RT Book, Section
A1 Usatine, Richard P.
A1 Babcock, Michael J.
A2 Usatine, Richard P.
A2 Smith, Mindy A.
A2 Mayeaux, Jr., E.J.
A2 Chumley, Heidi S.
SR Print(0)
ID 1164353466
T1 Pitted Keratolysis
T2 The Color Atlas and Synopsis of Family Medicine, 3e
YR 2019
FD 2019
PB McGraw-Hill Education
PP New York, NY
SN 9781259862045
LK accessmedicine.mhmedical.com/content.aspx?aid=1164353466
RD 2024/04/16
AB A  34-year-old  man  comes  to  the  office  with  a  terrible  foot  odor  problem.  He  is  wearing  cowboy  boots  and  he  says  that  his  feet  are  always  sweaty.  He  is  embarrassed  to  remove  his  boots,  but  when  the  physician  convinces  him  to  do  so  the  odor  is  overwhelming.  While  breathing  through  the  mouth,  the  physician  sees  the  typical  pits  of  pitted  keratolysis.  His  socks  are  moist  and  the  skin  is  somewhat  macerated  from  the  hyperhidrosis.  His  foot  has  many  crateriform  pits  on  the  heel  (Figure  124-1).  He  is  prescribed  topical  erythromycin  solution  for  the  pitted  keratolysis  and  topical  aluminum  chloride  for  the  hyperhidrosis.  It  is  suggested  that  he  wear  a  lighter  and  more  breathable  shoe  until  this  problem  improves.