II. Definitions
- Tinea Manus (or Tinea Manuum)
- Dermatophyte infection of hand
- Tinea Pedis
- Dermatophyte infection of foot
III. Risk Factors
- Heat
- Dampness
- Occlusive shoes
IV. Symptoms (most commonly affects foot)
- Pruritus
- Burning
V. Signs
- General
- Subtypes
- Vesiculobullous lesions
- Involves sole of foot
- Associated with Cellulitis and lymphangitis
- Moccasin (Sandal)
- Diffuse involvement of sole and dorsum
- Often presents as Scaling of sole
- Associated with Trichophyton rubrum infection
- May require systemic Antifungal for eradication
- Two foot and one hand disease
- Scaling of 1 hand and 2 feet
- Vesiculobullous lesions
VI. Labs
- Potassium Hydroxide (KOH)
- Culture
- Staphylococcus aerobic coryneforms
- Gram Negative Bacteria
VII. Differential Diagnosis
- See Hand Dermatitis or Foot Dermatitis
- Dyshidrotic Eczema
- Contact Dermatitis
- Atopic Dermatitis
- Reiter's Syndrome
- Psoriasis
- Pustular Psoriasis
- Candidiasis
- Intertrigo
- Erythrasma
- Local Bacterial Infection (Cellulitis)
- Local callus formation
- Juvenile plantar dermatosis
- Shiny taut skin of the great toe, ball of the foot and heel
- Spares the web spaces
VIII. Management
- Emphasize Foot care
- Avoid occlusive footwear
- Change to dry socks 2-3 times daily
- Dry between toes twice daily
- Change or alternate shoes
- Control Hyperhidrosis
- Highly absorbent powder (e.g. Zeasorb)
- Drysol (20% aluminum hydroxide) applied bid
- Lazer Formalyde Solution (10% formaldehyde) applied
- Place lamb's wool piece between toes
- Lac-Hydrin cream (for Tinea Manum)
-
Topical Antifungal (twice daily for 3-4 weeks)
- Technique
- Apply to normal skin 2 cm beyond affected area
- Continue for 7 days after symptom resolution
- First line: Imidazoles (e.g. Clotrimazole, OTC)
- Second line: Ciclopirox (Loprox) lotion or cream
- Refractory cases: Naftin, Lamisil, Mentax
- Technique
- Systemic Antifungals
- Indicated in severe or refractory cases (not usually needed)
- Agents (dosing listed for adults)
- Terbinafine 250 mg orally once daily for 14 days or
- Fluconazole 150 mg orally once weekly for 3 weeks
- Treat Bacterial superinfection with Antibiotics
- See Complications below
- Non-effective methods
- Avoid daily prophylaxis (not cost effective)
- Avoid Tea tree oil (equivalent to Placebo for cure)
IX. Complications
- ID Reaction
- Secondary Bacterial Cellulitis
X. Prevention
- Avoid walking barefoot in bathrooms and locker rooms
- Keep skin clean and dry
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| Definition (MEDLINEPLUS) |
Athlete's foot is a common infection caused by a fungus. It most often affects the space between the toes. Symptoms include itching, burning, and cracked, scaly skin between your toes. You can get athlete's foot from damp surfaces, such as showers, swimming pools, and locker room floors. To prevent it
Treatments include over-the-counter antifungal creams for most cases and prescription medicines for more serious infections. These usually clear up the infection, but it can come back. Centers for Disease Control and Prevention |
| Definition (MSH) | Dermatological pruritic lesion in the feet, caused by Trichophyton rubrum, T. mentagrophytes, or Epidermophyton floccosum. |
| Concepts | Disease or Syndrome (T047) |
| MSH | D014008 |
| ICD9 | 110.4 |
| ICD10 | B35.3 |
| SnomedCT | 271427009, 186993002, 154399001, 6020002 |
