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Tinea pedis is a dermatophytosis of the feet, whereas tinea manus affects the palmar and interdigital areas of the hand. Tinea manus may be acquired by direct contact with an infected person or animal, the soil, or autoinoculation. Usually bilateral with patchy or diffuse scaling limited to the thick skin, soles, and the lateral and medial aspects of the feet, this is also known as “moccasin-type” tinea pedis. Unilateral tinea manuum commonly occurs in association with hyperkeratotic tinea pedis, resulting in the “two feet-one hand syndrome” .
The vesiculo-bullous and acute ulcerative types commonly produce a vesicular id reaction, either as a dyshidroticlike distribution on the hands or on the lateral foot or toes. For vesiculo-bullous lesions, examination of the roofs yields the highest rate of positivity on KOH examination.
Histologically, hyperkeratotic tinea pedis or tinea manuum is characterized by acanthosis, hyperkeratosis, and a sparse, chronic, superficial perivascular infiltrate in the dermis.
Tinea pedis is a foot infection due to a dermatophyte fungus, more commonly known as ringworm. The diagnosis of Tinea pedis is confirmed through clinical inspection by microscopy and culture of skin scrapings.
If treatment is unsuccessful consider consulting your doctor as there may be an untreated infection, reinfection from contact with spores in your surroundings or clothing, an untreated infected family member, or an alternative explanation for your symptoms such as dermatitis or psoriasis. All material on this website is protected by copyright, Copyright © 2009-2016 by DermDiagnosis LLC.
Interdigital spaces can be affected by several organisms at once, including both tinea and candida.
Patients with cellulitis should have a thorough inspection of the skin of the lower legs including the feet and nails. Recurrence is common and patients need to be advised to keep feet well aerated by wearing breathable footwear and leaving shoes off around the home. Topical treatments - these have a low cure rate but may be suitable for treating distal nail infection (as opposed to involvement of the nail matrix) or superficial white infection.
Tinea Pedis is a common condition that is characterized by inflammation and flaking of the feet. These symptoms can arise in the toes as well in other regions of the body such as palms, heels and in the spaces between the fingers. Athlete’s Foot is the most common type of fungal infection that is popularly known as Tinea infection.
The diagnosis of Tinea Pedis is mainly based on the appearance of the skin of the affected region. The treatment of Tinea Pedis involves use of antifungal creams and powders that are available over-the-counter.

Mild cases of the condition respond well to treatment and usually last only for a short time. Use of medications for treatment of this disease may also give rise to complicated side effects. Allowing air-drying of feet after swimming or bathing can be effective in keeping fungal infection at bay.
Wearing flip-flops or sandals at public pools or showers can avoid fungal infection of the toe. Sprinkle drying or antifungal powders on the toes and soles of your feet before putting on shoes or immediately after coming back from a public shower or pool.
The prevalence of tinea pedis is approximately 10 percent, primarily attributable to modern occlusive footwear, although increased worldwide travel has also been implicated.
However, it is nearly always associated with tinea pedis and occurs most commonly in the hand used to excoriate the feet. When tinea manus extend to the dorsum of a hand, it assumes the clinical pattern of tinea corporis . Vesiculo-bullous forms display spongiosis, parakeratosis, and sub-corneal or spongiotic intraepithelial vesiculation. Melanoma is the leading cause of cancer death of women in their 20s and second only behind breast cancer among women in their 30s? The presence of tinea can act as a route in for the bacterial infection causing cellulitis. The scrapings should be sent to microbiology either in a commercial sample pack or in folded black paper held by a paper clip. Topical treatments need to involve the soles of the feet as well as the interdigital spaces. Know all about the causes, symptoms, diagnosis, treatment and preventive measures of this disease.
Other medical terms for this condition are Interdigitalis, Dermatophytosis Palmaris and Plantaris. Some of these are beneficial to the physical system and may assist in bodily functions, such as the intestinal bacteria. However, medical tests may be performed in cases where rise of many symptoms makes diagnosis difficult. In case of severe infections that persist for two to four weeks, stronger treatment is needed.
Tight garments and socks refuse air drying of sweat and a moist body provides the perfect environment for fungal growth. Once a person has been infected by Trichophyton fungus, he or she can easily transmit it to another person.

If you notice redness and inflammation of your feet and find them warm to touch, contact a doctor immediately. The incidence of tinea pedis is higher among those using communal baths, showers, or pools.
Oral antifungals are often required for treatment due to the high incidence of concomitant onychomycosis and relapse. The condition is most frequently due to trichophyton rubrum, trichophyton interdigitale, or epidermophyton floccosum. Moccasin tinea is extensive hyperkeratonic tinea, which causes dry scaling of the sole, heel and sides of the foot (but not the top) and does not include inflammation. The infection generally affects the feet but may spread to other parts of the body such as the groin. The name “Interdigitalis” indicates that the condition may also affect the palms of hands other than the toes and soles of feet. Athlete’s Foot occurs when there is a rapid multiplication of a certain kind of fungus in the body. The medicine should be continued for one to two weeks even after the infection has resolved.
Antifungal medicines such as topical drugs like Terbinafine or Ketoconazole may be used for Athlete’s Foot treatment. People who do not dry their feet well or wear tight-fitting trainers commonly suffer from this problem. Preventive measures as well as long-term medical care are required to cure persisting cases of Athlete’s Foot.
Check out these Tinea Pedis images to know how a foot affected with this disorder looks like.
Some people are particularly prone which may be because they are more exposed to the spores at home or during recreational activities, their skin produces less fatty acid (a natural antifungal agent), they wear occlusive footwear, they wear the same pair of socks or shoes for long periods, they sweat excessively (hyperhidrosis), they have some form of immune deficiency such as HIV, or they have poor circulation resulting in cold feet.
If secondary bacterial infections arise along with fungal attack, as commonly happens due to scratching the infected region, antibiotics may be used in treatment for Tinea Pedis.
Walking barefoot over wet, warm surfaces such as locker room floors and shower stalls can increase chances of catching this infection.
Clusters of blisters or pustules on the sides of the feet or insteps may form in some versions or round dry patches on the top of the foot.

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