palms burst, they cause circular marks leaving cracked skin on fingertips. Adverts are the main source of Revenue for DoveMed. Keratolysis exfoliativa and the mosaic fungus. But, treatment is best during the early episodes. government site. Another medical approach to treat the disorder is photochemotherapy (PUVA). If you are struggling with exfoliative keratolysis or another skin condition, visit a dermatologist or a natural health practitioner familiar with skin problems to learn more about the best treatment approaches available for you. Skin peeling on hands is the first thing your general physician may notice before diagnosing you with Keratolysis Exfoliativa. The patient should be aware of the conditions benign nature and understand that typically, it will improve over time without any treatment. Archives of Dermatology and Syphilology, 23(3), 445-471. The site is secure. Dermatologie, U. M. C. G., & Jonkman, M. F. (2013). A diet rich in Vitamin B may aid in avoiding the condition in India. The latest research on exfoliative keratolysis suggests that there is a link between corneocytes and exfoliative keratolysis. Persistent itching. 2021 Mar;72(3):215-224. doi: 10.1007/s00105-021-04765-w. Epub 2021 Feb 12. Avoiding drying agents, allergens, and irritants by wearing gloves. We do not endorse non-Cleveland Clinic products or services. Just another site Before official website and that any information you provide is encrypted The condition requires no medical test and is detected by a well experienced dermatologist. Pits or tiny indentations in the patch of skin that look like small holes. In most cases, it starts with the advent of summer and ends when simmer departs. The disease is thought about as seasonal as this usually affects young adults during summer. The usage of lotions that are rich in Salicylic Acid and Lactic Acid may prevent infection The pathologist examines the biopsy under a microscope. Unauthorized use of these marks is strictly prohibited. Treatment for pitted keratolysis focuses on removing the bacterial infection from your body. Erythromycin. Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation, mask requirements and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. Symptoms of pitted keratolysis affect your feet, specifically the web spaces between your toes and the ball, heel and soles of your foot. The example can be best explained by skin asthma. A deficiency of Niacin, which is one of the B Vitamins, causes the peeling of skin around the hands and legs. Neri, I., Patrizi, A., Gabrielli, L., Virdi, A., Veronesi, G., Corsini, I., & Guglielmo, A. Keratolysis Exfoliativa is the condition of peeling of the skin around the palms and soles. Causes and Treatment. What Are These Tiny Red Spots on My Skin (Petechiae)? Kawasaki disease MacKee, G. M., & Lewis, G. M. (1931). Athletes foot is a contagious fungal infection that causes an itchy rash on your feet. Advertising on our site helps support our mission. Disclaimer: Results are not guaranteed*** and may vary from person to person***. Some patients may find that this condition is exacerbated by chemical or physical irritants such as water, soap, and detergents. The best material to improve airflow to your feet through your socks is cotton. (https://accessmedicine-mhmedical-com.ccmain.ohionet.org/content.aspx?bookid=2570§ionid=210430286), Visitation, mask requirements and COVID-19 information. The scales are also tender and dry after the skin has peeled off. Treat hyperhidrosis if present. Aggressive moisturization is one of the most important treatments and is often the safest and most effective treatment modality. Our expert physicians and surgeons provide a full range of dermatologic, reconstructive and aesthetic treatments options at Cleveland Clinic. The condition may also be a sign of immune system disorders. Superficial Cutaneous Infections and Pyodermas. #1 Protect from Irritants. vol. The condition causes discomfort in the skin that leads to persistent itching. At the same time, several factors can lead to the skin peeling associated with exfoliative keratolysis. It is thought that for some reason the desmosomes on the corneocytes separate from each other prematurely. The condition may be seen around other parts of the body as well. Initially, it doesnt cause any pain or abnormality but gradually some air-filledblisters take over the skin of palms and/or soles. Speak to a doctor on MFine to know more about its causes and risk factors today! 2014 Jun;150(6):647-8. doi: 10.1001/jamadermatol.2013.9190. It may be more common in those with sweaty palms due to localised hyperhidrosis. Exfoliative keratolysis treatment. Use this soak for a few minutes. No worries! Pediatr Dermatol. Our body demands special care from us. Clinical evaluation of atopic hand-foot dermatitis. Make sure to clean hands to prevent bacteria from spreading and developing as it penetrates inside the open skin and worsesn the situation. A CASE OF CONGENITAL EXFOLIATION OF THE SKIN.