How to effectively treat tinea pedis

Tinea manuum and tinea pedis are relatively common skin diseases, mainly caused by dermatophytes infecting the surfaces of the hands and feet. Some patients may develop blisters on their palms or feet, and ulcers may occur if they become infected. So how to treat tinea pedis?

Tinea manuum and tinea pedis are usually treated with imidazole solutions or creams, or salicylic acid preparations. Antifungal drugs can be taken orally. When eczematous changes are secondary to infection, the secondary infection should be treated first. Pay attention to personal hygiene and change socks frequently. Treatments for different types of tinea manuum and tinea pedis vary.

Detailed treatment of tinea manuum and tinea pedis:

Treatment of tinea manuum and tinea pedis:

1. Generally, imidazole solutions or creams are used, and salicylic acid preparations can also be used, 1 to 2 times a day. Ointment can be used for those with dry or even cracked skin lesions. Topical medications should be applied after washing hands or feet and before going to bed to prolong the duration of drug action. Locally seal when necessary.

2. For those who do not respond well to topical medications alone, oral antifungal drugs such as itraconazole, terbinafine or fluconazole can be used. Itraconazole 0.2-0.4 g/d for one week; terbinafine 0.25 g/d for one week. The above drugs have mild side effects on liver function, but should be used with caution by those with a history of liver disease and liver function should be monitored when necessary.

3. If eczematous changes lead to secondary infection, the secondary infection should be treated first. Topically use 1,5000 potassium permanganate, 0.5% lead acetate, 0.1% revulol, or dilute povidone-iodine solution 10 times and soak for about 20 minutes, or apply one of the above medicines for wet compresses 2 to 3 times a day. After the exudation improves, gradually try using less irritating antifungal creams. For the hyperkeratosis type, use a dosage form with strong permeability and high drug concentration, such as compound salicylic acid ointment. First, apply a thick layer of 10% salicylic acid ointment, seal it with plastic film, and do it once a night to exfoliate the keratin. For those with excessive sweating and foul odor on the soles of their feet, you can first soak them in povidone-iodine solution and then apply topical antifungal drugs.

4. There are many factors that affect the efficacy of tinea pedis treatment. The widespread distribution of pathogenic ringworm fungi and the diversity of their transmission routes determine the long-term use of antifungal drugs. During treatment, preventive measures should also be taken, such as paying attention to personal hygiene, changing socks frequently, not sharing bathing utensils with others, etc. to avoid cross infection. Tinea pedis and tinea of ​​other family members should be treated at the same time.

Treatment of different types of tinea manuum and tinea pedis:

1. Blister type

You can first soak it in 3% boric acid solution, twice a day, each time for 10 minutes. Antifungal cream or ointment can be applied after the blisters have dried.

2. Maceration and erosion type

You can first use boric acid solution for wet compress astringency. Then apply foot powder or miconazole, bifonazole powder, etc. externally 1-2 times a day, and then switch to antifungal cream after it dries.

3. Scaly keratotic type

The main treatments are various antifungal agents and ointments containing keratolytic agents.

4. Persistent infection

Consider oral antifungal therapy (tinea cruris).