Do not use combination products such as betamethasone/clotrimazole because they can aggravate fungal infections. Objective data (Medical Transcription Sample Report) SUBJECTIVE: This patient presents to the office today for a checkup. Your skin may become scaly and cracked or develop blisters. Tinea corporis particularly effects the upper parts of the body such as the shoulders, axilla, chest and back (Dimple et al, 2016). Data Sources: A PubMed search was completed using the MeSH heading Tinea[Majr] and including meta-analyses, guidelines, randomized controlled trials, and reviews. B. Call your healthcare provider if your athletes foot: Athletes foot is an unpleasant condition. Others are more specific to one or the other type of fungus. (https://www.ncbi.nlm.nih.gov/books/NBK279549/). 2. 3. Dermatophytes include three genera: Trichophyton, Microsporum, and Epidermophyton. Like tinea capitis, tinea barbae is treated with oral antifungal therapy as shown in table 3. Favorite 5. approximately 14 views in the last month. Jomo Kenyatta University of Agriculture and Technology, Nairobi, Camarines Sur Polytechnic Colleges Nabua Main Campus. Incidence increases in hot, humid weather. All Rights Reserved. After heating the slide, tap down the coverslip to compress the sample and separate the hyphae from the squamous cells. Note: Prevention is of primary importance. E. Hygiene Tinea infections of the feet, nails, and . The best evidence supports terbinafine for treating adolescents with tinea unguium, 24 although griseofulvin is usually used in children. This is the perfect environment for athletes foot to grow. Tinea pedis No clinical improvement after 2 weeks Tinea is a fungal infection of the skin. 2008; 166 (5-6): 353. If the appearance is not diagnostic or if the infection manifests as hyperkeratotic, ulcerative, or vesiculobullous, a potassium hydroxide wet mount is helpful. These include azoles, allylamines, butenafine, ciclopirox, and tolnaftate. Athlete's foot: Overview. Medical Mycology. This keeps the information fresh in your mind. What steps can I take to prevent athletes foot from spreading to other parts of my body? 2. Vinegar wet packs: 12 cup vinegar to 1 quart warm water; apply 15 minutes, bid. Tinea pedis can be the starting point for mycoses of other localisations, e.g. Other typical sites, such as toenails, groin, and palms of the hands, should be examined for fungal infection, which may support a diagnosis of tinea pedis. Use talcum or antifungal powder in intertriginous and interdigital areas. This content does not have an English version. False-negative results on KOH preparations are common and are usually caused by inadequate material on the slide. But it's not caused by worms. Psoriasis: Usually unilateral; other psoriatic lesions on body; plaques with silvery scales To provide you with the most relevant and helpful information, and understand which II. General measures should be first-line, including meticulous drying of feet, especially between the toes, avoidance of occlusive footwear, and the use of barrier protection (sandals) in communal facilities. C. Hurts with activity I. Therefore, use an old microscope, and avoid spills and excess KOH on the slide. Differential diagnosis Subclinical onychomycosis should be considered in patients with recurrent tinea pedis. Check out this free SOAP note kit that includes a template, checklist, even more SOAP note examples, and 7 Tips to Improve Your Documentation. In: Dermatology Secrets. Topical terbinafine (e.g., Lamisil AT Cream, Spray Pump, Solution) will cure tinea pedis between the toes when used twice daily for 1 week. B. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. Rubbing feet clean with a towel or washing feet with soap can reduce the number of fungi on the soles of feet. PMH: Immunizations: Preventive Care: Surgical History: Family History: Social History: Sexual Orientation: Tinea is usually followed by a Latin term that designates the involved site, such as tinea corporis and tinea pedis (Table 1). Seen most often in young adults in temperate zones Skin scrapings and hair can be examined under the microscope immediately. A. Source: Manual of Ambulatory Pediatrics 2010. 4th ed. 3. information is beneficial, we may combine your email and website usage information with 6. Tinea infection can affect any part of the body. SOAP Notes is ideal for any person who must manage detailed notes for each patient visit and needs an app that will enter the notes quickly, and accurately. Estimates suggest that 3% to 15% of the population has athletes foot, and 70% of the population will have athletes point at some time in their lives. 