{"id":6376,"date":"2021-12-27T13:07:31","date_gmt":"2021-12-27T13:07:31","guid":{"rendered":"https:\/\/isbipe.com\/2021\/12\/27\/tinea-pedis-or-athletes-foot\/"},"modified":"2021-12-27T13:08:16","modified_gmt":"2021-12-27T13:08:16","slug":"tinea-pedis-or-athletes-foot","status":"publish","type":"post","link":"https:\/\/isbipe.com\/en\/tinea-pedis-or-athletes-foot\/","title":{"rendered":"TINEA PEDIS OR &#8216;ATHLETE&#8217;S FOOT&#8217;"},"content":{"rendered":"[vc_row type=&#8221;in_container&#8221; full_screen_row_position=&#8221;middle&#8221; column_margin=&#8221;default&#8221; column_direction=&#8221;default&#8221; column_direction_tablet=&#8221;default&#8221; column_direction_phone=&#8221;default&#8221; scene_position=&#8221;center&#8221; text_color=&#8221;dark&#8221; text_align=&#8221;left&#8221; row_border_radius=&#8221;none&#8221; row_border_radius_applies=&#8221;bg&#8221; overlay_strength=&#8221;0.3&#8243; gradient_direction=&#8221;left_to_right&#8221; shape_divider_position=&#8221;bottom&#8221; bg_image_animation=&#8221;none&#8221;][vc_column column_padding=&#8221;no-extra-padding&#8221; column_padding_tablet=&#8221;inherit&#8221; column_padding_phone=&#8221;inherit&#8221; column_padding_position=&#8221;all&#8221; background_color_opacity=&#8221;1&#8243; background_hover_color_opacity=&#8221;1&#8243; column_shadow=&#8221;none&#8221; column_border_radius=&#8221;none&#8221; column_link_target=&#8221;_self&#8221; gradient_direction=&#8221;left_to_right&#8221; overlay_strength=&#8221;0.3&#8243; width=&#8221;1\/1&#8243; tablet_width_inherit=&#8221;default&#8221; tablet_text_alignment=&#8221;default&#8221; phone_text_alignment=&#8221;default&#8221; column_border_width=&#8221;none&#8221; column_border_style=&#8221;solid&#8221; bg_image_animation=&#8221;none&#8221;][vc_column_text]\n<h1><b>Is Your Child&#8217;s Skin &#8216;Peeling&#8217; Between Their Toes? <\/b><\/h1>\n<p>Tinea Pedis or &#8216;Athlete&#8217;s Foot'[\/vc_column_text][\/vc_column][\/vc_row][vc_row type=&#8221;in_container&#8221; full_screen_row_position=&#8221;middle&#8221; column_margin=&#8221;default&#8221; column_direction=&#8221;default&#8221; column_direction_tablet=&#8221;default&#8221; column_direction_phone=&#8221;default&#8221; scene_position=&#8221;center&#8221; text_color=&#8221;dark&#8221; text_align=&#8221;left&#8221; row_border_radius=&#8221;none&#8221; row_border_radius_applies=&#8221;bg&#8221; overlay_strength=&#8221;0.3&#8243; gradient_direction=&#8221;left_to_right&#8221; shape_divider_position=&#8221;bottom&#8221; bg_image_animation=&#8221;none&#8221;][vc_column column_padding=&#8221;no-extra-padding&#8221; column_padding_tablet=&#8221;inherit&#8221; column_padding_phone=&#8221;inherit&#8221; column_padding_position=&#8221;all&#8221; background_color_opacity=&#8221;1&#8243; background_hover_color_opacity=&#8221;1&#8243; column_shadow=&#8221;none&#8221; column_border_radius=&#8221;none&#8221; column_link_target=&#8221;_self&#8221; gradient_direction=&#8221;left_to_right&#8221; overlay_strength=&#8221;0.3&#8243; width=&#8221;1\/1&#8243; tablet_width_inherit=&#8221;default&#8221; tablet_text_alignment=&#8221;default&#8221; phone_text_alignment=&#8221;default&#8221; column_border_width=&#8221;none&#8221; column_border_style=&#8221;solid&#8221; bg_image_animation=&#8221;none&#8221;][vc_column_text]<span style=\"font-weight: 400;\">According to Spain and Espinoza, 2019:<\/span> About <b>20%<\/b> <span style=\"font-weight: 400;\">of the entire population worldwide suffers from some type of<\/span> <b>mycosis<\/b>, <span style=\"font-weight: 400;\">of which more than<\/span> <b>70%<\/b> <span style=\"font-weight: 400;\">occur in the most vulnerable people, namely<\/span><b>children and adolescents.