What it is
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 it
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 we treat it
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 you can do
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