ATHLETE'S FOOT (Tinea Pedis; Ringworm of the Feet) |
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General Information
DEFINITION--A common, contagious fungus infection of the skin on the feet between the toes (usually 4th and 5th toes). It is especially common among athletes.
SIGNS & SYMPTOMS
Moist, soft, gray-white or red scales on feet, especially between toes.
Dead skin between toes.
Itching in inflamed areas.
Damp, musty foot odor.
Small blisters on the feet (sometimes), caused by a hypersensitivity to the fungus.
CAUSES & RISK FACTORSInfection by a TRICHOPHYTON fungus or yeast. Contributing factors include:
Use of locker rooms and public showers.
Infrequent washing of the feet.
Infrequent changes of shoes or socks.
Hot, humid weather.
HOW TO PREVENT
Observe good locker-room hygiene (see Appendix 4).
Bathe feet daily. Dry thoroughly, especially between the toes, and dust with talc or antifungal powder.
Go barefoot when possible.
Change shoes and socks daily.
Wear socks made of cotton, wool or other natural, absorbent fibers. Avoid socks made with synthetic fibers.
WHAT TO EXPECT
DIAGNOSTIC MEASURES
Your own observation of symptoms.
Medical history and exam by a doctor.
Laboratory culture and microscopic examination of scales.
SURGERYNot necessary nor useful for this illness.
NORMAL COURSE OF ILLNESSUsually curable in 3 weeks with treatment, but recurrence is common.
POSSIBLE COMPLICATIONS
Secondary bacterial infection in the affected area.
"Id" reaction (an allergic autoimmune response to the infection) on hands and face. This is rare.
HOW TO TREAT
NOTE -- Follow your doctor's instructions. These instructions are supplemental.
MEDICAL TREATMENTSee your doctor if infection is severe or persistent.
HOME TREATMENT
Remove scales and material between the toes daily.
Keep affected areas cool and dry. Go barefoot or wear sandals during treatment.
MEDICATION
Use non-prescription antifungal powders, creams or ointments after each bath.
For severe cases, your doctor may prescribe:
Oral antifungal medication.
Corticosteroid drugs if an "id" reaction occurs.
ACTIVITYNo restrictions.
DIETNo special diet.
CALL YOUR DOCTOR IF
You have severe symptoms of athlete's foot that persist, despite self-treatment.
You develop fever or the infection seems to be spreading or complicated by a bacterial infection.
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