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Ask Dr. S. Attili Your Own Question
Dr. S. Attili
Dr. S. Attili, Dermatologist & Dermatopathologist
Category: Dermatology
Satisfied Customers: 5175
Experience:  MRCP (Dermatology), Int. Board Certification in Dermatopathology
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I have a large amount of small holes in the bottoms of my

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I have a large amount of small holes in the bottoms of my feet (at the heel and ball of the foot where my calluses are the thickest) what could this be and how can I treat it.
Dr.Sasi Attili : Hi. I will do my best to advise. However, please note that this does not substitute an in-person consultation with a doctor.
Dr.Sasi Attili : Are you able to upload pictures?

sorry but no

Dr.Sasi Attili : Are the holes just part of the calluses?
Dr.Sasi Attili : How old are you?
Dr.Sasi Attili : Do you sweat a lot?

I think so , 30




the calluses on the ball of the foot are pretty minor but I they are very prominent there


the holes

Dr.Sasi Attili : Ok. Your description matches a bacterial infection common in people who swear a lot
Dr.Sasi Attili : It is called pitted keratolysis
Dr.Sasi Attili : But I cannot be certain without seeing pics

sorry that I have none to show you but I think that sounds pretty accurate

Dr.Sasi Attili :
Dr.Sasi Attili : This usually responds to applying clindamycin lotion twice a day
Dr.Sasi Attili : It is only available on prescription
Dr.Sasi Attili : Also using antiperspirants on the feed will help a great deal

so I will need to see my doctor then to get the medication

Dr.Sasi Attili : I am afraid so

I also have problems with large cracks at the base of my toes between the toe and the ball of the foot is this related?

Dr.Sasi Attili : This sounds like athletes foot to me
Dr.Sasi Attili : Again commonly associated with sweating

ok that explains a lot

Dr.Sasi Attili : Using terbenafine cream twice daily for 3-4 weeks clears this up
Dr.Sasi Attili : This is available over the counter



how do I prevent these issues from coming back?

Dr.Sasi Attili : By leaving your feet out of socks and shoes to let them air as much as possible
Dr.Sasi Attili : Applying aluminium hydroxide 5% lotion as antiperspirant will also help

I have a tendancy to be barefooted a lot and wear sandals

Dr.Sasi Attili : You can get this OTC
Dr.Sasi Attili : Ok that's good. Maybe you just sweat a lot
Dr.Sasi Attili : So using ye antiperspirant will help

I do sadly


I live in a very humid state

Dr.Sasi Attili : Ok

is there a specific antiperstirant that I should use

Dr.Sasi Attili : Any brand should do

thank you very much


I will take your advise

Dr.Sasi Attili : You are wrlcome
Dr.Sasi Attili : Please remember to rate my answer once satisfied
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