Fungal Infections: Persistent Skin Issues on Your Feet - Dermatology

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Fungal infection


I often experience peeling skin on my feet, which has not healed and is gradually expanding in area.
I initially thought it was athlete's foot, but it doesn't feel itchy.
This condition has persisted for over a year, and since it hasn't affected me significantly, I haven't sought medical attention.
However, recently the skin on the side of my foot has peeled to the point where it is pink, and it hurts when I wear flip-flops.

Additionally, I have developed a translucent bump on my foot that initially felt hard and was slightly painful when pressed.
The next day, while showering, I noticed that the skin in that area had broken.

Xiao Mei, 10~19 year old female. Ask Date: 2020/07/28

Dr. Li Yufen reply Dermatology


Hello: Based on the photo, it appears to be a suspected fungal infection causing tinea pedis.
If the skin lesions do not improve or worsen, it is advisable to consult a dermatologist for diagnosis and treatment.
Thank you!

Reply Date: 2020/07/28

More Info


Fungal infections can indeed cause a variety of skin symptoms, including persistent itching, peeling, and discomfort. In your case, the persistent skin issues on your feet, particularly the peeling and the development of a semi-transparent bump, could indicate a fungal infection, such as athlete's foot (tinea pedis) or another dermatophyte infection.
Athlete's foot typically presents with symptoms such as itching, burning, and peeling skin, particularly between the toes and on the soles of the feet. However, it can also manifest in less typical ways, such as the formation of blisters or bumps, which may be what you're experiencing. The fact that the area has become painful and has changed color to pink suggests that there may be inflammation or secondary infection occurring, which can happen when the skin barrier is compromised.

Fungal infections thrive in warm, moist environments, which is why they are common in areas like the feet. If the skin is peeling and not healing, it is essential to consider that the infection could be worsening or spreading. The presence of a hard bump that later breaks open could indicate a more severe reaction to the infection or even a different type of infection altogether, such as a bacterial infection, especially if there is pain associated with it.

Given that you have been experiencing these symptoms for over a year, it is advisable to seek medical attention. A healthcare provider can perform a physical examination and may take a sample of the affected skin to determine the exact cause of your symptoms. This is crucial because the treatment for fungal infections typically involves antifungal medications, which can be topical or oral, depending on the severity and extent of the infection.

In the meantime, here are some general recommendations to manage your symptoms and prevent further irritation:
1. Keep the Area Dry: Fungi thrive in moist environments, so it's essential to keep your feet dry. After washing, make sure to dry thoroughly, especially between the toes.

2. Use Antifungal Powder: Over-the-counter antifungal powders can help keep the area dry and reduce fungal growth.

3. Avoid Irritating Footwear: If wearing sandals or open-toed shoes causes pain, consider wearing breathable footwear that does not rub against the affected area.

4. Practice Good Hygiene: Regularly wash your feet and change socks daily. If you have been in public areas like pools or gyms, consider using antifungal sprays on your shoes and feet.

5. Monitor for Changes: Keep an eye on the affected area for any changes, such as increased redness, swelling, or discharge, which could indicate a secondary infection.

6. Consult a Healthcare Provider: Given the duration and nature of your symptoms, it is crucial to consult a healthcare provider for a proper diagnosis and treatment plan. They may prescribe stronger antifungal medications or investigate other potential causes for your symptoms.

In conclusion, while fungal infections can cause persistent skin issues, it is essential to seek medical advice to ensure appropriate treatment and prevent complications. Your health and comfort are paramount, and addressing these symptoms sooner rather than later can lead to better outcomes.

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