4. Wart on the finger. Athlete's foot. Case 1: A 40-year-old housewife complains of progressive weight gain of 20 pounds over the last year, fatigue, postural dizziness, loss of memory, slow speech, deepening of her voice, dry skin. For acute lesions with blistering and oozing: Domeboro soaks 4 times daily, 1 tablet or powder packet to 1 pint of water Updated by Dr Thomas Stewart,General Practitioner, Sydney, Australia. posted 2010-04-20, updated 2019-12-22. Scaling is visible in the interdigital space on close inspection. Athlete's foot can sometimes lead to bacterial infections. Garlic Garlic may have a strong scent, but it. 7. Tinea pedis. The condition is contagious and can be spread via contaminated floors, towels . Concomitant topical antifungal use may reduce recurrences. 4.0 4.0 out of 5 stars (33) Paperback. Diagnosis of tinea pedis is usually obvious based on clinical examination and review of risk factors. American Academy of Pediatrics; 2019. D. Note: For fungal infection of nailsDiflucan 200 mg once a week until nail grows out Copyright 2023 Merck & Co., Inc., Rahway, NJ, USA and its affiliates. For those who do not respond to topical therapy, an oral antifungal agent may be needed for a few weeks. Soap Note 1 Acute Conditions (10 points) Pulmonary Emboli. Avoid scratching your feet. Kircik LH, Onumah N. Use of naftifine hydrochloride 2% cream and 39% urea cream in the treatment of tinea pedis complicated by hyperkeratosis. Mayo Clinic; 2010. Scan the slide under low power, and use high power to confirm hyphae in suspicious areas. A. o [ abdominal pain pediatric ] Candidiasis: Lesions are moist and intensely erythematous with sharply defined borders and satellite lesions; more common in females. DermNet does not provide an online consultation service. Tinea pedis. If you would like to change your settings or withdraw consent at any time, the link to do so is in our privacy policy accessible from our home page.. Most common of all the fungal diseases. ACTIVITY REPORTS summarize services. Infection is usually acquired by direct contact with the causative organism, for example using a shared towel, or by walking barefoot in a public change room. M. canis, which is more common in white children, exhibits a green fluorescence under a Wood lamp. These pills contain fluconazole, itraconazole or terbinafine. However, antifungal medications or home remedies will help you get rid of athletes foot. We do not control or have responsibility for the content of any third-party site. iPad. Symptoms include pruritus and read more (due to type IV delayed hypersensitivity to various materials in shoes, particularly adhesive cement, thiuram compounds in footwear that contains rubber, and chromate tanning agents used in leather footwear), irritant contact dermatitis Irritant contact dermatitis (ICD) Contact dermatitis is inflammation of the skin caused by direct contact with irritants (irritant contact dermatitis) or allergens (allergic contact dermatitis). 2. SOAP Note - Tinea Versicolor A chronic, superficial fungal infection characterized by fine scaling and hypopigmentation or hyperpigmentation, mainly on the trunk. However, kerion should be treated aggressively while awaiting test results, and it may be reasonable to treat a child with typical lesions of tinea capitis involving pruritus, scale, alopecia, and posterior auricular lymphadenopathy without confirmatory testing. Predisposing factors for tinea cruris include: Longstanding tinea pedis Intertrigo: Rash is erythematous with oozing, exudation, and crusting; borders are not sharply defined, with no central clearing. Some prescription antifungal medications for athletes foot are pills. IV. B. Griseofulvin may be indicated. C. Maceration Your healthcare provider can typically diagnose athletes foot by examining your feet and symptoms. 1. The diagnosis of onychomycosis should generally be confirmed with a test such as potassium hydroxide preparation, culture, or periodic acidSchiff stain before initiating treatment. Complications The most common infections in prepubertal children are tinea corporis and tinea capitis, whereas adolescents and adults are more likely to develop tinea cruris, tinea pedis, and tinea unguium (onychomycosis). B. Allergic response to topical antifungal cream (erythema, stinging, blistering, peeling, and pruritus) It's caused by different types of fungi. False-positive results can occur from misinterpretation of hair shafts or clothing fibers, which are often larger than hyphae, not segmented, and not branching. D. Complaint of jock itch A. SOAP Tinea Corporis Soap Note Monday, September 6, 2010 7/27/10 1000 T.M. Telephone call in 3 to 4 days Seen most often in athletes and obese children In some cases, your healthcare provider may remove a small piece of skin (biopsy) and test it in a lab. Tinea pedis is most frequently due to Trichophyton rubrum, T. interdigitale (formerly known as T. mentagrophytes var. Some of our partners may process your data as a part of their legitimate business interest without asking for