<\/b><span style=\"font-weight: 400;\">. The aetiological agents vary depending on the climate, cultural and socio-economic characteristics of the population. (1) (1)<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Infections of the skin, hair and nails caused by<\/span> <b>dermatophytes<\/b><span style=\"font-weight: 400;\">are called<\/span><b>tinea<\/b> <span style=\"font-weight: 400;\">(ringworm). They are<\/span> <b>the most common superficial mycoses<\/b> <span style=\"font-weight: 400;\">worldwide. According to studies by authors Jimenez et al (2017), tinea <\/span><b>is classified according to the body region affected,<\/b><span style=\"font-weight: 400;\">for example, tinea corporis involves arms, trunk and legs; tinea capitis involves the scalp, and tinea pedis on the feet. (2) (2)<\/span><\/p>\n<h2><b><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-6195\" src=\"https:\/\/isbipe.com\/wp-content\/uploads\/2021\/11\/pie-de-atteta-infografia.jpg\" alt=\"pie de atleta infografia\" width=\"640\" height=\"414\" srcset=\"https:\/\/isbipe.com\/wp-content\/uploads\/2021\/11\/pie-de-atteta-infografia.jpg 640w, https:\/\/isbipe.com\/wp-content\/uploads\/2021\/11\/pie-de-atteta-infografia-300x194.jpg 300w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/b><\/h2>\n<h2><b>What is Tinea Pedis or &#8216;Athlete&#8217;s Foot&#8217;?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Tinea pedis<\/span><b>is the condition<\/b> <span style=\"font-weight: 400;\">commonly known as &#8216;athlete&#8217;s foot&#8217; and is usually caused by<\/span> <b>Trichophyton rubrum<\/b>, <span style=\"font-weight: 400;\">Trichophyton mentagrophytes interdigitale<\/span> or <b>Epidermophyton floccosum,<\/b> <span style=\"font-weight: 400;\">and more than<\/span> <b>one fungus may be present<\/b><span style=\"font-weight: 400;\">. These infections <\/span><b>are considered a public health problem due to their contagiousness and recurrent nature. (3)<\/b><span style=\"font-weight: 400;\">. (3)<\/span><\/p>\n<p>&nbsp;<\/p>\n<h2><b>Why does it develop?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">The geographic distribution<\/span> <b>of this pathology is worldwide and<\/b> <span style=\"font-weight: 400;\">it is undoubtedly the most common dermatophytosis. It occurs mainly in the summer <\/span><b>months<\/b><span style=\"font-weight: 400;\">but may persist inactive during the<\/span><b>winter.<\/b><span style=\"font-weight: 400;\">. The incidence is high in tropical regions and is higher in people who wear <\/span><b>thick socks and very closed shoes<\/b> <span style=\"font-weight: 400;\">and in people<\/span><b>with hyperhidrosis,<\/b> <span style=\"font-weight: 400;\">as well as<\/span><b>from the use of public<\/b> <b>swimming pools,<\/b> <span style=\"font-weight: 400;\">showers,<\/span> <b>towels or<\/b> <span style=\"font-weight: 400;\">the use of other<\/span> <b>people&#8217;s<\/b> <span style=\"font-weight: 400;\">socks<\/span> <b>and shoes<\/b>.<span style=\"font-weight: 400;\">. There is currently a high incidence in schoolchildren due to the constant use of occlusive footwear(4).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The<\/span><b>clinical picture<\/b><span style=\"font-weight: 400;\">may vary, but three forms of tinea capitis can be distinguished in which the most frequent symptoms are pruritus and burning: (4)<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>&#8211; Intertriginous form<\/b><span style=\"font-weight: 400;\"> located in the interdigital grooves and in the crease of the plantar aspect of the toes. These lesions consist of maceration and\/or fissures and are characterised by pruritus as the main sign associated with malodour.