Peeling of the soles of the feet is generally more common in winter because the weather is relatively dry in winter and people drink much less water. People do not feel very thirsty in winter, which can easily cause dryness and peeling of the feet. People generally drink more water in the summer, so peeling of the soles of the feet generally does not occur at this time, but some people still experience it. What should I do if the soles of my feet peel in summer? Tinea pedis is a contagious skin disease of the feet caused by pathogenic fungi. Tinea pedis is prevalent throughout the world and is more common in tropical and subtropical regions. In our country, the incidence of tinea pedis is also quite high. There are no sebaceous glands on the soles of the feet and between the toes, and thus a lack of fatty acids that inhibit skin filamentous fungi, and the physiological defense function is poor. However, the skin in these areas is rich in sweat glands and sweats more frequently. In addition, the air circulation is poor and the local area is humid and warm, which is conducive to the growth of filamentous fungi. In addition, the stratum corneum of the skin on the soles of the feet is thicker, and the keratin in the stratum corneum is a rich nutrient for fungi, which is conducive to the growth of fungi. During pregnancy, women's endocrine changes cause their skin's ability to resist fungal infections to decrease, making them more susceptible to tinea pedis. Obese people are more likely to suffer from tinea pedis due to moisture between the toes and sweat. Trauma to the foot skin destroys the skin's defense function and is also one of the factors that induce tinea pedis. Diabetic patients are also susceptible to tinea pedis because of the disorder of substance metabolism caused by lack of insulin and the increased sugar content in the skin leading to decreased resistance. Abuse of antibiotics, long-term use of corticosteroids and immunosuppressants, etc., which can cause imbalance in the normal skin flora, can also increase susceptibility to tinea pedis. The incidence of tinea pedis is also related to lifestyle habits. Some people do not pay attention to foot hygiene and the condition of their shoes and socks, providing a good breeding ground for fungi. Treatment 1. If there is erosion or exudation between the toes, do not use strong irritating drugs externally. It is best to let the wound surface astringent and dry before using the medicine. You can apply a 1:8000 potassium permanganate solution as a wet compress, then apply external oil or powder, and after the skin is dry, switch to creams or ointments such as terbinafine hydrochloride. 2. If the skin is severely keratinized and thickened, antifungal drugs are difficult to penetrate and absorb. You can first use 10% salicylic acid ointment or compound benzoic acid ointment to soften the cuticle, and then use antifungal drugs. If the skin is obviously dry and cracked, you can soak it in warm water each time to soften the cuticle, and then use antifungal drugs. For those with obvious dry and cracked skin, you can apply ointment locally after soaking in warm water each time, then seal it with plastic film and wrap it with a bandage. Remove it after 24 to 48 hours and then use antifungal drugs. 3. If small blisters appear on the feet but have not broken, you can first soak them in 3% boric acid solution, and then use antifungal creams such as bifonazole cream. 4. For tinea pedis complicated with bacterial infection, in principle, local anti-bacterial treatment should be used first. Furazolidone solution or 1:2000 berberine solution can be used for wet compresses. For severe infection, oral antibiotics can be used, such as cephalexin capsules, erythromycin, etc. 5. Systemic treatment For stubborn tinea pedis, oral medications can be given if there are no contraindications. Such as terbinafine, itraconazole, fluconazole, etc. These oral medications are effective, but attention should be paid to their possible side effects and they should not be used by people with poor liver function. 6. Adhere to the medication. Tinea pedis is a chronic infection. Fungi grow and multiply in the stratum corneum. Long-term medication is required to completely eliminate it. Therefore, after the symptoms of tinea pedis are relieved, you still need to continue taking the medication. The skin's metabolic cycle is about 28 days, so the medication must be taken for more than four weeks. It is best to conduct fungal examination and culture, and it is considered cured only if the results are negative for three consecutive weeks. 7. Do not use drugs indiscriminately. The most important thing about using drugs for tinea pedis is to carry out consistent and regular treatment according to the classification. Do not blindly treat the disease on your own, as this often delays and worsens the condition. 8. Medication should be used according to the specific conditions of the lesion. Tinctures should not be used on ulcerated areas, and ointments should be used on thickened skin and cracks. 9. When tinea pedis develops a secondary infection and local acute inflammation occurs, it cannot be treated as a normal tinea pedis. The secondary infection should be dealt with first. If there is redness or swelling, apply boric acid water or furazolidone liquid for cold or warm compress locally, and if necessary, apply antibiotics systemically. |
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