consent. Step 3: Disinfect other tinea reservoirs The borders between squamous cells can also be mistaken for hyphae. Tinea pedis is a dermatophyte infection of the feet. The clinical diagnosis can be unreliable because tinea infections have many mimics, which can manifest identical lesions. Tinea capitis is a dermatophytosis that mainly affects children, is contagious, and can be epidemic. Diagnosis All rights reserved. Books about skin diseasesBooks about the skin X. Consultation/referral Differential diagnosis is sterile maceration (due to hyperhidrosis and occlusive footgear), contact dermatitis Contact Dermatitis Contact dermatitis is inflammation of the skin caused by direct contact with irritants (irritant contact dermatitis) or allergens (allergic contact dermatitis). Should I look out for signs of complications? Athlete's foot causes an itchy, stinging, burning rash on the skin on one or both of your feet. Purchase the answer to view it. Athlete's foot is most common between your toes, but it can also affect the tops of your feet, the soles of your feet and your heels. Clinical pearls in dermatology 2017. The consent submitted will only be used for data processing originating from this website. 1. Copyright 2023 | WordPress Theme by MH Themes, UTD Oral toxicity associated with chemotherapy, Rx All C 2 check and keep this version, First Case of 2019 Novel Coronavirus in the United States. Loprox cream, for children older than 10 years, tid (also effective against C. albicans) Ideal for BILLING, letting you filter by client name, date, billing fees, and even names of treatments. Scaling and maceration affect the 4th interdigital space. Chronic infection (80% of patients acquire immunity; 20% may develop chronic infection). Oral fluconazole is an option,32 but for most patients oral terbinafine is the treatment of choice because of its superior effectiveness,33 tolerability, and low cost.31,3438 Because toenails grow slowly, assessment of cure takes nine to 12 months. The spores of T. tonsurans will be contained within the hair shaft, but for the less common Microsporum canis, the spores will coat the outside of the hair shaft. Unilateral involvement is a significant positive clinical finding. Tinea pedis is the most common dermatophytosis Overview of Dermatophytoses Dermatophytoses are fungal infections of keratin in the skin and nails (nail infection is called tinea unguium or onychomycosis). Grifulvin V: 250 to 500 mg daily for 4 to 8 weeks Athletes foot doesnt typically go away on its own. Every day apply a thin coat of polysporin ointment. A. 2. Athletes foot is most common between your toes, but it can also affect the tops of your feet, the soles of your feet and your heels. B. Antifungal creamsuse one of the following: dermatophyte fungi. This content does not have an Arabic version. You may opt-out of email communications at any time by clicking on However, concomitant treatment with 1% or 2.5% selenium sulfide (Selsun) shampoo or 2% ketoconazole shampoo should be used for the first two weeks because it may reduce transmission.12,13 For many years, the first-line treatment for tinea capitis has been griseofulvin because it has a long track record of safety and effectiveness. Oral treatments for fungal infections of the skin of the foot. TINEA CRURIS Complications The most common infections in prepubertal children are tinea corporis and tinea capitis, whereas adolescents and adults are more likely to develop tinea cruris, tinea pedis, and tinea unguium (onychomycosis). Tinea corporis, tinea cruris, and tinea pedis can often be diagnosed based on appearance, but a potassium hydroxide preparation or culture should be performed when the appearance is atypical. Your symptoms depend on the type of athletes foot that you have. tinea pedis C. Check the entire body. Fungal and Yeast Infections. o [ pediatric abdominal pain ] E. History of exposure to tinea cruris It initially manifests with a crack between the toes. He adds that the itching gets relieved whenever he dips his foot in warm water. 2015; doi.10.1002/14651858.CD003584.pub2. Follow-up Ferri FF. Last reviewed by a Cleveland Clinic medical professional on 12/01/2021. Athletes foot causes an itchy, stinging, burning rash on the skin on one or both of your feet. privacy practices. Occurs most frequently in adolescents and adults but is found with increasing frequency in preadolescent children, probably because of the use of occlusive footwear. II. Don't prescribe oral antifungal therapy for suspected nail fungus without confirmation of fungal infection. In severe cases of athletes foot, you may develop fluid-filled blisters or open sores. If treatment of tinea pedis is unsuccessful, consider reinfection, coexistent untreated fungal nail infection, reinfection due to untreated family member, or an alternative diagnosis. Males are more susceptible than females. A. A second treatment course with the same or a different agent is reasonable if the diagnosis is confirmed. Incidence 5. E. Eliminate sources of heat and friction. Tinea corporis, tinea cruris, and tinea pedis generally respond to inexpensive topical agents such as terbinafine cream or butenafine cream, but oral antifungal agents may be indicated for. II. Hyperlipidemia. Advertising on our site helps support our mission. Copy edited by Gus Mitchell. C. Should I avoid any medications or treatments? 