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ATHLETE'S FOOT

General Information

DEFINITION--A common, contagious fungus infection of the skin on the feet.

BODY PARTS INVOLVED--Feet, especially the soles and skin between toes (usually 4th and 5th toes).

SEX OR AGE MOST AFFECTED--Both sexes and all ages, but most common in adolescents and adults.

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).

CAUSES--Infection by a Trichophyton fungus.

RISK INCREASES WITH

  • Infrequent washing of the feet.
  • Infrequent changes of shoes or socks.
  • Use of locker rooms and public showers.
  • Hot, humid weather.
  • People who are immunosuppressed due to illness or medications.
  • Persistent moisture around the feet.

HOW TO PREVENT

  • Bathe feet daily. Dry thoroughly and apply drying or dusting powder.
  • Go barefoot when possible.
  • Change shoes and socks daily.
  • Wear socks made of cotton, wool or other natural, absorbent fibers. Avoid synthetics.

What To Expect

DIAGNOSTIC MEASURES--

  • Your own observation of symptoms.
  • Medical history and physical exam by a doctor.
  • Laboratory culture and microscopic examination of scales.

APPROPRIATE HEALTH CARE

  • Self-care after diagnosis.
  • Doctor's treatment, if infection is severe or persistent.

POSSIBLE COMPLICATIONS

  • Secondary bacterial infection in the affected area.
  • Id reaction on hands and face (a rare skin rash).

PROBABLE OUTCOME--Usually curable in 3 weeks with treatment, but recurrence is common.


How To Treat

GENERAL MEASURES--

  • After soaking or bathing, carefully 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 or more potent topical antifungal medications.

ACTIVITY--No restrictions. Temporarily avoid activities that cause feet to sweat.

DIET--No 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.
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