Foot fungus -Athlete’s foot

• The lifetime risk of developing athlete’s foot is 25%.
• A chronic course is characteristic, usually bilateral
• The most common causative agents: T. rubrum, T. interdigitale
• Source of infection: shoes, socks, carpets, public pools, gyms, saunas, showers, hotels

Risk factors

• fungal skin diseases in the family
• foot deformities
• visiting public pools
• injuries
• sensory disturbances in the feet
• Diabetes
• circulatory disorders in the legs

Classification

• Between the fingers
• Soles

The appearance and symptoms of foot fungus depend on the form of the disease.

Between the fingers:

• characterized by flaking, redness, cracks, peeling of the stratum corneum (skin peeling) between the toes

Fungus of the soles occurs in two forms:

• one is more characterized by flaking, cracks, hardening of the skin
• may spread to the lateral and/or dorsal surface of the foot

• the other is more characterized by blisters in the arch of the foot that spread to the lateral surfaces. When the blisters burst, small defects of the surface layer of the skin (erosions) and scabs are formed
• itching is also characteristic

Diagnostics

In most cases, it is enough to make a diagnosis:

• anamnesis
• clinical signs

In rare cases, when the data from the anamnesis and the clinic are insufficient, laboratory tests are performed:

• dandruff microscopy. The test shows whether the fungus and its parts (hyphae, spores) are found in the sample
• microbiological test identifies the exact type of causative agent and determines the sensitivity to antifungal drugs

During the consultation, the treatment is selected for each patient individually. Topical antifungal drugs are the first choice treatment. Systemic oral antifungal drugs are prescribed if:

• widespread form of fungus
• a form resistant to local treatment

Prevention

• do not walk barefoot in swimming pools, hotels, gyms
• use separate hygiene products
• use disinfectants
• avoid humid working environment