Concluded Case

How can we effectively treat these type of chemical burns?

19yr old female housekeeping staff by profession came to OP with complaints of severe burning sensation and pain in both feet. h/o exposure to cleaning agent one day before, o/e multiple porous lesions on both soles. Kindly give your valuable opinion & management.

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Concluded answer

Dear dr Awais Ilyas These are not burns Yes it is PITTED KERATOLYSIS Seen commonly in house maids and Wasserman These are bcz of bacterial infection Hence Rx Clindamycin oint twice daily locally Lobate-s oint twice daily If needed orally clindamycin 300mg 1bd Tab fexofenadine180mg 1od Ask to avoid water contact Or detergents Adv to use emolients or moisturisers frequently and work with footwears

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Dear dr Awais Ilyas These are not burns Yes it is PITTED KERATOLYSIS Seen commonly in house maids and Wasserman These are bcz of bacterial infection Hence Rx Clindamycin oint twice daily locally Lobate-s oint twice daily If needed orally clindamycin 300mg 1bd Tab fexofenadine180mg 1od Ask to avoid water contact Or detergents Adv to use emolients or moisturisers frequently and work with footwears

Thanx dr Pranab Bera
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Tab.Chymoral forte....BD for 5 days Tab.Levocetrizine.......BD for 5 days Tab.Becasule- z .........OD 1 st clean it with antiseptic let it dry then Apply silverex cream with bandaging Avoid exposure to same chemicals or any & try avoid contact with water.. Antibiotics no need but... add it if infective changes occurs.

Thank you doctor.
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PITTED KERATOLYSIS Wash with antiseptic lotion both soles of feet regularly. Use socks and shoes for working time. Oral antibiotics are ERYTHROMYCIN, CLINDAMYCIN , MUPIROCIN also recommend . Drysol Lotion apply locally. Avoid tight shoes and socks.

Thanks Dr Parvez Ansari Sir.
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? PITTED KERATOLYSIS.. NEED'S.. TOPICALLY.. OINTMENT.. MUPIROCIN.. OR .. CLINDAMYCIN.. ERYTHROMYCIN.. KEEP FEET.. DRY & CLEAN.. USE OF COTTON SOCKS IS USEFUL ..

Thank you doctor.
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Pitted keratolysis with skin maceration. Chronic cumulative ICD. Other than medication, Switch Job or Position.

Valuable opinion.
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Aseptic cleaning. Silver Sulfadiazine cream. Antibiotics x 5 days. NSAID.

Thank you doctor.
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Dear Dr. Awais Ilyas Sir, Apply Shatdhaut ghruta.

Thank you @Dr. Partha Sarathi Sahana Sir.
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@ pitted keratolysis