Tinea Pedis Follow-up
- Author: Courtney M Robbins, MD; Chief Editor: Dirk M Elston, MD more...
Further Outpatient Care
The need for follow-up care in tinea pedis should be assessed on a case-by-case basis. Further outpatient visits may be indicated, depending on the extent and severity of the tinea pedis. Treatment regimens may need to be switched or augmented.
Inpatient & Outpatient Medications
See Patient Education.
Secondary cellulitis, lymphangitis, pyoderma, and even osteomyelitis can result from mycotic infections of the feet, including tinea pedis. These complications are seen more frequently in patients with conditions such as chronic edema, immunosuppression, hemiplegia and paraplegia, and diabetes.
The type of tinea pedis infection and underlying conditions (eg, immunosuppression, diabetes) affect the prognosis; however, with appropriate treatment, the prognosis is generally good. Tinea pedis is not associated with significant mortality or morbidity.
Patients with tinea pedis should be educated that reinfection can occur if they are reexposed to dermatophytes. Old shoes are often sources of reinfection and should be disposed of or treated with antifungal powders.
Patients should be cautioned to wear protective footwear at communal pools and baths and should attempt to keep their feet dry by limiting occlusive footwear. When occlusive footwear is worn, wearing cotton socks and adding a drying powder with antifungal action in the shoes may be helpful.
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