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CASE REPORT
Plantar Hyperhidrosis and Pitted Keratolysis Treated with Botulinum Toxin Injection
Bhertha M. Tamura *†‡ , Luiz Carlos Cucé *† , Raquel Leão Souza and Jacob Levites
  * General Hospital of the Medical School of the University of São Paulo, São Paulo;   Department of Dermatology of the University of Santo Amaro, Santo Amaro; and   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: tamurab@uol.com.br.
Copyright © 2004 by the American Society for Dermatologic Surgery, Inc.

THE DRUG USED IN THIS STUDY WAS DONATED BY ALLERGAN.

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.


DIGITAL OBJECT IDENTIFIER (DOI)
10.1111/j.1524-4725.2004.30553.x About DOI

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