A problem that often accompanies hyperhidrosis is pitted keratolysis. This is a skin infection, that is not contagious, which causes a number of ‘pits’ in the keratin of the skin, hence the name pitted keratolysis. The short term treatment is usually with topical antibiotics, but is generally unsatisfactory over the longer term as the main risk factor (hyperhidrosis) is not fixed with the use of antibiotics. The only satisfactory treatment long term for pitted keratolysis is ongoing good self-management of foot hygiene to reduce or eliminate the hyperhidrosis.
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