Dot keratolysis is usually described as a very common infection of the foot skin, sometimes many holes or cavities in the toes. This problem is caused by bacteria in the Escherichia coli variant. Wet shoes or boots are usually worn for a long time, such as work clothes, military boots or boots. When there is too much sweat, punctate cutin dissolution is more common. The accumulation of moisture is an environment where bacteria can grow, often accompanied by foot odor. The puddles formed by excessive sweating and bacterial infection are similar to the pinholes on the feet. Usually, the soles of the feet and the skin tend to turn white. The diameter of the hole is usually 1 to 5 mm and is shown as round and shallow. Generally, your feet will be affected. These holes or sunken holes observed in sunken keratolysis are generated by bacteria, which release enzymes, causing damage to the outermost layer of skin keratin dysfunction. The decomposition of skin will produce sulfur compounds that can cause foot odor. These microorganisms breed in a dark, warm and humid environment in shoes, so this problem continues until the final solution. Pointed keratolysis may have very similar characteristics to athlete’s foot hyperhidrosis, so podiatrists will make some assessments and observations to distinguish which is the specific cause of this problem.

The practical strategy for the treatment of sunken keratolysis is usually to control the infection and control the risk factors of inducing infection. The infection is best treated with local antibiotics. They can be obtained from pharmacists or doctors’ prescriptions. It depends on how strong the drug should be and how much the sunken cornea is dissolved. Antibiotics are generally not recommended. This kind of antibiotic is generally beneficial, but its function is not good if you do not pay attention to foot care and the unsuitable warm and humid environment that bacteria like. Wash your feet with soap and water at least every day, especially between your toes. The use of alcohol baby wipes can also help wipe your feet after washing them. It is recommended to dry barefoot for as long as possible after completing this task. If boots must be used, it is useful to change wet socks more than once a day. The antiperspirant provided by the pharmacist also helps keep your feet dry. Once the sunken cornea is initially stabilized, prevention is very important. Your feet still need to be washed and antiperspirant used. Moisture absorbing insoles can be used for shoes or work shoes. The powder of socks is also used to help absorb unnecessary sweat.