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» Home » CAD » Infectious Disease » Fungal Skin Infection » Tinea Pedis
Background
A dermatophyte fungus infection of the feet known as tinea pedis or foot worm affects the soles and interdigitates clefts of the nails, and toes. Athlete’s foot is another name for it.
Trichophyton rubrum, a dermatophyte that was historically endemic to various regions of Africa, Asia, and Australia, is the culprit behind the infection. Today, though, the organism is still present throughout the Americas and Europe.
Epidemiology
Dermatophyte infections of the leg clefts may afflict ten percent of the general population. It is primarily blamed on wearing occlusive footwear for extended periods of time.
As the occurrence of tinea pedis is seen to be greater in patients using community baths, pools, and showers using sanitation facilities is likely to raise the odds of infection. Adult males are more likely than females to have the disease. One study found that the average age of onset was fifteen years.
Anatomy
Pathophysiology
Tinea pedis infection is likely caused by the blockage of foot clefts, maceration, and damp environments together with a growth in the microflora. This illness is influenced by skin deterioration, temperature, and humidity.
The fungus invaded the skin’s keratin layer by releasing keratinase enzymes. Additionally, mannans, which block the body’s immunological response, are found in the cell walls of dermatophytes.
Etiology
Trichophyton rubrum primarily causes tinea pedis. Additionally engaged are Epidermophyton floccosum and Trichophyton interdigitale. Tricholosporum violaceum is another sporadic agent. About 70% of the cases are caused by T. rubrum.
Risk elements consist of
Etiology
Genetics
Prognostic Factors
As long as safeguards are taken, the prognosis is favorable. A risk factor for tinea infestations is hyperhidrosis. The sufferer should be instructed to completely dry their toes after taking a bath because the disease frequently begins on the feet.
When reinfection is to be prevented, the pieces must be completely dry. After washing, it is highly recommended that vulnerable individuals apply a quality antiseptic powder to their feet, paying special attention to the area in between their toes, to keep it dry.
An effective dusting mixture for the foot is clotrimazole or tolnaftate powder. To maintain the feet dry, simply sprinkle talcum powder onto the shoes and socks. When wearing heated occlusive boots, periodic administration of topical antifungal treatment may be necessary.
Clinical History
Physical Examination
Age group
Associated comorbidity
Associated activity
Acuity of presentation
Differential Diagnoses
Laboratory Studies
Imaging Studies
Procedures
Histologic Findings
Staging
Treatment Paradigm
by Stage
by Modality
Chemotherapy
Radiation Therapy
Surgical Interventions
Hormone Therapy
Immunotherapy
Hyperthermia
Photodynamic Therapy
Stem Cell Transplant
Targeted Therapy
Palliative Care
Medication
(Off-Label)
250 mg per day orally as a single dose or divided every 12 hours for 2-6 weeks
Cream- Apply the product onto the affected areas twice daily for at least a week; do not exceed more than 4 weeks
Gel- Apply onto the affected area twice daily for 7 days
Solution- Apply onto the affected area twice daily for 7 days
Apply the product onto clean & dry skin twice daily
Gently massage over the areas affected
If no improvement is seen after weeks, re-diagnose
Applying a 10% cream topically twice a day for one month or applying a 25-50% solution twice a day for one month is recommended
Apply the cream to the affected area and approximately one inch of the adjacent area(s) once a day for two weeks
Apply twice daily to the affected area until there is a substantial clinical improvement, but not exceeding a duration of 4 weeks
Indicated for Dermatophytoses
1% topical gel or cream: two times a day, topically apply near the affected area with an extra 0.5-inch of healthy skin for about four weeks
2% topical gel or cream: one time a day, topically apply near the affected area with an extra 0.5-inch of healthy skin for about two weeks
Note:
2% topical gel or cream: It is generally indicated for therapy of interdigital tinea pedis, tinea corporis, and tinea cruris by Trichophyton rubrum
