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Living with Keratolytic winter erythema

A rare skin condition with redness and peeling on the palms and soles that comes back in cold weather.

Understanding Keratolytic winter erythema

Keratolytic winter erythema is a rare skin disease with repeated peeling and redness of the palms and soles that varies with the seasons.

Episodes happen in cold weather, and peeling spreads outward from the palms and soles. It can spread to the backs of the hands and feet, between the fingers and toes, and sometimes to the lower legs, knees, and thighs. Episodes may be preceded by itching and increased sweating. It can occur at a variety of ages.

Signs & symptoms

Symptoms vary from person to person. GARD lists this among the most common:

  • Redness of the skin (erythema)
  • Peeling of the palms and soles
  • Itching before episodes
  • Increased sweating

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include genetic specialists and skin, hair, and nail specialists.

  3. Consider genetic testing

    Changes in CTSB are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Genetic specialists (geneticists); Skin, hair, and nail specialists (dermatologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Children's Skin Disease Foundation
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Can genetic testing for the CTSB gene confirm the diagnosis?
How can I reduce flare-ups in cold weather?
Which skin care options help with peeling and itching?

Quick facts

Symptoms usually starta variety of ages
InheritanceAutosomal Dominant
GenesCTSB

Changes in the CTSB gene cause this condition. It is autosomal dominant, meaning one changed copy of the gene is enough to cause it.

GeneticSkin

Also known as: erythrokeratolysis hiemalis; kwe; oudtshoorn disease; oudtshoorn skin disease; winter erythrokeratolysis

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Keratolytic winter erythemaGARD ID 8275 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Keratolytic winter erythema.

Explore the Keratolytic winter erythema blog

Explore research for Keratolytic winter erythema

Explore actively recruiting Keratolytic winter erythema studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Keratolytic winter erythema with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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