2. High WA, et al., eds. He has applied over the counter topical medication but there has only been minimal, He denies having been hospitalized before, He denies any history of previous surgery, He is heterosexual, married to a 34 year old woman and, He spends most of his time working in his farm which he, reports is sometimes swampy. These products contain clotrimazole, miconazole, tolnaftate or terbinafine. If you have any concerns with your skin or its treatment, see a dermatologist for advice. Disease-a-Month 2017; doi.org/10.1016/j.disamonth.2017.03.003. Tinea pedis usually occurs in males and adolescents/young adults, but can also affect females, children and older people. Med Mycol. He keeps himself active by working on his farm, He has received all the necessary vaccines including 2 doses of, His maternal grandmother died at the age of 75 due to, GM is in a fair general conditioned and does not report any other health, He reports occasional headache which comes with flu. Change clothing daily. Contact dermatitis: Reaction to shoes, sneakers, dye, soap, nylon socks. D. Scaling of feet The child with tinea capitis should return for clinical assessment at the completion of therapy or sooner if indicated, but follow-up cultures are usually unnecessary if there is clinical improvement. 1. Spectazole 1% Cream, once daily (also effective against C. albicans) 1. Use to remove results with certain terms You are at higher risk of athlete's foot if you: The athlete's foot infection can spread to other warm, moist parts of the body. Damp socks and shoes and warm, humid conditions favor the organisms' growth. Copyright 2014 by the American Academy of Family Physicians. Allow your shoes to dry out for at least 24 hours between uses. Ringworm of the groin, or "jock itch"; a superficial fungal infection of the groin. Clean the area daily with soap and water. Tinea pedis is a foot infection due to a dermatophyte fungus. Tinea unguium is increasingly prevalent with increased age and spreads from tinea pedis or less often, tinea manuum. Oxistat 1%, bid for 2 weeks (also effective against C. albicans) He denies any hearing. $8.99 $ 8. Topical treatments for fungal infections of the skin and nails of the foot. C. Untreated or improperly treated tinea presents with scaling and erythema of the sides and dorsum of the foot, as well as interdigital areas and plantar surface. Acceptable treatments for tinea capitis, with shorter treatment courses than griseofulvin, include terbinafine (Lamisil) and fluconazole (Diflucan). Athletes foot is contagious. In: Ferri's Clinical Advisor 2021. 1. Do not treat tinea capitis solely with topical agents, but do combine oral therapy with sporicidal shampoos, such as selenium sulfide (Selsun) or ketoconazole. F. Communicable as long as lesions are present A rare variant form appears as nummular (circle- or round-shaped) scaling patches studded with small papules or pustules that have no central clearing. Athlete's foot, or tinea pedis, is a contagious fungal infection that affects the skin on the feet. Tinea cruris (jock itch) most commonly affects adolescent and young adult males, and involves the portion of the upper thigh opposite the scrotum (Figure 2). Secondary infection Advertising revenue supports our not-for-profit mission. Also see your doctor if you have signs of an infection swelling of the affected area, pus, fever. GM, a 37 year old African American male comes to, the clinic with complains of an itching right foot and a cracked nail of his right thumb. Tinactin cream, apply tid (over-the-counter preparation; ineffective against C. albicans). However, kerion should be treated with griseofulvin unless Trichophyton has been documented as the pathogen. 1. Oral treatments for fungal infections of the skin of the foot. Severe involvement or secondary infection, Copyright 2023 | WordPress Theme by MH Themes, UTD Oral toxicity associated with chemotherapy, Rx All C 2 check and keep this version, First Case of 2019 Novel Coronavirus in the United States. 