Dear All.
I treated a young diabetic chap the other day, he presented with
uncomfortable pitted keratolysis on the plantar surface of both heels. He
has fairly obvious hyperhidrosis - his GP prescribed potassium permanganate
footbaths although he doesn't like the resultant discolouration. I gave him
comprehensive advice on how to to tackle hyperhidrois but has anyone any
experience of using topical antibiotics to treat the keratolysis? I've read
that 2% erythromycin solution/gel can be effective as well as topical
clindamycin or topical mupirocin (bactroban). Not sure how often these
should be applied or for how long though? Would be grateful for any
suggestions. (ps he has good vasc/neuro status).
Regards.
Alec Mason
BSc (Hons) SRCh MChS
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