Juvenile plantar dermatosis

Juvenile Plantar Dermatosis (JPD), also known as Sweaty Sock Syndrome, is a skin condition primarily affecting the plantar surface (sole) of the foot in children. It is characterized by dry, cracked, and peeling skin on the soles, and sometimes the palms, of young individuals. The exact cause of JPD is not well understood, but it is believed to be related to excessive sweating and friction within the shoe environment, leading to skin irritation and breakdown.

Etiology

The etiology of Juvenile Plantar Dermatosis is multifactorial. Factors contributing to its development include:

• Excessive sweating (hyperhidrosis)
• Poorly ventilated footwear
• Synthetic socks which do not absorb sweat effectively
• Frequent exposure to water or damp conditions
• Atopic dermatitis or eczema predisposition

Clinical Features

JPD presents with several distinctive clinical features:

• Redness and shiny appearance of the skin on the soles
• Cracks and fissures, which can be painful
• Peeling and scaling of the skin
• In some cases, involvement of the palms

Diagnosis

Diagnosis of Juvenile Plantar Dermatosis is primarily clinical, based on the appearance of the skin and the history provided by the patient or caregivers. In some cases, a skin biopsy may be performed to rule out other conditions such as fungal infections or psoriasis.

Treatment

Treatment of JPD focuses on reducing symptoms and preventing further skin damage. Recommendations may include:

• Use of emollients and moisturizers to hydrate the skin
• Wearing 100% cotton socks and well-ventilated shoes
• Minimizing exposure to water and damp environments
• Topical steroids for severe inflammation

Prognosis

The prognosis for Juvenile Plantar Dermatosis is generally good, with many children outgrowing the condition by adolescence. However, symptoms can recur, especially if contributing factors such as excessive sweating and poor footwear choices are not addressed.

Prevention

Preventive measures for JPD include:

• Ensuring children wear breathable footwear and natural fiber socks
• Avoiding excessive foot washing
• Applying moisturizers regularly to the feet

See Also

• Atopic Dermatitis
• Contact Dermatitis
• Hyperhidrosis