Skin DiseasesExfoliative Keratolysis: Causes, Symptoms, and What to Do
Exfoliative Keratolysis: Causes, Symptoms, and What to Do in Lithuania

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Frequently asked questions
Is exfoliative keratolysis contagious?
No — it is not infectious. The condition is not caused by bacteria or viruses and cannot spread to family members or colleagues.
Why does exfoliative keratolysis worsen in summer?
Heat and sweating soften the outer skin layer. As it dries, the cells detach more easily, producing the characteristic peeling. Summer activities (sports, outdoor work) also increase friction on the hands.
How do I tell exfoliative keratolysis apart from eczema or a fungal infection?
Eczema typically causes more itching, redness, and weeping. Fungal infections often show ring-shaped red borders, affect the feet and nails, and may have an odor. Keratolysis is usually less inflamed and primarily on the palms. A dermatologist can confirm the diagnosis.
Which moisturizer works best?
Look for emollients that restore the skin barrier — formulas containing urea, lactic acid, or silicone are commonly effective. Consistency matters most: apply after every hand wash and before bed, regardless of the specific product.
Is exfoliative keratolysis dangerous?
Generally no — it is harmless. Neglected skin can develop painful cracks that raise the risk of secondary bacterial infection, but consistent moisturizing and irritant avoidance usually prevent this.
What if the condition keeps returning despite good care?
Persistent or frequent recurrence warrants a dermatologist visit. There may be an unidentified trigger at work, contact allergy, or a condition (like palmar hyperhidrosis) that responds to targeted treatment — light therapy or sweat management, for example.
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Article by
Anna Tunkeviča

Medical content reviewed by
Živilė Bolevičienė(Dermatologist)



