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Juvenile Plantar Dermatosis (sneaker dermatitis)

Juvenile plantar dermatosis is the name given to a skin problem on the feet of children. Juvenile plantar dermatosis is seen most often in boys aged four to eight. It then tends to gradually improve. It is usually most severe during the summer months. Occasionally the hands develop similar signs. Juvenile plantar dermatosis is often seen in 'atopic' children, i.e. those who have atopic dermatitis (eczema), asthma, or hay fever. Their skin seems generally more sensitive than others. The sole of the forefoot becomes shiny and glazed. The top of the toes and other parts of the feet may also be affected. The toe webs are spared. The skin becomes scaly. Painful cracks (fissures) develop under the toes and on the ball of the foot. These may take many weeks to heal. The problem is related to friction. Friction is greater when the foot moves up and down in a shoe, especially when the foot is sweaty.