Tinea Pedis Treatment & Management
- Author: Courtney M Robbins, MD; Chief Editor: Dirk M Elston, MD more...
Medical Care
Medical therapy is the mainstay of tinea pedis treatment (see Medication).
Surgical Care
Surgical care is usually not required for tinea pedis.
Activity
- Tinea pedis can occur through contact with infected scales on bath or pool floors, so wearing protective footwear in communal areas may help decrease the likelihood of infection.
- Because infected scales can be present on clothing, frequent laundering is a good idea.
- Occlusive footwear promotes infection by creating warm, humid, macerating environments where dermatophytes thrive. Therefore, patients should try to minimize foot moisture by limiting the use of occlusive footwear and should discard shoes that may be contributing to recurrence of the infection.
Pellizzari C. Recherche sur Trichophyton tonsurans. G Ital Mal Veneree. 1888;29:8.
Lopez-Martinez R, Manzano-Gayosso P, Hernandez-Hernandez F, Bazan-Mora E, Mendez-Tovar LJ. Dynamics of dermatophytosis frequency in Mexico: an analysis of 2084 cases. Med Mycol. Nov 3 2009;[Medline].
Zhan P, Ge YP, Lu XL, She XD, Li ZH, Liu WD. A case-control analysis and laboratory study of the two feet-one hand syndrome in two dermatology hospitals in China. Clin Exp Dermatol. Oct 23 2009;[Medline].
Leyden JJ. Progression of interdigital infections from simplex to complex. J Am Acad Dermatol. May 1993;28(5 Pt 1):S7-S11. [Medline].
Gentles JC. The isolation of dermatophytes from the floors of communal bathing places. J Clin Pathol. Nov 1956;9(4):374-7. [Medline].
Gentles JC, Evans EG. Foot infections in swimming baths. Br Med J. Aug 4 1973;3(5874):260-2. [Medline].
Parish LC, Parish JL, Routh HB, Fleischer AB Jr, Avakian EV, Plaum S, et al. A randomized, double-blind, vehicle-controlled efficacy and safety study of naftifine 2% cream in the treatment of tinea pedis. J Drugs Dermatol. Nov 1 2011;10(11):1282-8. [Medline].
Weinberg JM, Koestenblatt EK. Treatment of interdigital tinea pedis: once-daily therapy with sertaconazole nitrate. J Drugs Dermatol. Oct 1 2011;10(10):1135-40. [Medline].
Carrillo-Muñoz AJ, Tur-Tur C, Cárdenes DC, Estivill D, Giusiano G. Sertaconazole nitrate shows fungicidal and fungistatic activities against Trichophyton rubrum, Trichophyton mentagrophytes, and Epidermophyton floccosum, causative agents of tinea pedis. Antimicrob Agents Chemother. Sep 2011;55(9):4420-1. [Medline]. [Full Text].
Gupta AK, Baran R, Summerbell R. Onychomycosis: strategies to improve efficacy and reduce recurrence. J Eur Acad Dermatol Venereol. Nov 2002;16(6):579-86. [Medline].
Matricciani L, Talbot K, Jones S. Safety and efficacy of tinea pedis and onychomycosis treatment in people with diabetes: a systematic review. J Foot Ankle Res. Dec 4 2011;4:26. [Medline]. [Full Text].
Savin R, De Villez RL, Elewski B, et al. One-week therapy with twice-daily butenafine 1% cream versus vehicle in the treatment of tinea pedis: a multicenter, double-blind trial. J Am Acad Dermatol. Feb 1997;36(2 Pt 1):S15-9. [Medline].
Gul U, Cakmak SK, Ozel S, Bingol P, Kaya K. Skin disorders in patients with hemiplegia and papaplegia. J Rehabil Med. Jul 2009;41(8):681-3. [Medline].
Bristow IR, Spruce MC. Fungal foot infection, cellulitis and diabetes: a review. Diabet Med. May 2009;26(5):548-51. [Medline].
