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Tinea Pedis

William Andrew Pleasant, M.D., Chirag N. Shah, MD and Daniel Scott Morrison, Doctor of Medicine Reviewed 05/2023
 


BASICS

DESCRIPTION

  • Superficial fungal infection of the skin of the feet caused by dermatophytes

  • Most common dermatophyte infection encountered in clinical practice; contagious

  • Often accompanied by tinea ...

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. (1)[A
  • Acute treatment

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

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
Thomas B, Falk J, Allan GM. Topical management of tinea pedis. Can Fam Physician. 2021;67(1):30.
2
Ward H, Parkes N, Smith C, et al. Consensus for the Treatment of Tinea Pedis: A Systematic ...

ADDITIONAL READING

  • Crawford F, Hollis S. Topical treatments for fungal infections of the skin and nails of the foot. Cochrane Database Syst Rev. 2007;3:CD001434

  • ...

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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