Tinea Pedis (Athlete’s Foot)
Introduction
It is a common fungal infection of the toes and is often the source of infection at other sites.
Signs & symptoms
The acute form presents with
Erythema
Maceration between the toes, sometimes accompanied by painful vesicles
The chronic form is characterized by;
Scaling
Peeling
Erythema between the toes and can spread to other areas of the foot
Diagnostic criteria
The acute form presents with
Erythema
Maceration between the toes, sometimes accompanied by painful vesicles
The chronic form is characterized by;
Scaling
Peeling
Erythema between the toes and can spread to other areas of the foot
Investigation
Treatment
-
Non-Pharmacological treatment
- • Frequent change of socks/footwear,
• Use of cotton socks,
• Keep as dry as possible the spaces between toes after bathing always. Sseparating the opposing skin surfaces (e.g. with a piece of gauze) will help speeding healing
-
Pharmacological
- oClotrimazole cream 1% apply 12 hourly for 2 weeks
OR
oMiconazole cream 2%apply 12 hourly for 2 weeks
OR
oTerbinafine cream apply once daily for 7days
AND
oGentian Violet once daily for 5 days for bacterial super infection
Alternatively,
oTerbinafine (PO) 250 mg/day for 2 weeks
OR
oItraconazole (PO) 400 mg/day for 1–2 weeks
Prevention
• Frequent change of socks/footwear,
• Use of cotton socks,
• Keep as dry as possible the spaces between toes after bathing always. Sseparating the opposing skin surfaces (e.g. with a piece of gauze) will help speeding healing
Updated on,
3 Novemba 2020 10:38:35
References
- 1.stg