Is peeling skin on the feet without itchiness athlete's foot?
Peeling on the feet without itchiness is generally due to hyperkeratosis type athlete's foot. This condition commonly affects the palmoplantar regions and the heel, where the skin is dry with noticeably thickened stratum corneum. The surface is rough and flaky with deepened skin lines. In winter, the skin can crack and even bleed, potentially causing pain, but usually, there is no itching. There are three common types of athlete's foot. Besides hyperkeratosis type, there are vesicular and interdigital maceration types. The vesicular type usually occurs on fingertips, palms, and sides of the feet, characterized by pinhead-sized blisters deep in the skin. These blisters have clear fluid, thick and shiny walls that are not easily ruptured. Blisters may cluster or spread out and can merge into larger blisters. Once the blister roof is torn off, it reveals a honeycomb-like base and a fresh red erosion. After several days, the blisters dry up, leading to a collar-shaped scaling, with the lesion continuously spreading peripherally, and recurrently characterized by scaling. This type has notably more itching. The interdigital maceration type is common in finger and toe webs, especially among individuals who sweat excessively, wear rubber shoes for prolonged periods, and is more prevalent in summer. This condition also features significant itching and can have a foul odor due to secondary bacterial infection.
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