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>&#8211; Vesicular form<\/b><span style=\"font-weight: 400;\"> located on the plantar surface of the foot. It is characterised by numerous vesicles of viscous content that tend to rupture and leave erosions and crusts associated with pruritus.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>&#8211; Hyperkeratotic form<\/b><span style=\"font-weight: 400;\"> is considered as a chronic variety. It consists of hyperkeratotic plaques that flake off abundantly.<\/span><\/li>\n<\/ul>\n<h2><\/h2>\n<h2><b>How is it identified?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">In order to identify them<\/span>, <b>it is necessary to<\/b><span style=\"font-weight: 400;\">carry out a good anamnesis<\/span>, <b>an exhaustive physical examination<\/b> <span style=\"font-weight: 400;\">and perform<\/span><b>complementary tests<\/b> <span style=\"font-weight: 400;\">such as live examination by optical microscopy or culture, with prior sampling either by scraping or by milling. In this way we will achieve a definitive diagnosis in this type of infection. (5-8) (5-8)  <\/span><\/p>\n<p><span style=\"font-weight: 400;\">A correct differential diagnosis with pathologies <\/span><b>such as interdigital candidiasis<\/b><span style=\"font-weight: 400;\"> impetigo, <\/span><b>infection <\/b><span style=\"font-weight: 400;\">of <\/span><b>the interdigital space<\/b><span style=\"font-weight: 400;\">,  <\/span><b>by <\/b><span style=\"font-weight: 400;\">pseudomona <\/span><b>aeruginosa <\/b><span style=\"font-weight: 400;\">erythrasma <\/span><b>and<\/b><span style=\"font-weight: 400;\">,  <\/span><b>keratolysis<\/b><span style=\"font-weight: 400;\">punctata <\/span><b>must be established (5-6).<\/b><span style=\"font-weight: 400;\">.(5-6)  <\/span><\/p>\n<p><span style=\"font-weight: 400;\">The most important prerequisite for initiating<\/span> <b>drug treatment<\/b><span style=\"font-weight: 400;\">is a positive result<\/span> on <b>culture or<\/b><span style=\"font-weight: 400;\">direct microscopic examination.(9-11)<\/span> <\/p>\n<h2><\/h2>\n<h2><b>What is your treatment?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">The antifungal treatment<\/span> <b>used may be<\/b> <span style=\"font-weight: 400;\">topical or oral<\/span>, <b>in both cases failure<\/b><span style=\"font-weight: 400;\">may be due not only to drug<\/span> <b>or pathogen resistance,<\/b> <span style=\"font-weight: 400;\">but also to incorrect application<\/span> <b>of the treatment<\/b> <span style=\"font-weight: 400;\">or cessation<\/span><b>of treatment<\/b><span style=\"font-weight: 400;\">before the prescribed regimen.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It is therefore<\/span><b>essential that the patient is fully informed and understands the need to properly follow the professional&#8217;s instructions in order to achieve treatment success.<\/b><span style=\"font-weight: 400;\">. In addition, it is crucial to reduce risk factors as much as possible and to complement treatment with <\/span><b>preventive measures.<\/b><span style=\"font-weight: 400;\">. Preventive guidelines that every patient should take into account when applying treatment include: (5-7) (12-16) <\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\">&#8211; <span style=\"font-weight: 400;\">Proper cleaning<\/span> <b>and drying<\/b> <span style=\"font-weight: 400;\">of the affected areas.<\/span> <\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">&#8211; <b>Do not walk barefoot<\/b> <span style=\"font-weight: 400;\">in public toilets and showers.