I have had great results with regular debridment of the pitted areas and
then used Low level light therapy LLLT for about 2 mins with a 46
cluster probe at 20HZ. I have erradicated it in several patients.
Regards
Jacqui
-----Original Message-----
From: A group for the academic discussion of current issues in podiatry
[mailto:[log in to unmask]] On Behalf Of Alec Mason
Sent: 17 June 2004 14:46
To: [log in to unmask]
Subject: Pitted Keratolysis
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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