| Juvenile plantar dermatosis | |
|---|---|
| Other names | Atopic winter feet, Dermatitis plantaris sicca, Forefoot dermatitis, Moon-boot foot syndrome, and Sweaty sock dermatitis[1] |
| Specialty | Dermatology |
Juvenile plantar dermatosis is acondition usually seen inchildren between the ages of 3 and 14, and involves thecracking and peeling ofweight bearing areas of thesoles of the feet.[1]
One of the earliest descriptions was made by British dermatologistDarrell Wilkinson.[2]
The anterior portion of the sole and the plantar surfaces of the toes are the areas most commonly impacted.[3] The dorsal surface of the toes, the heels, and the fingertips are other occasionally afflicted locations. The spared web gaps between the toes is a defining trait of juvenile plantar dermatosis. The symptoms of a lesion are bright, red, dry spots. Scaling and fissuring may be visible in chronic situations.[4]
It is unclear exactly what causes juvenile plantar dermatosis (JPD) and how it develops.[5] JPD is frequently observed in "atopic" children, or those withhay fever,asthma,atopic dermatitis, oreczema.[6] The warm summertime temperatures can make it worse.[4]
JPD does not have a particular treatment. Avoiding too much moisture by wearing breathable shoes and avoiding shoes altogether are examples of management techniques. This lessens the effects of occlusion and friction, which encourage cutaneous peeling and cracking, and may assist to decrease perspiration. While they are often used to reduce acute inflammation,topical corticosteroids do not appear to have a direct impact on the etiology. Recurrence is therefore frequent aftercorticosteroid medication is stopped.[5]
Juvenile plantar dermatosis (JPD) affects children aged 3 to 15,[3] but is more commonly observed in boys aged 4 to 8.[4]