Condition
Keratolysis exfoliativa
Also called Exfoliative keratolysis, EK
Recurrent peeling of the skin of the palms, and sometimes the soles, common in children and young adults.
At a glance
Who it affects
Often children and young adults with recurrent palm or sole peeling.
What you notice
Peeling, small blisters, redness, dryness, itch or burning.
What may help
May improve with avoiding irritants and clinician-guided care; recurrence varies.
What is keratolysis exfoliativa?
Keratolysis exfoliativa, also known as exfoliative keratolysis, is a skin condition characterised by recurrent peeling of the skin, usually on the palms and sometimes on the soles. It is common, and often appears in young adults and children.
The main symptom is peeling of the superficial layers of the skin, often starting with small air-filled blisters that eventually burst and lead to peeling. The affected area may look red and dry, particularly after the skin has peeled. Some people experience mild itching or a burning sensation. The condition tends to be recurrent, with periods of peeling followed by temporary healing.
What causes keratolysis exfoliativa?
The exact cause is not well understood. Several factors are believed to contribute. Frequent exposure to water, detergents and other irritants can make it worse. Warm weather and excessive sweating may worsen the symptoms. There may be a genetic component, as the condition can run in families.
How is it treated?
Regular use of emollients and moisturisers helps maintain skin hydration and reduce the peeling. Mild topical steroids may be prescribed to reduce inflammation and irritation.
What can you do at home?
Keep exposure to harsh soaps, detergents and other irritants to a minimum, and use gloves when handling such substances. Wearing cotton gloves at night over a moisturiser helps keep the skin hydrated. Keep the skin well hydrated by drinking plenty of water, and use a humidifier in dry surroundings. Because the condition can return, ongoing management may be necessary to keep symptoms under control.
“Exfoliative Keratolysis is generally not a serious condition, and many people find that it improves with proper skin care and avoidance of triggers.” — Dr. D. A. Satish, patient leaflet
How the clinic approaches it
Your doctor may distinguish it from other peeling conditions. Care may reduce symptoms, but recurrence varies.
Points to remember
- Keep hands dry.
- Use protective gloves for irritants.
- Do not peel loose skin.
Book an appointment
One clinic, one address, one number. Skin appointments and ENT appointments are booked the same way.
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