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Wearing non-enclosed footwear and absorbent socks,<\/b> <span style=\"font-weight: 400;\">avoiding occlusive or poorly breathable clothing<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Use antifungal powders<\/span> <b>for footwear and\/or socks<\/b><span style=\"font-weight: 400;\">if they are prone to recurrence.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Inform the patient<\/span><b>about the importance of not interrupting<\/b> <span style=\"font-weight: 400;\">treatment even if symptoms subside a few days after starting treatment.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>&#8211; Avoid applying large amounts of cream to affected<\/b><span style=\"font-weight: 400;\">interdigital spaces to prevent maceration.<\/span><\/li>\n<\/ul>\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row type=&#8221;in_container&#8221; full_screen_row_position=&#8221;middle&#8221; column_margin=&#8221;default&#8221; column_direction=&#8221;default&#8221; column_direction_tablet=&#8221;default&#8221; column_direction_phone=&#8221;default&#8221; bg_color=&#8221;rgba(16,61,92,0.04)&#8221; scene_position=&#8221;center&#8221; text_color=&#8221;dark&#8221; text_align=&#8221;left&#8221; row_border_radius=&#8221;none&#8221; row_border_radius_applies=&#8221;bg&#8221; overlay_strength=&#8221;0.3&#8243; gradient_direction=&#8221;left_to_right&#8221; shape_divider_position=&#8221;bottom&#8221; bg_image_animation=&#8221;none&#8221; shape_type=&#8221;&#8221;][vc_column column_padding=&#8221;no-extra-padding&#8221; column_padding_tablet=&#8221;inherit&#8221; column_padding_phone=&#8221;inherit&#8221; column_padding_position=&#8221;all&#8221; background_color_opacity=&#8221;1&#8243; background_hover_color_opacity=&#8221;1&#8243; column_shadow=&#8221;none&#8221; column_border_radius=&#8221;none&#8221; column_link_target=&#8221;_self&#8221; gradient_direction=&#8221;left_to_right&#8221; overlay_strength=&#8221;0.3&#8243; width=&#8221;1\/1&#8243; tablet_width_inherit=&#8221;default&#8221; tablet_text_alignment=&#8221;default&#8221; phone_text_alignment=&#8221;default&#8221; column_border_width=&#8221;none&#8221; column_border_style=&#8221;solid&#8221; bg_image_animation=&#8221;none&#8221;][vc_column_text]\n<ol>\n<li>\n<h6>Espa\u00f1a, S., &amp; Espinoza, T. (8 de Marzo de 2019). Situaci\u00f3n de la Micosis Superficial en Ecuador. Trabajo de Titulaci\u00f3n. Guayaquil, Guayas, Ecuador: UCSG. Obtenido de http:\/\/repositorio.ucsg.edu.ec\/bitstream\/3317\/12568\/1\/T-UCSG-PRE-MED-ENF524.pdf<\/h6>\n<\/li>\n<li>\n<h6>Jim\u00e9nez, H., Brise\u00f1o, G., V\u00e1squez, E., &amp; Arenas, R. (julio de 2017). Tinea pedis y otras infecciones podales: datos cl\u00ednicos y microbiol\u00f3gicos en 140 casos. Dermatolog\u00eda Cosm\u00e9tica, M\u00e9dica y Quir\u00fargica, 15(3), 156-161. Obtenido de https:\/\/www.medigraphic.com\/pdfs\/cosmetica\/dcm-2017\/dcm173c.pdf<\/h6>\n<\/li>\n<li>\n<h6>Sabogal, M., Jim\u00e9nez, H., Morales, C., Alvarado, Z., &amp; Colmenares, C. (2019). Micosis en los pies: descripci\u00f3n cl\u00ednico-epidemiol\u00f3gica en un centro de referencia de Bogot\u00e1, Colombia. Infectio, 39-34. Obtenido de http:\/\/www.scielo.org.co\/pdf\/inf\/v23n1\/0123-9392-inf-23-01-00039.pdf<\/h6>\n<\/li>\n<li>\n<h6>Blanco B et al. Temas de dermarolog\u00eda pedi\u00e1trica. Pautas diagn\u00f3sticas y terap\u00e9uticas.Ateproca.2005.