Fungal Infections: Treatment and Recovery Insights - Dermatology

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Fungal infection


Hello Doctor: My hands and feet are peeling.
Initially, the doctor diagnosed it as dyshidrotic eczema, but after a scraping test, it was confirmed to be a fungal infection on my feet.
I was prescribed BRUMIXOL for my feet and Nerisone for my hands.
Is this commonly referred to as athlete's foot? How long does it typically take for a fungal infection to heal? What should I pay attention to at this stage? Duration: two to three months.
Additional information: My hands have improved with Nerisone, but there has been no effect on my feet with the topical treatment.

mimi, 10~19 year old female. Ask Date: 2005/07/26

Dr. Huang Ruiyun reply Dermatology


1.
It is athlete's foot.
2.
Not necessarily; climate, environment, and lifestyle all have an impact.
In principle, continue treatment for two weeks after symptoms have resolved.
3.
As for your hand, it is not a fungal infection; once it has healed, there is no need to continue treatment.
4.
Try to keep your feet well-ventilated and dry; avoid wearing the same pair of fabric shoes or sneakers for long periods every day, and alternate between different pairs.

Reply Date: 2005/07/26

More Info


Fungal infections, particularly those affecting the skin and nails, are common and can be quite bothersome. In your case, it seems that you have been diagnosed with a fungal infection on your feet, often referred to as "athlete's foot" or "tinea pedis," which is indeed a type of fungal infection. The treatment you mentioned, BRUMIXOL for your feet and Nerisone for your hands, indicates that your healthcare provider is addressing the fungal infection with topical antifungal medications.


Understanding Fungal Infections
Fungal infections occur when fungi invade the skin, nails, or mucous membranes. They thrive in warm, moist environments, which is why areas like the feet are particularly susceptible, especially if you frequently wear closed shoes or have sweaty feet. Symptoms of fungal infections can include itching, redness, peeling skin, and sometimes a foul odor.


Treatment Duration and Effectiveness
The duration of treatment for fungal infections can vary significantly based on the severity of the infection and the specific type of fungus involved. Generally, topical antifungal treatments can take anywhere from two to six weeks to show significant improvement. In some cases, especially with persistent infections, oral antifungal medications may be necessary, which can extend the treatment duration to several months.

In your case, since you mentioned that the Nerisone cream has shown improvement for your hands but the BRUMIXOL has not been effective for your feet, it may be worth discussing with your healthcare provider the possibility of switching to a different antifungal treatment or considering an oral antifungal if the topical treatment fails to yield results.


Recovery and Prevention
Recovery from a fungal infection can be influenced by several factors, including your immune system's strength, the specific fungus involved, and adherence to the treatment regimen. Here are some tips to help ensure a successful recovery and prevent future infections:
1. Complete the Treatment: Even if symptoms improve, it is crucial to complete the full course of treatment as prescribed by your healthcare provider. Stopping treatment early can lead to a recurrence of the infection.

2. Keep Affected Areas Dry: Fungi thrive in moist environments, so keeping your feet dry is essential. After washing your feet, make sure to dry them thoroughly, especially between the toes.

3. Wear Breathable Footwear: Opt for shoes made of breathable materials and avoid wearing the same pair of shoes every day. This allows them to dry out completely.

4. Use Antifungal Powder: Consider using antifungal powder in your shoes and on your feet to help absorb moisture and prevent fungal growth.

5. Avoid Sharing Personal Items: Fungal infections can be contagious, so avoid sharing towels, socks, or shoes with others.

6. Monitor for Recurrence: If you notice symptoms returning after treatment, consult your healthcare provider promptly. They may recommend further testing or a different treatment approach.

7. Maintain Good Hygiene: Regularly wash your feet and keep your nails trimmed and clean to reduce the risk of fungal infections.


Conclusion
In summary, you are dealing with a fungal infection commonly known as athlete's foot. Treatment duration can vary, and it's essential to follow your healthcare provider's recommendations closely. If you do not see improvement with the current treatment, do not hesitate to reach out to your healthcare provider for further evaluation and potential adjustments to your treatment plan. By taking proactive steps in your hygiene and treatment adherence, you can effectively manage and prevent future fungal infections.

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