Peeling of the skin on the soles in layers
May 15, 2023
Source: Cainiu Health
Dr. Liu Wan
Introduction
Peeling of the skin on the soles in layers may be caused by physiological factors or pathological conditions such as malnutrition and athlete's foot; appropriate treatment should be based on the specific cause. If the soles experience prolonged friction with shoes and socks, the stratum corneum in that area may become thickened. When daily water intake is insufficient, the skin can become excessively dry, leaving the stratum corneum deprived of moisture and hydration.
Peeling of the skin on the soles in layers may be caused by physiological factors or pathological conditions such as malnutrition or athlete's foot. Appropriate management should be based on specific circumstances. The details are as follows:
I. Physiological Factors
If the soles are subjected to prolonged friction from shoes and socks, the stratum corneum (outermost skin layer) in that area may become thickened. When daily water intake is insufficient and the skin becomes excessively dry, the stratum corneum lacks adequate moisture and hydration, which may lead to layered peeling of the skin on the soles. This is considered a normal phenomenon. It is recommended to maintain sufficient daily fluid intake and pay attention to foot hygiene.
II. Pathological Factors
1. Malnutrition
Poor eating habits such as picky or selective eating can lead to deficiencies in essential trace elements, resulting in abnormal metabolism of substances like fats and proteins. This may reduce the skin's natural oil secretion and cause peeling. It is advisable to maintain a balanced diet rich in protein and vitamin-containing foods.
2. Athlete's Foot (Tinea Pedis)
This condition is contagious. Close contact with an infected individual or sharing footwear, socks, or other personal items may allow pathogenic fungi to invade the body. A moist, poorly ventilated environment on the feet accelerates fungal growth, leading to athlete’s foot. As the fungus infects the skin surface, the outer layer of the stratum corneum gradually sheds, causing peeling. Patients are advised to use antifungal medications such as compound clotrimazole cream or urea-vitamin E cream under medical guidance.
In addition, this symptom may also be caused by other conditions such as eczema, dyshidrotic eczema (pompholyx), or keratolysis exfoliativa. It is recommended to use mild, gentle skincare products to moisturize the skin on the feet and prevent cracking, which could worsen the condition.
