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Author: Dr Amanda Oakley, Dermatologist, Hamilton, New Zealand,1999. Exfoliative keratolysis is a common skin condition in which there is focal peeling of the palms and less often the soles. It is also known as âkeratolysis exfoliativaâ, dyshidrosis lamellosa sicca, and âfocal palmar peelingâ.
It is a long-term disease that can produce scaly, thick, flaky, red, and itchy palms or skin. Rashes will also appear behind the knees, on the feet, inside of elbows, and on the face. The condition is associated with hay fever and asthma. Stress may also lead to episodes of itchy palms related to atopic dermatitis. Contact dermatitis: