Tinea Pedis (Athlete’s Foot) and Tinea Cruris

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It  is  a  common  fungal  infection  of  the  toes  and  is  often  the  source  of  infection  at  other  sites  especially groin. 

Clinical presentation  

• Tinea  pedis  presents  with  erythema  and  maceration  between  the  toes,  sometimes accompanied by painful vesicles.
• The chronic form is characterized by scaling, peeling on the soles.
• Tinea cruris - Itching and patches in the groin. Check for interdigital maceration for all with tinea cruris. 

Prevention and Non-Pharmacological Treatment 

• Frequent change of socks/footwear, underwear. 
• Use of cotton socks, underwear. 
• Keep  as  dry  as  possible  the  spaces  between  toes  after  bathing  always.  Separating  the opposing skin surfaces (e.g. with a piece of gauze) will help speeding healing. 

Pharmacological Treatment 

A: clotrimazole cream (topical) 1% apply 12hourly for 2weeks 

OR 

C: miconazole cream (topical) 2% apply 12hourly for 2weeks 

OR 

C: terbinafine cream (topical) 24hourly for 14days 

AND 

A: gentian violet 24hourly for 14days for bacterial super infection 

Alternatively 

C: terbinafine (PO) 250mg 24hourly for 2-4weeks  

OR 

D: itraconazole (PO) 200mg 24hourly for 2-4weeks