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CASE REPORTS
JOURNAL ARTICLE
Plantar hyperhidrosis and pitted keratolysis treated with botulinum toxin injection.
Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.] 2004 December
BACKGROUND: Sulcate plantare keratolysis or pitted keratolysis (plantar keratolysis sulcatum) is a disease that is commonly found in tropical countries. Patients have also reported plantar hyperhidrosis.
OBJECTIVE: Two patients with pitted keratolysis resistant to topical and systemic treatments are described.
METHODS: Both patients were injected with botulinum toxin distributed evenly through the plantar extension.
RESULTS: The response to the treatment was excellent despite using a low dose of botulinum toxin with the plantar keratolysis healing completely.
CONCLUSION: Hyperhidrosis may be considered the major etiologic factor for pitted keratolysis that does not respond to treatment.
OBJECTIVE: Two patients with pitted keratolysis resistant to topical and systemic treatments are described.
METHODS: Both patients were injected with botulinum toxin distributed evenly through the plantar extension.
RESULTS: The response to the treatment was excellent despite using a low dose of botulinum toxin with the plantar keratolysis healing completely.
CONCLUSION: Hyperhidrosis may be considered the major etiologic factor for pitted keratolysis that does not respond to treatment.
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