Exfoliative Keratolysis is a superficial exfoliative dermatosis of the stratum corneum of the palms and metatarsals, for which medications are usually considered.
Exfoliative keratolysis is a seasonal hand peeling that occurs in the spring and summer months. It is often characterized by recurrent episodes of scaling and peeling on the palmoplantar areas. Initially, they are pinhead-sized white dots, formed by the loosening of the epidermal stratum corneum with the underside, usually without inflammatory changes. The disease has a tendency to self-heal and may resolve naturally. If symptoms are not obvious, no special treatment is usually required.
If the symptoms are more obvious, topical 0.025% retinoic acid cream and 3% salicylic acid ointment can be used with some effect. Mild emollient creams, such as petroleum jelly ointment, can also be used to moisturize and protect. If recurrent episodes affect daily life or the condition is more serious, drugs such as vitamin A can be taken orally.
The above medications should be used under the guidance of a doctor. Children with exfoliative keratolysis should seek prompt medical attention and standardized treatment.