1% topical gel: It is generally indicated for the therapy of tinea pedis, tinea corporis, and tinea cruris by Trichophyton rubrum, Trichophyton Tonsurans, Epidermophyton floccosum, and Trichophyton mentagrophytes
1% topical cream: It is generally indicated for the therapy of tinea pedis, tinea corporis, and tinea cruris by Trichophyton rubrum, Epidermophyton floccosum, and Trichophyton mentagrophytes
For <12 years old, Safety & efficacy are not seen
For >12 years old, Same as in adults
For >12 years, refer to adult indications
Age 2-18 years: Apply the cream to the affected area and the surrounding area(s) measuring approximately 1 inch in diameter once a day for 14 days
Indicated for Tinea Pedis
Age 12-17 years
2% topical gel or cream: one time a day, topically apply near the affected area with an extra 0.5-inch of healthy skin for about two weeks
Age <12 years
Safety and efficacy not established
2% topical gel or cream: It is generally indicated for therapy of interdigital tinea pedis by Trichophyton rubrum
Tinea Cruris
Age 12-17 years
2% topical cream: one time a day, topically apply near the affected area with an extra 0.5-inch of healthy skin for about two weeks
Age <12 years
Safety and efficacy not established
It is generally indicated for the therapy of tinea cruris by Trichophyton rubrum
Tinea Corporis
Age >2 years
1% topical cream: one time a day, topically apply near the affected area with an extra 0.5-inch of healthy skin for about two weeks
Age <2 years
Safety and efficacy not established
It is generally indicated for the therapy of tinea corporis by Trichophyton rubrum
Future Trends
References
https://www.ncbi.nlm.nih.gov/books/NBK470421/
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» Home » CAD » Infectious Disease » Fungal Skin Infection » Tinea Pedis
A dermatophyte fungus infection of the feet known as tinea pedis or foot worm affects the soles and interdigitates clefts of the nails, and toes. Athlete’s foot is another name for it.
Trichophyton rubrum, a dermatophyte that was historically endemic to various regions of Africa, Asia, and Australia, is the culprit behind the infection. Today, though, the organism is still present throughout the Americas and Europe.
Dermatophyte infections of the leg clefts may afflict ten percent of the general population. It is primarily blamed on wearing occlusive footwear for extended periods of time.
As the occurrence of tinea pedis is seen to be greater in patients using community baths, pools, and showers using sanitation facilities is likely to raise the odds of infection. Adult males are more likely than females to have the disease. One study found that the average age of onset was fifteen years.
Tinea pedis infection is likely caused by the blockage of foot clefts, maceration, and damp environments together with a growth in the microflora. This illness is influenced by skin deterioration, temperature, and humidity.
The fungus invaded the skin’s keratin layer by releasing keratinase enzymes. Additionally, mannans, which block the body’s immunological response, are found in the cell walls of dermatophytes.
Etiology
Trichophyton rubrum primarily causes tinea pedis. Additionally engaged are Epidermophyton floccosum and Trichophyton interdigitale. Tricholosporum violaceum is another sporadic agent. About 70% of the cases are caused by T. rubrum.
Risk elements consist of
As long as safeguards are taken, the prognosis is favorable. A risk factor for tinea infestations is hyperhidrosis. The sufferer should be instructed to completely dry their toes after taking a bath because the disease frequently begins on the feet.
When reinfection is to be prevented, the pieces must be completely dry. After washing, it is highly recommended that vulnerable individuals apply a quality antiseptic powder to their feet, paying special attention to the area in between their toes, to keep it dry.
An effective dusting mixture for the foot is clotrimazole or tolnaftate powder. To maintain the feet dry, simply sprinkle talcum powder onto the shoes and socks. When wearing heated occlusive boots, periodic administration of topical antifungal treatment may be necessary.
