From the Research
Juvenile plantar dermatosis is a common skin condition affecting children's feet that can be effectively managed with simple interventions, as recently outlined in the 2022 review on Diagnosis and Management of Plantar Dermatoses 1.
Diagnosis
The condition typically affects children aged 3-14 and is characterized by dry, cracked, red skin on the weight-bearing areas of the feet, as described in earlier studies 2, 3. It occurs due to rapid transitions between wet and dry environments, causing skin barrier disruption. The condition is not contagious or allergic and usually improves or resolves during adolescence as sweat gland function matures.
Treatment
Treatment focuses on keeping the feet dry, applying moisturizers regularly, and avoiding irritants.
- Use petroleum jelly (Vaseline) or thick emollients like CeraVe, Eucerin, or Aquaphor on the feet immediately after bathing while the skin is still damp.
- Apply these moisturizers 2-3 times daily, especially before bedtime.
- Wear 100% cotton socks, avoid synthetic materials, and change socks frequently if feet sweat.
- Choose breathable footwear and avoid occlusive shoes like rubber boots or plastic sneakers. During flare-ups, a mild topical steroid like 1% hydrocortisone cream can be applied twice daily for up to 7 days, although some studies suggest that topical corticosteroids may not be required or useful in all cases of juvenile plantar dermatosis 4.
Management
It is essential to note that the aetiology of juvenile plantar dermatosis is probably multifactorial, involving atopy, frictional factors, and frequent alternation between a hot and wet microclimate and a dry one 5. An allergic contact dermatitis can cause secondary deterioration of existing juvenile plantar dermatosis, making it crucial to consider patch tests in specific situations. However, the recent review 1 provides practical advice for diagnosing and treating the most common plantar dermatoses, including juvenile plantar dermatosis, in the primary care office. Therefore, a comprehensive approach to management, including lifestyle modifications and targeted treatment, is recommended to improve outcomes and quality of life for children with juvenile plantar dermatosis.