2016; doi.10.1002/14651858.CD001434.pub2. Daily showers should be encouraged, as should the prophylactic use of antifungal powders, such as Caldesene or Tinactin, daily or twice daily. A. Groin and upper inner thighs are red, raw, and sore Its important to finish your full course of medicine. Doctors usually examine the affected area and view a skin or nail sample under a microscope or sometimes do a culture. Athlete's foot is a fungal infection that causes scaly rash that may itch, sting or burn. Culture may not be necessary if typical fungal elements are observed on microscopy. Tinea infection can affect any part of the body. Interdigital spaces should be manually dried after bathing. The term tinea means fungal infection, whereas dermatophyte refers to the fungal organisms that cause tinea. Adjust the light filter and drop the condenser to achieve a low light level and increased refraction. Tinea pedis has various patterns and may affect one or both feet. Athletes in particular should be educated about the need for clean, dry clothing and the importance of avoiding direct contact with someone who has jock itch. Alert child and parents to signs and symptoms of secondary infection. This is because it can cause red patches on the skin in the shape of rings. Accessed June 8, 2021. information and will only use or disclose that information as set forth in our notice of Update in antifungal therapy of dermatophytosis. TINEA CRURIS. 2. It usually presents in one of three ways: It can also uncommonly cause oozing and ulceration between the toes (ulcerative type), or pustules (these are more common in tinea pedis due to T. interdigitale than that due to T. rubrum). What steps can I take to prevent athletes foot from spreading to other people? Chronic intertriginous tinea pedis is characterized by scaling, erythema, and erosion of the interdigital and subdigital skin of the feet, most commonly affecting the lateral 3 toes. The link you have selected will take you to a third-party website. You can also spread it from the foot to other parts of the body, especially if you scratch or pick the infected parts of your foot. Tinea infections can be difficult to diagnose and treat. B. 2007; 18(3): CD001434. Cultures are usually not necessary to diagnose tinea corporis.2 Skin biopsy with periodic acidSchiff (PAS) stain may rarely be indicated for atypical or persistent lesions. History and physical findings are generally adequate for diagnosis. Symptoms include pruritus and read more , and psoriasis Psoriasis Psoriasis is an inflammatory disease that manifests most commonly as well-circumscribed, erythematous papules and plaques covered with silvery scales. Predominance of type depends on the organism, its hosts, and local factors. Elsevier; 2021. https://www.clinicalkey.com. B. It can also sting or burn and smell bad. Use cotton underwear. Differential diagnosis The scalp should also be cultured to identify the organism and immunocompromise should be considered. F. Regional adenopathy Moisture reduction on the feet and in footwear is necessary for preventing recurrence. In: Riedel S, Hobden JA, Miller S, Morse SA, et al, eds. Follow the MRU Soap Note Rubric as a guide: However, some clinicians may not have immediate access to a microscope or have a Certificate of Provider-Performed Microscopy,39 and transporting skin scrapings to a distant laboratory will not support immediate point-of-care treatment decisions. J. Should I avoid going to the gym, public pool, sauna or other public places? For suspected onychomycosis, consider a periodic acidSchiff stain of nail clippings instead of KOH preparation. 2. Sporanox (Itraconazole): 200 mg/d for 7 days Tinea versicolor (now called pityriasis versicolor) is not caused by dermatophytes but rather by yeasts of the genus Malassezia. Treatment involves oral antifungals. In one survey, tinea was the skin condition most likely to be misdiagnosed by primary care physicians.1. Tinea pedis is a dermatophyte infection of the foot. Tinea corporis is a dermatophytosis that causes pink-to-red annular (O-shaped) patches and plaques with raised scaly borders that expand peripherally and tend to clear centrally. 4. This is moccasin athletes foot. 3. It can be treated with antifungal medications, but the infection often comes back. Common signs and symptoms are: Athlete's foot can cause dry, scaly skin on the bottom and sides of the foot. Cleveland Clinic is a non-profit academic medical center. A. Accessed June 8, 2021. Tinea pedis A Wood lamp examination may be helpful to distinguish tinea from erythrasma because the causative organism of erythrasma (Corynebacterium minutissimum) exhibits a coral red fluorescence. Consider the diagnosis if patients have lesions of the toes and/or feet that are intertriginous, ulcerative, hyperkeratotic, or vesicobullous. Remember, you shouldnt scratch your athletes foot, as it can spread to other parts of your body. Be sure to follow your healthcare providers instructions so you get rid of your athletes foot quickly and dont pass it on to anyone else. III. Oral terbinafine is first-line therapy for tinea capitis and onychomycosis because of its tolerability, high cure rate, and low cost. Treatment courses for onychomycosis are long (three to six months), failure rates are high (Table 42,12,1720 ), and recurrences are common (up to 50%).31 In older adults, treatment of onychomycosis is often optional, but most adolescents and young adults request treatment for cosmetic reasons or discomfort from shoes. Apply talcum powder or antifungal powder to your feet to absorb moisture. Athletic supporters, shorts, and socks should not be loaned or borrowed. 