[Guideline] Wound, Ostomy, and Continence Nurses Society (WOCN). Guideline for management of wounds in patients with lower-extremity venous disease. National Guideline Clearinghouse. 2005.
[Guideline] Frykberg RG, Zgonis T, Armstrong DG, et al. American College of Foot and Ankle Surgeons. Diabetic foot disorders: a clinical practice guideline. J Foot Ankle Surg. Sep-Oct 2006;45(5):S2-66.
Bolognia JL, Jorizzo JL, Rapini RP, et al. Dermatology. New York, NY: Mosby; 2003:1174-85.
Brodell RT, Elewski B. Antifungal drug interactions. Avoidance requires more than memorization. Postgrad Med. Jan 2000;107(1):41-3. [Medline].
Brodell RT, Elewski BE. Clinical pearl: systemic antifungal drugs and drug interactions. J Am Acad Dermatol. Aug 1995;33(2 Pt 1):259-60. [Medline].
[Guideline] Drake LA, Dinehart SM, Farmer ER, et al. Guidelines of care for superficial mycotic infections of the skin: tinea corporis, tinea cruris, tinea faciei, tinea manuum, and tinea pedis. Guidelines/Outcomes Committee. American Academy of Dermatology. J Am Acad Dermatol. Feb 1996;34(2 Pt 1):282-6. [Medline].
Elewski B, Hay RJ. International summit on cutaneous antifungal therapy. Boston, Massachusetts, Nov. 11-13, 1994. J Am Acad Dermatol. Nov 1995;33(5 Pt 1):816-22. [Medline].
Elewski BE. Tinea pedis and tinea manuum. In: Demis DJ. Clinical Dermatology. Vol 3. Philadelphia, Pa: Lippincott; 1999:Unit 17-9; 1-11.
Elewski BE. Cutaneous mycoses in children. Br J Dermatol. Jun 1996;134 Suppl 46:7-11: discussion 37-8. [Medline].
Elewski BE. Mechanisms of action of systemic antifungal agents. J Am Acad Dermatol. May 1993;28(5 Pt 1):S28-S34. [Medline].
Elewski BE. Trichophyton rubrum: Dermatophytoses in evolution. Adv Dermatol. 1994;9:110-11.
Elewski BE, Haley HR, Robbins CM. The use of 40% urea cream in the treatment of moccasin tinea pedis. Cutis. May 2004;73(5):355-7. [Medline].
Elewski BE, Malden MA. Cutaneous Fungal Infections. 2nd ed. London: Blackwell Science; 1998:13-72, 321-46.
Freedberg IM, Eisen AZ, Wolff K, et al. Fitzpatrick's Dermatology in General Medicine. 5th ed. New York, NY: McGraw-Hill; 1999:2349-51.
Leyden JJ, Kligman AM. Interdigital athlete's foot. The interaction of dermatophytes and resident bacteria. Arch Dermatol. Oct 1978;114(10):1466-72. [Medline].
Malcolm B. Tinea pedis. Practitioner. Mar 1998;242(1584):225. [Medline].
Medical Economics Staff. Physicians' Desk Reference. 53rd ed. Montvale, NJ: Thomson Healthcare; 1999.
Mitchell JH. Ringworm of hands and feet. J Am Med Assoc. Jun 9 1951;146(6):541-6. [Medline].
Noble SL, Forbes RC, Stamm PL. Diagnosis and management of common tinea infections. Am Fam Physician. Jul 1998;58(1):163-74, 177-8. [Medline].
Resnik SS, Lewis LA, Cohen BH. The athlete's foot. Cutis. Sep 1977;20(3):351-3, 355. [Medline].
Rippon JW. Medical Mycology: The Pathogenic Fungi and the Pathogenic Actinomycetes. 3rd ed. Philadelphia, Pa: WB Saunders; 1988:169-275.
Watanabe K, Taniguchi H, Katoh T. Adhesion of dermatophytes to healthy feet and its simple treatment. Mycoses. 2000;43(1-2):45-50. [Medline].
Weidman FD. Laboratory aspects of epidermophytosis. Arch Dermatol. 1927;15:415-50.

