Juvenile Plantar Dermatosis

Juvenile plantar dermatosis (JPD) is characterized by symmetric, shiny, erythema, along with superficial desquamation and fissuring, of the weight-bearing surfaces of the feet that affects children and young adolescents with a recurring course. A personal history of atopy is common. Occlusion and subsequent friction can lead to perspiration and maceration of the feet. It has been hypothesized that transition from "wet to dry" is likely the cause. JPD is self-limiting and usually resolves by 12-16 years of age. Treatments recommendations include use of cotton socks or sandals. Emollients, barrier creams, antiperspirants and topical anti-inflammatory medications provide variable success.