Parish JL (2000) Treponemal infections in the pediatric population. Clinics in Dermatology i8(6):687-700

Pitted keratolysis. Pits on the plantar aspect of the foot

Corynebacterium or Actinomyces; under appropriate conditions (i.e., prolonged occlusion, hyperhidrosis, increased skin surface pH), bacterial proliferate and produce proteinases that destroy stratum cor-neum, creating pits; malodor secondary to production of sulfur-compound by-products

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