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Health Dictionary

Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.

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Athlete's foot physical examination

Introduction

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Interdigital tinea pedis

Vesicolobullous tinea pedis

  • Bullae or tense vesicles are seen over the anterior plantar surface.
  • Pain is often an accompanying symptom.
  • Vesicles appear in a symmetric fashion and may mimic pompholyx (dyshidrosis).
  • Dermatophytid reactions or identity reactions are most commonly seen in this type.
  • Secondary bacterial infections of ruptured bullae/vesicles may lead to ulcerative tinea pedis.

Chronic hyperkeratotic tinea pedis

  • Diffuse hyperkeratosis is the defining feature of chronic infection.[2]
  • Skin is erythematous and has silvery scales.
  • Moccasin like distribution over the feet is seen, thus chronic intertriginous tinea is also called “moccasin” tinea pedis.

Ulcerative tinea pedis

  • This type is usually seen in diabetic patients.
  • It is characterised by ulcers, vesicles, pustules which begin in the interdigital web spaces which spread rapidly and may lead to a secondary bacterial infection.
  • Cellulitis, lymphangitis, edema are commonly seen with this type.

References

  1. ↑ Canavan TN, Elewski BE (2015). “Identifying Signs of Tinea Pedis: A Key to Understanding Clinical Variables”. J Drugs Dermatol. 14 (10 Suppl): s42–7. PMID 26461834.
  2. ↑ Greer DL, Gutierrez MM (1987). “Tinea pedis caused by Hendersonula toruloidea. A new problem in dermatology”. J Am Acad Dermatol. 16 (5 Pt 2): 1111–5. doi:10.1016/s0190-9622(87)70144-3. PMID 2953766.
  3. ↑ 3.00 3.01 3.02 3.03 3.04 3.05 3.06 3.07 3.08 3.09 3.10 3.11 3.12 3.13 3.14 3.15 3.16 3.17 3.18 3.19 3.20 3.21 3.22 3.23 3.24 3.25 3.26 3.27 3.28 3.29 3.30 3.31 3.32 3.33 3.34 3.35 3.36 3.37 3.38 “Dermatology Atlas”.

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2] Sanjana Nethagani, M.B.B.S.[3]