Wednesday, October 26, 2011

Tinea Pedis (Athlete's Foot)


Etiology
Tinea pedis is a superficial fungal infection of Epidermophyton, Trichophyton, Microsporum and Candida albicans, which is transmitted by direct contact or indirectly. This disease is a common infection. Hot and humid air, as well as a narrow shoes often make the infection at the ankles, soles and between toes.


Clinical Overview
There is usually itching of the area in between the toes, especially between the third finger with the fourth and fifth to fourth with, or on the soles. The infection is usually acquired from contact with keratin debris containing fungal hyphae. It sometimes happens that wide dissemination to the soles of the feet and the side of the foot (also called 'moccasin tinea pedis', because similar to the shape of the soft leather shoes). The disease is also spread to the back foot. Sometimes tinea pedis follow the pattern of the episodic emergence vesicobullous lesions on the soles of the feet, which mainly occurs in warm weather. Fungal infections on the feet is often asymmetric, very different from the symmetrical eczema.


Differential Diagnosis
Candidiasis, Acrodermatitis perstans, Pustular-bacterid.


Prognosis
Prevention and treatment are adequate to give a good prognosis.

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