(Off-Label)
250 mg per day orally as a single dose or divided every 12 hours for 2-6 weeks
Cream- Apply the product onto the affected areas twice daily for at least a week; do not exceed more than 4 weeks
Gel- Apply onto the affected area twice daily for 7 days
Solution- Apply onto the affected area twice daily for 7 days
Apply the product onto clean & dry skin twice daily
Gently massage over the areas affected
If no improvement is seen after weeks, re-diagnose
Applying a 10% cream topically twice a day for one month or applying a 25-50% solution twice a day for one month is recommended
Apply the cream to the affected area and approximately one inch of the adjacent area(s) once a day for two weeks
Apply twice daily to the affected area until there is a substantial clinical improvement, but not exceeding a duration of 4 weeks
Indicated for Dermatophytoses
1% topical gel or cream: two times a day, topically apply near the affected area with an extra 0.5-inch of healthy skin for about four weeks
2% topical gel or cream: one time a day, topically apply near the affected area with an extra 0.5-inch of healthy skin for about two weeks
Note:
2% topical gel or cream: It is generally indicated for therapy of interdigital tinea pedis, tinea corporis, and tinea cruris by Trichophyton rubrum
1% topical gel: It is generally indicated for the therapy of tinea pedis, tinea corporis, and tinea cruris by Trichophyton rubrum, Trichophyton Tonsurans, Epidermophyton floccosum, and Trichophyton mentagrophytes
1% topical cream: It is generally indicated for the therapy of tinea pedis, tinea corporis, and tinea cruris by Trichophyton rubrum, Epidermophyton floccosum, and Trichophyton mentagrophytes
For <12 years old, Safety & efficacy are not seen
For >12 years old, Same as in adults
For >12 years, refer to adult indications
Age 2-18 years: Apply the cream to the affected area and the surrounding area(s) measuring approximately 1 inch in diameter once a day for 14 days
Indicated for Tinea Pedis
Age 12-17 years
2% topical gel or cream: one time a day, topically apply near the affected area with an extra 0.5-inch of healthy skin for about two weeks
Age <12 years
Safety and efficacy not established
2% topical gel or cream: It is generally indicated for therapy of interdigital tinea pedis by Trichophyton rubrum
Tinea Cruris
Age 12-17 years
2% topical cream: one time a day, topically apply near the affected area with an extra 0.5-inch of healthy skin for about two weeks
Age <12 years
Safety and efficacy not established
It is generally indicated for the therapy of tinea cruris by Trichophyton rubrum
Tinea Corporis
Age >2 years
1% topical cream: one time a day, topically apply near the affected area with an extra 0.5-inch of healthy skin for about two weeks
Age <2 years
Safety and efficacy not established
It is generally indicated for the therapy of tinea corporis by Trichophyton rubrum
https://www.ncbi.nlm.nih.gov/books/NBK470421/
A dermatophyte fungus infection of the feet known as tinea pedis or foot worm affects the soles and interdigitates clefts of the nails, and toes. Athlete’s foot is another name for it.
Trichophyton rubrum, a dermatophyte that was historically endemic to various regions of Africa, Asia, and Australia, is the culprit behind the infection. Today, though, the organism is still present throughout the Americas and Europe.
Dermatophyte infections of the leg clefts may afflict ten percent of the general population. It is primarily blamed on wearing occlusive footwear for extended periods of time.
As the occurrence of tinea pedis is seen to be greater in patients using community baths, pools, and showers using sanitation facilities is likely to raise the odds of infection. Adult males are more likely than females to have the disease. One study found that the average age of onset was fifteen years.
Tinea pedis infection is likely caused by the blockage of foot clefts, maceration, and damp environments together with a growth in the microflora. This illness is influenced by skin deterioration, temperature, and humidity.
The fungus invaded the skin’s keratin layer by releasing keratinase enzymes. Additionally, mannans, which block the body’s immunological response, are found in the cell walls of dermatophytes.
Etiology
Trichophyton rubrum primarily causes tinea pedis. Additionally engaged are Epidermophyton floccosum and Trichophyton interdigitale. Tricholosporum violaceum is another sporadic agent. About 70% of the cases are caused by T. rubrum.
Risk elements consist of
As long as safeguards are taken, the prognosis is favorable. A risk factor for tinea infestations is hyperhidrosis. The sufferer should be instructed to completely dry their toes after taking a bath because the disease frequently begins on the feet.
When reinfection is to be prevented, the pieces must be completely dry. After washing, it is highly recommended that vulnerable individuals apply a quality antiseptic powder to their feet, paying special attention to the area in between their toes, to keep it dry.
An effective dusting mixture for the foot is clotrimazole or tolnaftate powder. To maintain the feet dry, simply sprinkle talcum powder onto the shoes and socks. When wearing heated occlusive boots, periodic administration of topical antifungal treatment may be necessary.
https://www.ncbi.nlm.nih.gov/books/NBK470421/
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