What does it mean if there is fluid in athlete's foot?

Written by Qu Jing
Dermatology
Updated on January 04, 2025
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Athlete's foot, also known as tinea pedis, commonly manifests in three types: vesicular, hyperkeratotic, and intertriginous. The vesicular type is characterized by blistering and scaling, typically occurring on the tips of the fingers, the palms, and the sides of the feet. Initially, the skin lesions appear as small, scattered blisters the size of a pinhead. The blister fluid is clear, and the blister walls are relatively thick. These blisters can cluster and merge to form larger blisters, eventually losing their walls to expose a honeycomb-like base and a raw, eroded surface. After several days, the blisters can dry out and flake off. As the condition progresses and exudation increases, it can develop into the intertriginous type, which primarily affects the web spaces between the fingers or toes. It is more common in people who sweat excessively, soak their feet in water, or wear rubber shoes for extended periods, particularly during the summer. The skin becomes soaked and appears whitish, with a soft surface that peels off easily, revealing a moist red eroded area with exudate, often accompanied by cracking and significant itching. When secondary bacterial infection occurs, there is typically an odor. If not promptly controlled, it can lead to secondary infections, producing pustules and ulcers, and may also lead to acute lymphangitis, lymphadenitis, cellulitis, or erysipelas. In severe or recurrent cases, it can also induce local eczematous changes and disseminated dermatophytosis.

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Written by Liu Jing
Dermatology
57sec home-news-image

What should I do if my athlete's foot is very itchy?

Athlete's foot, also known as tinea pedis, can manifest as intense itching of the skin. First, it is necessary to enhance the cleanliness of the foot skin, avoid various irritating causes, and provide standard and effective antifungal symptomatic treatment. Oral antifungal medications such as itraconazole or terbinafine can be used, and various antifungal ointments can be applied to the affected area, such as the commonly used naftifine-ketoconazole cream, terbinafine cream, luliconazole cream, and miconazole cream. The treatment should last more than two weeks to avoid the recurrence of symptoms. Everyday, it is necessary to frequently change shoes and socks, maintain dryness, ventilation, and good breathability, and avoid dampness. (Medication should be used under the guidance of a doctor.)

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Written by Liu Gang
Dermatology
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Athlete's foot is due to a lack of which vitamin?

Athlete's foot is a disease caused by fungal infection, and it is not related to the lack of vitamins or trace elements. Once infected with athlete's foot, it must be treated formally. Generally, the use of antifungal creams, such as naftifine and ketoconazole ointment applied continuously, can cure it. The duration of medication must be long, at least more than one month, or until symptoms completely disappear, and then continue using it for about half a month afterwards, which can basically achieve the purpose of eradication. However, this disease is highly contagious. Shoes and socks that have been worn must be sun-dried and disinfected. Foot towels and foot basins should be used separately from family members to avoid infecting them. Therefore, once athlete's foot occurs, it must be treated promptly. Avoid going to public baths and wearing shared slippers to prevent re-infection. (Under the guidance of a doctor when using medication)

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Written by Liu Gang
Dermatology
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The causes of athlete's foot

Athlete's foot is caused by a fungal infection, and while the cause of the disease is clear, the specific process of infection is complex. Casual habits such as wearing flip-flops recklessly, sharing foot basins at home with others who have athlete’s foot, soaking in public baths, swimming, or having pets at home, as pets often harbor fungi, can all potentially lead to the disease. Once the disease occurs, it is imperative to treat it early. Long-term use of antifungal creams, applied for at least one to two months continuously, is necessary to completely kill the deep-seated fungi and prevent recurrence of the condition. After recovery, it is also important to maintain proper dietary and lifestyle habits, avoid wearing flip-flops recklessly, and stay away from public baths and swimming pools.

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Written by Liu Jing
Dermatology
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Can iodophor treat athlete's foot?

Athlete's foot, commonly known as tinea pedis, is an infection caused by dermatophyte fungi. Antifungal medications are required for symptomatic treatment. However, iodophors, as disinfectants, do not have a therapeutic effect on athlete's foot. Daily enhancement of foot hygiene, frequent changing of shoes and socks, and maintaining a dry and ventilated environment are important. Laboratory examinations, including scraping skin scales from affected areas for microscopic examination of fungi, are necessary. A positive laboratory result further supports the diagnosis of tinea pedis. Treatment involves the application of antifungal creams such as naftifine and ketoconazole. To adequately control symptoms and prevent recurrence, it may be necessary to take oral antifungal medications, such as terbinafine hydrochloride tablets, itraconazole dispersible tablets or capsules, for a treatment course of more than 2 weeks. (Medication should be used under the guidance of a doctor.)

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Written by Du Rui Xia
Obstetrics
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Will having athlete's foot cause an infection during a water birth?

Giving birth in water does not increase the risk of infection; in fact, the rate of newborns carrying bacteria significantly decreases when birth occurs in water. The reason is that water can wash off the bacteria on the baby's body, and the birth takes place in a special tub where the water is flowing and free of bacteria. Before the birth, the doctor will disinfect the mother. In current practices, liquids are generally used to inhibit the growth of pathogens, so infections like athlete's foot are generally not caused during childbirth.