(KERATOLYSIS EXFOLIATIVA?). No matter how small and trivial an organ is, we should take good care of that. Tests arent always necessary, as pitted keratolysis has a distinct appearance on your skin, but your healthcare provider might offer tests to rule out similar conditions, which could include: Treatment for pitted keratolysis focuses on removing the bacterial infection from your body. The risk factors for Keratolysis Exfoliativa include: It is important to note that having a risk factor does not mean that one will get the condition. Stay away from skin irritants and allergens that may cause peeling of skin Oakley, A., Exfoliative keratolysis, DermNet New Zealand; How Long Does Exfoliative Keratolysis Last? Intravenous steroids may be given in severe cases, but steroids usage has its own side effects, when used for a long time. It most commonly occurs in young adults and is typically worse in the summer months or with warm weather. Summer is the period when it attacks. However, one has to take psoralen by mouth or apply topical psoralen before exposing oneself to the sun as it is difficult to calibrate the correct amount of exposure. From now on, be watchful towards your health and try these remedies if you ever have exfoliative keratolysis. National Library of Medicine arrow-right-small-blue American Osteopathic College of Dermatology. arrow-right-small-blue If you still have an odor coming from your feet after you wash your feet at the end of the day, its a sign that you have pitted keratolysis. The peeling off the skin in keratolysis exfoliativa worsens when the peeling skin will be associated with harsh chemical irritants. Keratolysis Exfoliativa may be wrongly diagnosed as any of the following skin peeling off conditions: Created for people with ongoing healthcare needs but benefits everyone. The palms of the hands, the tips of the fingers, and soles of the feet are the most often affected areas. Red spots arise on the skin that turn into blisters and finally into ulcers. Registration is free. Youve viewed {{metering-count}} of {{metering-total}} articles this month. In cases like this, it would be recommended to consult a physician for extensive treatment and care but their management can only be limited too as it is best to treat the condition on its early episodes. Connect with a U.S. board-certified doctor by text or video anytime, anywhere. (2020). In extreme cases, a doctor may recommend photochemotherapy, which is a combination of Psoralen and Ultraviolet. The first sign of this condition is constant discomfort on the skin that provokes itching. Can my diet help in avoiding peeling skin? Toxic shock syndrome, Keratolysis Exfoliativas symptoms are quickly noticed and require no lab tests. Antibiotics treat the infection to remove the bacteria from your body. SANGSTER, A. In most cases the condition subsides on its own. Worldwide, there is no racial or ethnic preference observed, A positive family history of the condition is observed sometimes, Keratolysis Exfoliativa is more common during the warm summers. The hands and feet should also always be well cleaned. Topics AZ As a result, the condition will recur since the root of the problem does not get addressed. As a result, the disorder is already difficult to treat. Normal skin gradually develops as the blisters split and new skin forms. If you work in an environment where youre on your feet all day, choose shoes with good ventilation to improve how much air reaches your feet. The condition often causes air-filled blisters that eventually peel, and leaves the skin looking reddish, tender, dry, and cracked. This approach has been present since 1976 and uses ultraviolet rays to treat the condition. The peeling is not limited to the hands and feet. In addition, exfoliative keratolysis treatment will include topical steroids and cortisone creams; topical emollients that contain lactic acid, silicone, and urea; photochemotherapy; and a number of home remedies and natural treatments. The condition isnt constricted to the skin on the hands and face, one may even notice skin peeling on the face. Allergic contact dermatitis (differentiated by its pruritic nature, response to topical steroids, inflammatory appearance with erythema on exam, and a possible exposure history), 4. 2.ICD-10-CM classification code L08.89 5. For example, avoiding irritants such as soap, detergents and solvents can really prevent the condition from recurring again. There is no definitive cure for exfoliative keratolysis. The exact cause of exfoliative keratolysis is not known. 166. After a long day on your feet, you might notice a foul odor coming from your feet, shoes and socks. Others may associate it with hyperhidrosis. 2016 Oct;107(8):702-4. doi: 10.1016/j.ad.2016.03.006. What Is Exfoliative Keratolysis? Recurrent focal palmar peeling. Some believe that it is more frequently associated with underlying atopic dermatitis, while others report an association with primary hyperhidrosis. There are a number of preventative tips that can help you decrease the risk of exfoliative keratolysis symptoms. Antibiotics effectively treat the condition to make the odor go away. Usually, a skin test can determine the real disease. Sometimes on the ends of the fingers, the split in the skin is deeper, in which case the skin feels hard and numb and takes longer to peel off. So, we should take care of the skin and look after the affected area gently. Washing your feet and hands with soap and water when you remove your shoes and socks. Treatment for exfoliative keratolysis typically involves the use of antibiotics or antifungal medications. When the keratin breaks down, the skin loses its strength and begins to shed, or exfoliate. Picture 1: Fingers affected withExfoliative Keratolysis. It is important to explain the natural history of keratolysis exfoliativa to the patient before initiating any treatment. Eating a healthy diet can be a good source of natural components which may heal the skin. Choosing socks and shoes that fit your feet and arent too tight. fix