Is peeling skin on the feet without itching athlete's foot?

Written by Qu Jing
Dermatology
Updated on October 18, 2024
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Peeling of the skin on the feet without itching is considered to be a type of athlete's foot characterized by excessive keratinization, commonly occurring on the soles, toes, and heels. The affected skin appears dry, with clear hyperkeratosis, thickening, rough surface, scaling, and deepened skin lines. In winter, cracks can occur, possibly leading to bleeding and pain. This type of athlete's foot generally does not exhibit marked itching symptoms. Besides the hyperkeratinotic type, common forms of athlete's foot include the blistering scaly type and the macerated erosive type, both of which typically have more pronounced itching symptoms. The blistering scaly type often appears on the fingertips, sides of the feet, and toes. Initially, this condition presents as pinhead-sized blisters deep in the skin, with clear fluid and a thick, shiny wall, which are not easily ruptured. These blisters may be scattered or cluster and can merge into larger blisters. Tearing off the blister wall reveals a honeycomb base and a fresh red erosive surface. After several days, the blisters dry up, leading to a ring-like scaling, with lesions continuously spreading outwards. During stable phases of this condition, scaling predominates, and itching becomes more apparent. The macerated erosive type, also known as the interdigital type, is frequently observed between the toes, especially between the third and fourth or fourth and fifth toes, and is commonly associated with hyperhidrosis (excessive sweating) and prolonged wearing of rubber footwear. It is more prevalent in the summer and significantly itchy. If a secondary bacterial infection occurs, there may also be an unpleasant odor.

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Written by Liu Jing
Dermatology
1min 8sec home-news-image

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 Qu Jing
Dermatology
1min 19sec home-news-image

Should the peeling skin be removed after using medication for athlete's foot?

After applying medication for athlete's foot, you should not peel the skin off with your hands, as this can damage the surrounding tissue and potentially lead to further infections, acute lymphangitis, lymphadenitis, or erysipelas. When inflammation is obvious, it may also trigger localized eczematous changes or a systemic bacterial rash. There are two possibilities for peeling after medication: one is that the peeling is caused by the primary disease, such as hyperkeratotic tinea pedis, in which case strong desquamating agents like compound benzoic acid ointment can continue to be used. If necessary, occlusive dressings may also be applied. If the peeling is not caused by athlete's foot itself but by irritation from the medication, such as erosive soaking tinea pedis treated with 3% boric acid ointment that has dried out, then stop using irritating and strongly desquamating medications. Instead, it is recommended to use creams and ointments. (Please use medications under the guidance of a doctor.)

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Written by Qu Jing
Dermatology
2min 1sec home-news-image

Is peeling skin on the feet without itching athlete's foot?

Peeling of the skin on the feet without itching is considered to be a type of athlete's foot characterized by excessive keratinization, commonly occurring on the soles, toes, and heels. The affected skin appears dry, with clear hyperkeratosis, thickening, rough surface, scaling, and deepened skin lines. In winter, cracks can occur, possibly leading to bleeding and pain. This type of athlete's foot generally does not exhibit marked itching symptoms. Besides the hyperkeratinotic type, common forms of athlete's foot include the blistering scaly type and the macerated erosive type, both of which typically have more pronounced itching symptoms. The blistering scaly type often appears on the fingertips, sides of the feet, and toes. Initially, this condition presents as pinhead-sized blisters deep in the skin, with clear fluid and a thick, shiny wall, which are not easily ruptured. These blisters may be scattered or cluster and can merge into larger blisters. Tearing off the blister wall reveals a honeycomb base and a fresh red erosive surface. After several days, the blisters dry up, leading to a ring-like scaling, with lesions continuously spreading outwards. During stable phases of this condition, scaling predominates, and itching becomes more apparent. The macerated erosive type, also known as the interdigital type, is frequently observed between the toes, especially between the third and fourth or fourth and fifth toes, and is commonly associated with hyperhidrosis (excessive sweating) and prolonged wearing of rubber footwear. It is more prevalent in the summer and significantly itchy. If a secondary bacterial infection occurs, there may also be an unpleasant odor.

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Written by Li Ya Ping
Dermatology Department
1min 1sec home-news-image

How to determine if it's athlete's foot on the hand

Athlete's foot, medically known as tinea pedis, is a fungal infection. If someone with tinea pedis scratches their feet with their hands, they can transfer the fungus to their hands, resulting in tinea manuum, which is characterized by peeling skin on the hands. However, there are two common conditions that lead to hand peeling. One is tinea manuum, a fungal infection of the hands, often spread from tinea pedis. The other condition is eczema, so it is necessary to differentiate whether the symptoms are due to tinea manuum or eczema. Patients with tinea manuum typically have the infection on two feet and one hand; usually, only one hand is affected initially, not both hands symmetrically. If it is difficult to differentiate, it is advisable for patients to undergo a fungal examination at a hospital, which can confirm the diagnosis if the result is positive for fungus.

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Written by Liu Gang
Dermatology
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What should I do if I get athlete's foot on my face?

Athlete's foot is caused by a fungal infection. Fungi are contagious, so it is possible for the infection to spread to the face and even other parts of the body. In such cases, it is necessary to use antifungal creams. Currently, common treatments include Nystatin Ketoconazole Cream or Miconazole Nitrate Cream. However, the treatment period is relatively long, requiring at least one month of continuous medication, or continuing treatment for an additional ten days to half a month after the symptoms have completely disappeared. Athlete's foot itself also needs to be treated thoroughly, as only by completely curing athlete's foot can the spread of the infection to other parts of the body be prevented. It is recommended that personal items such as foot-washing towels and basins be used separately from other family members to prevent cross-infection. Items that have been used should be thoroughly disinfected and exposed to sunlight to kill the fungi.