Tinea Pedis | Figure 4.24
A: Tinea capitis
(Courtesy of Dr. Paul Getz)
B: Tinea pedis, interdigital
C: Onychomycosis |
(Figure 4.24B) - Commonly due to T. rubrum (relative noninflammatory)
- Different types
- Mocassin type (T. rubrum, E. floccosum): dull erythema with scaling involving sole and sides of foot, may be focal
- Bullous type (T. mentagrophytes): multilocular bullae often located along the instep (arch)
- Interdigital type (T. rubrum, T. mentagrophytes): erythema, maceration, and fissuring of the webspace
- Dermatophytid (“id”) reaction of the hands may occur due to inflammatory tinea pedis
- Treatment: topical antifungal, if extensive use oral terbinafine 250 mg qd × 2 weeks
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