<\/h6>\n<\/li>\n<li>\n<h6>Pe\u00f1a, A. Atlas de dermatolog\u00eda del pie. Madrid: M\u00e9dica Panamericana; 2007<\/h6>\n<\/li>\n<li>\n<h6>Zalacain, A. Ogalla, JM. Garc\u00eda-Patos, V. Atlas y sinopsis de enfermedades cut\u00e1neas del pie. Barcelona: Edika Med; 2008<\/h6>\n<\/li>\n<li>\n<h6>Garcia, FJ. Guia cl\u00ednica para el tratamiento de las micosis del pie. Madrid: Fco. Javier Garc\u00eda; 2003<\/h6>\n<\/li>\n<li>\n<h6>Kumar, V. Tilak, R. Prakash, P. Nigam, C. Gupta, R. Tinea Pedis- An update. Asian Journal Of Medical Sciences 2 (2011) 134-138.<\/h6>\n<\/li>\n<li>\n<h6>Chauvin, M. Viguie, C. Kienzier, JL. Larnier, C. Novel, single-dose, topical treatment of tinea pedis using terbinafine: results of a dose-finding clinical trial. Mycoses. 2008 Jan;51(1):1-6<\/h6>\n<\/li>\n<li>\n<h6>Ortonne, JP. Korting, H. Viguie, C. Larrier, C. Savaluny, E. Efficacy and safety of a new single-dose terbinafine 1% formulation in patients with tinea pedis (athlete\u2019s foot): a randomized, double-blind, placebo-controlled study. J Eur Acad Dermatol Venereol. 2006;20:1307\u201313<\/h6>\n<\/li>\n<li>\n<h6>Li, R. Xu, J. Xi, L. Fu, M. Zhu, M. Efficacy and Safety of 1 % Terbinafine Film-Forming Solution in Chinese Patients with Tinea Pedis: A Randomized, Double-Blind, Placebo-Controlled, Multicenter, ParallelGroup Study. Clin Drug Investig. 2014;34(3):223\u201330<\/h6>\n<\/li>\n<li>\n<h6>Nenoff P, Kr\u00fcger C, Schaller J, Ginter-Hanselmayer G, Schulte-Beerb\u00fchl R, Tietz H-J. Mycology &#8211; an update Part 2: Dermatomycoses: Clinical picture and diagnostics. JDDG J der Dtsch Dermatologischen Gesellschaft [Internet]. 2014;12(9):749\u201377<\/h6>\n<\/li>\n<li>\n<h6>Puig, L. Vilarrasa, E. Ti\u00f1a interdigital de los pies (pie de atleta): su diagn\u00f3stico y \u00faltimos avances en su tratamiento. Madrid: sanidad y ediciones; 2008<\/h6>\n<\/li>\n<li>\n<h6>Weinstein A, Berman B. Topical treatment of common superficial tinea infections. American Family Physician 2002;65(10):2095-2102<\/h6>\n<\/li>\n<li>\n<h6><\/h6>\n<\/li>\n<li>\n<h6>Gupta AK, Chow M, Daniel CR, Aly R. Treatments of tinea pedis. Dermatologic Clinics. 2003; 431\u201362<\/h6>\n<\/li>\n<li>\n<h6>Conejo, A., Mart\u00ednez, M., &amp; Alfayate, S. (21 de 11 de 2018). Dermatofitosis o ti\u00f1as. Obtenido de Gu\u00eda ABE: https:\/\/guia-abe.es\/temas-clinicos-micosis-cutaneas<\/h6>\n<\/li>\n<\/ol>\n[\/vc_column_text][\/vc_column][\/vc_row]\n","protected":false},"excerpt":{"rendered":"<p>[vc_row type=&#8221;in_container&#8221; full_screen_row_position=&#8221;middle&#8221; column_margin=&#8221;default&#8221; column_direction=&#8221;default&#8221; column_direction_tablet=&#8221;default&#8221; column_direction_phone=&#8221;default&#8221; scene_position=&#8221;center&#8221; text_color=&#8221;dark&#8221; text_align=&#8221;left&#8221; row_border_radius=&#8221;none&#8221; row_border_radius_applies=&#8221;bg&#8221; overlay_strength=&#8221;0.3&#8243; gradient_direction=&#8221;left_to_right&#8221; shape_divider_position=&#8221;bottom&#8221; bg_image_animation=&#8221;none&#8221;][vc_column column_padding=&#8221;no-extra-padding&#8221; column_padding_tablet=&#8221;inherit&#8221; column_padding_phone=&#8221;inherit&#8221; column_padding_position=&#8221;all&#8221; background_color_opacity=&#8221;1&#8243; background_hover_color_opacity=&#8221;1&#8243; column_shadow=&#8221;none&#8221; column_border_radius=&#8221;none&#8221; column_link_target=&#8221;_self&#8221;&#8230;<\/p>\n","protected":false},"author":3,"featured_media":6280,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[42],"tags":[54,43,44,53,47],"class_list":{"0":"post-6376","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-scientific-posts","8":"tag-dermatitis-en","9":"tag-enfermedades-en","10":"tag-pies-en","11":"tag-sport","12":"tag-andar-en"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v18.5 (Yoast SEO v27.4) - 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