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Pitted keratolysis is a skin condition affecting the soles of the feet.

It affects those who sweat profusely (hyperhidrosis) especially if they wear occlusive shoes or boots for long periods.

The condition is caused by Corynebacteria.

Either the forefoot or the heel or both become white with clusters of punched-out pits.

The appearance is more dramatic when the feet are wet.

Very rarely, the fingers are similarly affected.

There is a variant of pitted keratolysis where there are more diffuse red areas on the soles.

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