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Athlete’s Foot vs. Pitted Keratolysis: What’s Causing That Itchy, Smelly Foot Condition

May 25, 2025

 

Foot issues are more common than most people think—and sometimes, they’re more complex than they appear. Two of the most frequently misdiagnosed foot conditions are Athlete’s Foot (Tinea Pedis) and Pitted Keratolysis. They may look similar at first glance, but understanding their differences is crucial for effective treatment.

At Foot Corner, we see countless patients with symptoms like peeling skin, itching, foot odour, and discomfort. A proper diagnosis is key—and that starts with understanding what you might be dealing with.


What Is Athlete’s Foot?

Athlete’s Foot is a fungal infection of the skin, commonly affecting the soles of the feet and in between the toes. It's highly contagious and thrives in warm, damp environments—think sweaty socks, gym floors, and communal showers.

Common symptoms include:

  • Itching, burning, or stinging sensations

  • Red, scaly, or cracked skin

  • Peeling, especially between the toes

  • Foul odour

  • Possible blisters or ulcers in more severe cases

Causes:

  • Fungal species like Trichophyton rubrum

  • Damp footwear and socks

  • Walking barefoot in public spaces


What Is Pitted Keratolysis?

Pitted Keratolysis is a bacterial infection that affects the soles of the feet. Unlike Athlete’s Foot, it’s not caused by fungus but by bacteria such as Corynebacterium, Kytococcus, or Dermatophilus. It’s most common in people who wear tight, non-breathable footwear—like athletes, soldiers, and people in hot climates.

Common symptoms include:

  • Small, crater-like pits or indentations on the soles

  • A strong, unpleasant odour

  • White, moist-looking skin

  • Little to no itching

  • Sweaty feet (hyperhidrosis)

Causes:

  • Bacterial overgrowth due to excess moisture

  • Occlusive footwear

  • Prolonged standing or walking


Athlete’s Foot vs. Pitted Keratolysis: Key Differences

Feature Athlete’s Foot Pitted Keratolysis
Cause Fungal infection Bacterial infection
Location Toes and soles Soles, especially pressure areas
Appearance Red, scaly, peeling skin Pitted, crater-like indentations
Odour May be present Very strong, distinctive smell
Itching Often intense Usually minimal
Contagious? Yes No
Common in Athletes, gym-goers People with sweaty feet

Why a Proper Diagnosis Matters

It’s easy to assume you have a fungal infection and reach for an over-the-counter antifungal cream—but if you’re actually dealing with a bacterial condition like Pitted Keratolysis, that cream won’t help. In fact, it could delay proper treatment and prolong your discomfort.


Consult Foot Corner for a Clear Diagnosis

At Foot Corner, our specialists offer comprehensive foot consultations to determine the exact cause of your symptoms. Using detailed assessments and targeted care, we ensure the right treatment from day one.

✅ Visual and microscopic diagnosis
✅ Personalised treatment plans
✅ Advice on hygiene, footwear, and prevention
✅ Confidential, professional service


Book Your Appointment Today

Don’t suffer in silence. If your feet are itchy, peeling, or smell unpleasant, book a consultation with Foot Corner and get back on track.


📞 Phone: 01784 250 781
📅 Book OnlineHere


Healthy feet start with the right diagnosis. Let Foot Corner take care of yours.