Student Pages

Superficial infection caused by Corynebacterium bacteria

Clinical presentation

• Small round pits or erosions of stratum corneum

• Hyperhidrosis greatly enhances growth of these MO’s

• Predominantly on weight-bearing areas

• Heels, forefeet and toe pads

• Accompanied by hyperhidrosis and bromidrosis

• No erythema present

• No inflammation present

• Severe cases can experience burning

Pathophysiology

• Proteolytic enzymes which erode horny layer of skin

Diagnosis

• Made on clinical presentation Pt. history

Treatment

• Treatment selection depends on the severity

• Attention to hygiene very important

           o Treat hyperhidrosis & bromidrosis

           o Footbaths with astringent

           o Antiperspirants spray

           o Absorbent powders

• If mild to severe:

           o Topical antibiotics
    

            o Deodoriser