When A Patient Presents With Malodorous, Macerated Feet

By M. Joel Morse, DPM

   Gels seem to be somewhat more effective than lotions but may be significantly more irritating if the inflammation and pitting are particularly severe. Physicians have used several acne medications such as benzoyl peroxide as well. 3 Other topical applications include mupirocin (Bactroban, GlaxoSmithKline) and clotrimazole (Lotrimin, Schering-Plough) or Mycelex, Bayer).

   For patients with severe cases, one may commonly use oral antibiotics. I prefer to use erythromycin 333 mg TID for 10 days. Others recommend oral Cleocin.

   As with all cases of pitted keratolysis, patients should always wear boots or shoes for a short time and wear socks at all times. They should also wash their feet with soap twice a day and not wear the same shoes two days in a row.

Dr. Morse is the President of the American Society of Podiatric Dermatology. He is a Fellow of the American College of Foot and Ankle Surgeons, and the American College of Foot and Ankle Orthopedics and Medicine. Dr. Morse is board certified in foot surgery.

For further reading, see “How To Handle Common Skin Dermatoses” in the September 2002 issue of Podiatry Today.
To check out the archives and get reprint information, visit www.podiatrytoday.com.


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