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Tinea Pedis

Elisabeth L. Backer, MD Reviewed 06/2018
 


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 complicat...

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 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
Crawford F, Hollis S. Topical treatments for fungal infecti...

ADDITIONAL READING

  • Gupta AK, Cooper EA. Update in antifungal therapy of dermatophytosis. Mycopathologia.  2008;166(5–6):353–367. [View Abstract on OvidMedline]

  • Hawkins DM, Smidt AC. Superficial f...

SEE ALSO

Dermatitis, Contact; Dyshidrosis 

CODES

ICD10

B35.3 Tinea pedis 

ICD9

110.4 Dermatophytosis of foot 

SNOMED

  • 6020002 Tinea pedis (disorder)

  • 25956006 Tinea pedis due to Trichophyton (disorder)

  • 43581009 Tinea pedis due to Epidermophyton (disord...

CLINICAL PEARLS

  • Treatment with topical antifungal medications for up to 4 weeks usually suffices.

  • Tinea pedis is often recurrent/chronic in nature.

  • Careful drying between toes after showering or bathing...

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