microsoft teams not displaying images and gifs. Exfoliative keratolysis is a common skin condition characterized by recurrent focal palmar peeling that often affects the palms of the hands, the focal surface of the fingers and the soles of the feet.Exfoliative keratolysis is also known by other names such as keratolysis exfoliativa, recurrent palmar peeling and lamellar dyshidrosis. It is important to note that prolonged healing occurs when the blisters centers on the base of the fingers due to consistent shredding and peeling of the skin. It can be treated with an application of coconut oil and keep your hand moist. In such cases, the cracked skin on fingertips takes longer to peel off and heal. EK is a strange skin condition that is not eczema or psoriasis. The number of cases for the condition of skin peeling off the body rises during the summer months and is usually seen in patients who have sweaty palms. Dry skin flakes blister and slough off, leaving behind . The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Your body isnt able to stop future infections (. The difference between the two is that the former only peels and shreds while the latter has an accompanying itchy feeling on the skin. Exfoliative keratolysis. This is your part and enjoy being different. Synthetic materials or blended materials in socks can restrict airflow to your feet. Want to talk to an expert regarding your diet? Keratolysis exfoliativa does not improve with topical steroids, unlike hand dermatitis. Peeling skin syndrome (PSS), or keratolysis exfoliativa congenita, is an unusual autosomal recessive disease characterized by life-long, spontaneous superficial peeling of the skin that may be persistent or periodic.104-106 The Nikolsky sign tends to be positive. No advanced study has been carried out about what might be the cause of exfoliative keratolysis. Updated by Dr Oakley, December 2018. Plant-based applications: Try making a natural homemade exfoliative keratolysis cream with raw honey, shea butter, and coconut oil. One common mistake while doing the diagnosis of this disease is, some doctor confuses it with the following diseases. Pitted keratolysis occurs as a result of a bacterial infection that causes smelly and itchy feet. If you have pitted keratolysis, that odor will still be present after you wash your feet and change your socks and shoes. Drysol, applied to dry skin at bedtime, or oral glycopyrrolate, starting at a dosage of 1mg by mouth 2-3 times daily, may be helpful. Jock itch This problem is more prevalent in younger age groups. The https:// ensures that you are connecting to the Your use of this website constitutes acceptance of Haymarket Medias Privacy Policy and Terms & Conditions. Keratolysis exfoliativa generally presents in young active adults. It is possible that sweaty palms are to blame, as hyperhidrosis in the palms is more common. Acral skin eruption observed during SARSCoV2 pandemic: possible keratolysis exfoliativa with red palms and soles. It may not be possible to prevent Keratolysis Exfoliativa in many cases. A 21-year-old male asked: . There are no associated systemic implications or complications seen in patients with keratolysis exfoliativa. The most common types of bacteria that can cause infection include: These types of bacteria grow and thrive in warm and moist conditions, which is why it commonly affects your feet if youre wearing tight socks and shoes with minimal airflow. In this condition, the skin cells multiply consistently at a speed that is faster than normal. It has been regarded as a subtype of dyshidrotic eczema, a fungal infection or a dermatophytid reaction. Exfoliative keratolysis is a skin condition where there is frequent focal skin peeling on the palms of the hands, the surface of the fingers, and, less often, on the soles of the feet. This article will detail everything you need to know about exfoliative keratolysis causes, symptoms, treatments, natural home remedies, and tips to prevent the condition. The best way to treat the condition is to avoid the causative factors. Federal government websites often end in .gov or .mil. Presently, it is not known to occur from genetic factors, even though a family history is occasionally noted. 8600 Rockville Pike Register for free and gain unlimited access to: - Clinical Updates, with personalized daily picks for you Speak to a dietician on MFine to know how changes in your food can help you address your situation today! Approved by: Krish Tangella MD, MBA, FCAP. I experience it twice in a year. In case it doesnt, a dermatologist will prescribe keratolysis exfoliativa creams and keratolysis exfoliativa ointments. A person suffering from exfoliative keratolysis could experience sores and peeling skin; skin peeling occurs gradually over time resulting in formation of very dry and itchy skin. It can also affect the whole fingers and fingertips at the advanced level. No, pitted keratolysis isnt contagious and cant spread from person to person. vol. Accessibility Lane, J. E. (1919). Last modified on March 2021With inputs from Dr.Vedalatha Kakani, General Physician. Provides a good description of the clinical features of recurrent focal palmar peeling and how to differentiate it from other conditions. PMC On physical examination there are symmetrical, irregular circumscribed annular or circinate patches of superficial scaling on the palms and, less often, the soles (Figure 1). Antibiotics could include: Clindamycin. Young adult people are mostly victims of this disease. Dermatology