Plantar Hyperhidrosis and Pitted Keratolysis Treated with Botulinum Toxin Injection : Dermatologic Surgery

Secondary Logo

Journal Logo

Advanced Search
COMMUNICATIONS AND BRIEF REPORTS: CASE REPORT

Plantar Hyperhidrosis and Pitted Keratolysis Treated with Botulinum Toxin Injection

TAMURA, BHERTHA M.*,†,‡; CUCÉ, LUIZ CARLOS*,†; SOUZA, RAQUEL LEÃO‡; LEVITES, JACOB‡

Author Information

*General Hospital of the Medical School of the University of São Paulo, São Paulo, Brazil

†Department of Dermatology of the University of Santo Amaro, Santo Amaro, Brazil

‡Department of Dermatology of the Hospital Heliópolis, São Paulo, Brazil

Address correspondence and reprint requests to: Bhertha M. Tamura, General Hospital of the Medical School of the University of São Paulo, São Paulo, Brazil, or e-mail: [email protected].

THE DRUG USED IN THIS STUDY WAS DONATED BY ALLERGAN.

Dermatologic Surgery 30(12 PART 2):p 1510-1514, December 2004.

Abstract

BACKGROUND 

Sulcate plantare keratolysis or pitted keratolysis (plantar keratolysis sulcatum) is a disease that is commonly found in tropical countries. Patients have also reported plantar hyperhidrosis.

OBJECTIVE 

Two patients with pitted keratolysis resistant to topical and systemic treatments are described.

METHODS 

Both patients were injected with botulinum toxin distributed evenly through the plantar extension.

RESULTS 

The response to the treatment was excellent despite using a low dose of botulinum toxin with the plantar keratolysis healing completely.

CONCLUSION 

Hyperhidrosis may be considered the major etiologic factor for pitted keratolysis that does not respond to treatment.

© 2004 by the American Society for Dermatologic Surgery, Inc.

Full Text Access for Subscribers:

Not a Subscriber?

Buy
Request Permissions

You can read the full text of this article if you:

Access through Ovid