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Pitted keratolysis

Authoring team

In this condition Corynebacteria infection causes macerated skin over the pressure areas of the foot.

Clinical features:

  • characteristic pits and maceration
  • smell of rotten fish
  • this condition is more common in young men who wear training shoes

Management:

  • breathable footwear
  • topical fusidic acid
  • occasionally oral antibiotic e.g. erythromycin

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