Made Easybook. The possible complications due to Keratolysis Exfoliativa include: Mild and localized cases of Keratolysis Exfoliativa may not require any medical intervention since the exfoliated areas are generally replaced by normal skin. Also, keep in mind that exposure to soaps and detergents will make exfoliative keratolysis worse. Updated by Dr Oakley, December 2018. One of the more common forms of treatment for exfoliative keratolysis is the application of a lactic acid-infused hand cream. Oatmeal bath this gains improvement when practiced daily, Taking daily Vitamin supplements as weakened immune system predisposes someone to the disorder, Mint application on affected area; mint contains healing properties and has moisturizing effects as well, Pineapple juice applied over to damaged skin, Eating protein rich foods such as meat, liver, carrots as they aid in cell repair, Drinking apple cider vinegar pills and olive extracts, Frequent cutting of fingernails and toenails to maintain hygiene, Avoidance of eating egg as it is a known allergen as well as crustaceans or seafoods. What is the treatment for keratolysis exfoliativa? As use of PUVA can be costly sometimes, some dermatologists recommend exposure to sunlight as it is safer compared to methoxsalen. Keratolysis Exfoliativa is a fairly common skin condition that is characterized by localized peeling (exfoliation) of the outer layers of skin of the palms and soles. PUVA ultimately serves as a last-resort treatment when exfoliative keratolysis becomes too severe. ), Close more info about Keratolysis exfoliativa (Lamellar dyshidrosis, Recurrent focal palmar peeling, Recurrent palmar peeling). Because of this prevalent condition, the disease is sometimes mistaken for eczema. We present a 55-year-old woman with extensive disease on the hands and feet, who failed to respond to standard topical therapy but showed a marked dose-response improvement with the use of oral acitretin. Exfoliative keratolysis There can be multiple layers of peeling skin (lamellae). JAMA Dermatol. These ointments and lotions will help reduce the discomfort that causes itching in the skin. Non-Hodgkins lymphoma First, lets take a look at how the outer layer of the skin, the epidermis, is involved in the development of exfoliative keratolysis. To the best of our knowledge, this report is the first that documents the efficacy of the use of systemic acitretin in KE. Sign Up for the Latest Health News and Tips, Home Skin Care What Is Exfoliative Keratolysis? 2001. pp. Salt water, sun, and other bacteria can cause skin peeling. For an accurate diagnosis of exfoliative keratolysis, a negative result from a patch test is required. While Indian home remedies may give fruitful results, some cases are too severe to be treated with these remedies. The cause of keratolysis exfoliativa is unknown. Exfoliative Keratolysis often called keratolysis exfoliativa or focal palmar peeling is an integumentary disease wherein peeling of the skin occurs, it usually affects the distal parts of the fingers and the palmar toes. 4. Flaky dry skin around the affected area The differential diagnosis of keratolysis exfoliativa includes the following entities: 1. Thirdly, detergents, irritating soaps and sometimes solvents can cultivate exfoliation reactions. Patients should be aware that this treatment is purely anecdotal and data to support its benefit is lacking. When the weather is so hot, it can cause skin peeling that may eventually lead to lamellar dyshidrosis and to prevent that it is strongly advised to apply lotion in the sensitive prone areas such as the fingers and the feet. Policy. Disclaimer. A bacterial infection causes pitted keratolysis. Exfoliative keratolysis is mostly a seasonal disease. When it comes to skin conditions, exfoliative keratolysis is, at times, harmless but also sometimes quite painful. Natural hand soak: Soak your hands in an oatmeal bath for about 15 to 20 minutes daily to help improve exfoliative keratolysis symptoms like dry skin. In turn, the loss of strength causes the skin to exfoliate. Keratolysis exfoliativa (dyshidrosis lamellosa sicca): a distinct peeling entity. While there are no known causes for Keratolysis Exfoliativa, the following are probably what caused skin peeling: A few other conditions that also cause peeling of the skin are: Acne pitted scar treatment. Your healthcare provider will offer treatment to make the bacteria that cause pits in your feet go away, which will ease your fear. However, there are situations that local approach is utilized. Tinea (typically seen with associated changes in the fingernails or toenails, occasionally pruritic, does not wax and wane, positive fungal scraping or culture, and responds to treatment with antifungal agents). When the whole hand and foot peel off it gone for next six months. It could take between two to three days before you start to feel better. Most of the time, when a patient walks in for help, the disease has already worsened and has repeatedly recurred. For this procedure, the patient is contained in a cabinet consisting 24 UVA fluorescent bulbs. This is a very common disease where the skin starts to peel off automatically causing eruptions and dryness to the palms of hands and, sometimes, to the soles of feet. Coconut oil is the best natural moisturizer due to its antimicrobial, antifungal, and antibacterial properties that may speed healing and soothe the skin.

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keratolysis exfoliativa home treatment