4.5 (2k+) 4.7 (139) Chat. B. 2. Hyperkeratotic moccasin-type tinea pedis, 6020002, 25956006, 43581009, 403055000, 75996005, 403054001, Patient information: Ringworm, athletes foot, and jock itch (The Basics), Patient information: Ringworm (including athlete's foot and jock itch) (Beyond the Basics), Interdigital involvement is most commonly seen (this presentation is also known as, Small to medium-sized blisters, usually affecting the inner aspect of the foot (, Dry feet and toes meticulously after bathing, Avoid wearing occlusive footwear for long periods, Clean the shower and bathroom floors using a product containing bleach. Continue with Recommended Cookies, Transcribed Medical Transcription Sample Reports and Examples, SOAP / Chart / Progress Notes - Medical Reports, Postop Parathyroid Exploration & Parathyroidectomy, Posttransplant Lymphoproliferative Disorder, General Medicine-Normal Male ROS Template - 1(Medical Transcription Sample Report), See More Samples on SOAP / Chart / Progress Notes, View this sample in Blog format on MedicalTranscriptionSamples.com. Topical therapy is usually ineffective except in the treatment of the white superficial form. D. Vesicular eruption on plantar surface The scraping should be taken with a #15 scalpel blade or the edge of a glass slide. Over-the-counter (OTC) and prescription antifungal creams, ointments, gels, sprays or powders effectively treat athletes foot. Because the scrapings will easily blow off the slide, shield it from drafts or apply KOH preparation to the slide before transport. The safest tinea pedis treatment is topical antifungals, but recurrence is common and treatment must often be prolonged. 3. Symptoms of dermatophytoses include rashes, scaling, and itching. If you are a Mayo Clinic patient, this could G. History of exposure to predisposing factors (e.g., communal showers, prolonged use of sneakers). is a 9-yr-old black male Referral: None Source and Reliability: Self-referred with parent; seems reliable; report from . Sometimes, your feet smell bad. Accessed June 8, 2021. Keflex 500 mg, every 12 hours (over 15 years of age) Lac-Hydrin cream (for Tinea Manum) Topical Antifungal (twice daily for 3-4 weeks) Technique Apply to normal skin 2 cm beyond affected area Continue for 7 days after symptom resolution First line: Imidazoles (e.g. Jock itch is often caused by the same fungus that results in athlete's foot. Moccasin tinea pedis nail mycoses of the toes and fingers, the groins or other body regions. Use clogs for showers. Note that this may not provide an exact translation in all languages, Home J Drugs Dermatol. Nizoral 2% cream, apply once daily for 6 weeks. 2012; 10: CD003584. Common symptoms are . B. Wear cotton or wool socks that absorb moisture or socks made out of synthetic materials that wick away moisture. Do not use topical clotrimazole or miconazole to treat tinea because topical butenafine (Lotrimin Ultra) and terbinafine have better effectiveness and similar cost (. He occasionally joins his friends for swimming. Click here for an email preview. For lesions with erythema and pruritus, order one of the following: Tinea corporis (ringworm) typically presents as a red, annular, scaly, pruritic patch with central clearing and an active border (Figure 1). Use clean athletic supporter daily. sensation. Do not lend or borrow shoes. I. Etiology:A superficial fungal infection caused by Malassezia furfur, a yeast-like fungus II. The tinea may be distributed in a shoe or sneaker pattern. Available from: InformedHealth.org [Internet]. Use fresh towels daily. Manage Settings Often seen following trauma or in conjunction with atopic dermatitis. 3. Education 6. J. Athletes foot is a common fungal infection (caused by a fungus). If you dont finish your full course of medicine, your athletes foot can come back and be harder to treat. Physicians should confirm suspected onychomycosis and tinea capitis with a potassium hydroxide preparation or culture. KOH can damage microscope lenses. Athlete's foot can affect one or both feet. Tinea Pedis Treatment Guidelines Step 1: Treat the fungus Use a film forming solution version of terbinafine like Lamisil Once. Infection is usually acquired by direct contact with the causative organism, for example using a shared towel, or by walking barefoot in a public change room. Dermatology Made Easybook.