Pitted keratolysis is a common problem in the foot of athletes who have feet that sweat excessively. Pitted keratolysis is a bacterial infection that makes the skin more macerated and white in appearance and causes s patch of small pits or cavities. The treatment of pitted keratolysis is to use topical antibiotic to manage the infection and then use good foot hygiene practices to reduce the sweating so the problem does not happen. The good foot hygiene practices for pitted keratolysis include going barefoot as often as possible to allow the sweat to evaporate; the use of absorbent socks and insole to wick away from the skin the excessive sweat; the use of astringents and powders to further control the sweating. Unfortunately the problem of pitted keratolysis is long term and ongoing.