Successful Homeopathic Management of Pitted Keratolysis : A Case Report

Pitted keratolysis is a superficial bacterial infection of the stratum corneum, commonly seen in individuals with hyperhidrosis and poor foot hygiene. It presents with shallow pits on pressure areas of the feet, foul odor, and whitish maceration. The condition is caused by bacteria such as Corynebacterium and Kytococcus species. Diagnosis is primarily clinical, supported by Gram stain and Wood's lamp if needed. Allopathic treatment involves topical or oral antibiotics and antiperspirants. In homeopathy, a constitutional approach is taken, and in this case, Silicea 30C was prescribed based on the totality of symptoms.