OSCE Tinea Pedis Flashcards
What is Tinea Pedis
Fungal infection of the foot also known as athletes foot which is commonly caused by dermatophytes
What are the different types of Tinea Pedis
So there are 3 main types of tinea pedis:
Interdigitial:
* commonly occurs between 4th and 5th digit
* can have visible maceration between the toes but not always
* patient will describe itching or burning symptomns
* May spread medially to other areas of the foot
Moccasin:
* Covers the plantar aspect and the sides of the foot
* Most commonly caused by t-rubrum
* displays dermacted scaling
* tiny vesicles or pustules can occur
Vesicobullus:
* Mainly on the arches and soles of the feet
* An inflamatory variant with erythamatous base, pustules and blisters
What assesments would you do to diagnose this condition
Can be diagnosed by the clinical presentation if suspected fungal infection ask the following:
* nature, site and duration of any symptomns
* any co morbidities
* any previous treatments
* Any infected family members
Take skin smaples for fungal microsocpy:
* scrape the skin from the edge of the affected area
* collect 5mm2 of skin flakes to send off for mycroscopy
How would you treat manage the condition
provide Self care advice on management:
* Avoid occlusive footwear
* change footwear every 2-3 days where possible
* Avoid scratching the affected skin as this could spread the infection to other areas
* wear cotton absorbent socks
* wear protective footwear when using communal spaces to avoid cross contamintsion
MANAGEMENT would depend on the organism and the charecteristics of the patient
Treatment options:
In MILDcases a topical solution would be first line treatment option
* so a terbinafine, econazole or miconazole cream
* If theres any associated inflamattion a corticosteriod could be given aswell such as 1% hydrocortisone cream
In SEVERE cases an oral systmeic would be given as first line treatment option:
* Oral terbinafine, itraconazole or griseofulvin
What are pre disposing risk factors
Immunosupression
Diabetes
Athletes or active individual