| English | Athlete Foot, Athlete's Foot, Athletes Foot, Tinea Pedis, tinea pedis, tinea pedis (diagnosis), Foot tinea, Foot ringworm, Tinea Pedis [Disease/Finding], athlete's foot, pedis tinea, foot ringworm, athletes foots, athlete foot, Dermatophytosis of foot (& tinea pedis), Dermatophytosis of foot (disorder), Dermatophytosis of foot (& tinea pedis) (disorder), Athlete's foot, Tinea pedis, Epidermophytosis pedis, Ringworm of foot, TP - Tinea pedis, Tinea pedis (disorder), dermatophytosis; foot, foot; dermatophytosis, foot; ringworm, foot; tinea, pedis; tinea, ringworm; foot, tinea; foot, tinea; pedis, Dermatophytosis of foot, athletes foot |
| Italian | Dermatofitosi del piede, Tinea pedis, Piede d'atleta, Tigna del piede |
| Dutch | voettinea, ringworm van de voet, atleetvoet, dermatofytose van de voet, dermatofytose; voet, pedis; tinea, ringworm; voet, tinea; pedis, tinea; voet, voet; dermatofytose, voet; ringworm, voet; tinea, tinea pedis, Athlete's foot, Tinea pedis, Voetschimmel, Zwemmerseczeem |
| French | Teignes du pied, Dermatophytose du pied, Teigne du pied, Dermatomycose du pied, Dermatophytose plantaire, Pied d'athlète, Intertrigo interdigital dermatophytique, Tinea pedis, Épidermophytie plantaire |
| German | Ringwurm des Fusses, Dermatophytose des Fusses, Fusspilz, Tinea pedis, Fußpilz |
| Portuguese | Pé de atleta, Dermatofitose do pé, Tinha dos pés, Frieira, Tinha do pé, Pé de Atleta, Tinha dos Pés |
| Spanish | Pie de atleta, Tiña de los pies, Dermatofitosis de pie, Tiña de pie, dermatofitosis del pie, dermatofitosis del pie (trastorno), dermatomicosis de los pies, epidermofitosis del pie, pie de atleta, tiña de los pies (trastorno), tiña de los pies, tiña pedia, Tiña del pie, Pie de Atleta, Tiña del Pie |
| Japanese | 足の皮膚糸状菌症, ｿｸﾌﾞﾊｸｾﾝ, ｱｼﾉﾋﾌｼｼﾞｮｳｷﾝｼｮｳ, 白癬-足部, 汗疱状白癬-足部, みずむし, 足白癬, 足部白癬, 水虫 |
| Swedish | Fotsvamp |
| Czech | tinea pedis, Atletická noha, Tinea pedis, Plísňové onemocnění chodidla, Dermatofytóza chodidla |
| Finnish | Jalkasilsa |
| Russian | DERMATOFITIIA STOPY, STOPY MIKOZY, STOPA LEGKOATLETA, DERMATOMIKOZ STOPY, MIKOZY STOPY, EPIDERMOFITIIA STOP, ДЕРМАТОМИКОЗ СТОПЫ, ДЕРМАТОФИТИЯ СТОПЫ, МИКОЗЫ СТОПЫ, СТОПА ЛЕГКОАТЛЕТА, СТОПЫ МИКОЗЫ, ЭПИДЕРМОФИТИЯ СТОП |
| Korean | 발 백선증 |
| Polish | Grzybica stóp, Grzybica stóp międzypalcowa |
| Hungarian | Láb bőrgombája, Atléta-láb, Tinea pedis, Láb dermatophytosisa, Láb trichophytosis |
| Norwegian | Tinea pedis, Fotsopp |
Ontology: Tinea manus (C0153246)
| Concepts | Disease or Syndrome (T047) |
| ICD9 | 110.2 |
| ICD10 | B35.2 |
| SnomedCT | 48971001 |
| Dutch | tinea manuum, dermatofytose van de hand, tinea van hand, dermatofytose; hand, hand; dermatofytose, hand; ringworm, manuum; tinea, ringworm; hand, tinea; manuum, Tinea manuum |
| French | Tinea manuum, Dermatophytose de la main |
| German | Dermatophytose der Hand, Tinea manuum, Handtinea |
| Italian | Dermatofitosi della mano, Tinea manuum, Tigna della mano |
| Portuguese | Dermatofitose da mão, Tinha da mão |
| Spanish | Dermatofitosis de la mano, Tiña de la mano, dermatofitosis de las manos, tiña de las manos (trastorno), tiña de las manos |
| Japanese | 皮膚糸状菌症、手, ﾋﾌｼｼﾞｮｳｷﾝｼｮｳﾃ, ﾃﾊｸｾﾝ, 手白癬, ｼｭﾊｸｾﾝ |
| English | tinea manuum (diagnosis), tinea manuum, Hand ringworm, tinea manus, Tinea of hand, Tinea manus, Dermatophytosis of hand, Tinea manuum, Tinea manus (disorder), dermatophytosis; hand, hand; dermatophytosis, hand; ringworm, manuum; tinea, ringworm; hand, tinea; manuum |
| Czech | Tinea manuum, Dermatofytóza ruky, Plíseň ruky |
| Korean | 손 백선증 |
| Hungarian | Kéz dermatophytosisa, Tinea manum |
