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Tinea Pedis

Roland W. Newman II, DO and Bonnie A Buechel, MD, MS Reviewed 06/2021
 


BASICS

DESCRIPTION

  • Superficial infection of the feet caused by dermatophytes

  • Most common dermatophyte infection encountered in clinical practice; contagious

  • Often accompanied by tinea manuum, tinea ungui...

DIAGNOSIS

HISTORY

  • Itchy, scaly rash on foot, usually between toes; may progress to fissuring/maceration in toe web spaces

  • May be associated with onychomycosis and other tinea infections

  • May be complicate...

TREATMENT

Treatment is generally with topical antifungal medications for up to 4 weeks and is more effective than placebo. 
  • Acute treatment

    • Aluminum acetate soak (Burow’s solution; Domeboro, 1 pack to 1...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Avoid sweat buildup along feet. 

Patient Monitoring

Evaluate for response, recognizing that infections may be chronic/recurrent. 

DIET

No restrictions 

PATIENT EDUCATION

REFERENCES

1
Ameen  M. Epidemiology of superficial fungal infections. Clin Dermatol.  2010;28(2):197–201. [View Abstract on OvidMedline]
2
...

ADDITIONAL READING

  • Hawkins  DM, Smidt  AC. Superficial fungal infections in children. Pediatr Clin North Am.  2014;61(2):443–455. [View Abstract on OvidMedline] ...

SEE ALSO

Dermatitis, Contact; Dyshidrosis 

CODES

ICD10

B35.3 Tinea pedis 

SNOMED

  • 6020002 Tinea pedis (disorder)

  • 25956006 Tinea pedis due to Trichophyton (disorder)

  • 43581009 Tinea pedis due to Epidermophyton (disorder)

CLINICAL PEARLS

  • Tinea pedis is often recurrent or chronic in nature.

  • Careful drying between toes after showering or bathing helps prevent recurrences; blow drying feet with hair dryer may be more effec...

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