Athlete's Foot: Symptoms, Allergies, and Treatment Options - Dermatology

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Athlete's foot


Doctor, I recently had athlete's foot, and after seeing a doctor, it didn't help.
Now my foot is a bit swollen, and I have developed rash-like allergic hives on my toes and a little above them.
A few days ago, I saw a doctor who said it was a skin allergy.
I'm a bit worried that it might be cellulitis.
Could you please help clarify?

Xiao Mi, 20~29 year old female. Ask Date: 2007/07/31

Dr. Zhang Zhibo reply Dermatology


Xiao Mi: Athlete's foot generally does not cause swelling of the feet unless there is a wound leading to cellulitis.
Allergic rashes typically resolve on their own, but if a rash appears that is painful and does not go away, it could be bacterial folliculitis or paronychia, and medical treatment is necessary! If cellulitis occurs due to athlete's foot, symptoms may include localized redness, swelling, heat, and pain, as well as systemic symptoms like fever and chills, which require prompt medical attention.
In summary, athlete's foot must be properly treated to prevent serious complications!

Reply Date: 2007/07/31

More Info


Athlete's foot, or tinea pedis, is a common fungal infection that affects the skin on the feet, particularly between the toes. It is characterized by symptoms such as itching, burning, redness, and peeling skin. In some cases, it can lead to more severe symptoms, including swelling and the development of blisters or rashes, which may resemble allergic reactions.
From your description, it seems you are experiencing symptoms that could be associated with athlete's foot, especially if you have had a previous diagnosis. The swelling and rash you mentioned could indeed be a result of the fungal infection, or it could indicate a secondary infection or an allergic reaction to topical treatments or other irritants.
It's important to differentiate between athlete's foot and other conditions, such as cellulitis (which includes cellulitis and can lead to more serious complications like lymphangitis or even systemic infection). Cellulitis typically presents with redness, swelling, warmth, and pain in the affected area, and it can spread rapidly. If you are experiencing significant swelling, pain, or systemic symptoms (like fever), it is crucial to seek medical attention promptly.

For treatment options, athlete's foot is usually managed with antifungal medications, which can be topical (creams, powders) or oral, depending on the severity of the infection. Over-the-counter antifungal creams containing clotrimazole or terbinafine are often effective for mild cases. If the infection is more severe or persistent, a healthcare provider may prescribe stronger antifungal medications.

In addition to antifungal treatment, here are some general recommendations to help manage and prevent athlete's foot:
1. Keep Your Feet Dry: Fungi thrive in moist environments, so it's essential to keep your feet dry. After washing your feet, make sure to dry them thoroughly, especially between the toes.

2. Wear Breathable Footwear: Choose shoes made of breathable materials to allow air circulation. Avoid wearing the same pair of shoes every day; give them time to air out.

3. Use Antifungal Powder: Applying antifungal powder to your feet and inside your shoes can help keep moisture at bay and prevent fungal growth.

4. Avoid Walking Barefoot in Public Areas: Fungi can spread in communal areas like pools, locker rooms, and showers. Wearing flip-flops or water shoes in these environments can help protect your feet.

5. Monitor for Allergic Reactions: If you suspect that your symptoms may be related to an allergic reaction, consider any new products you have used, such as soaps, lotions, or medications. Discontinuing these products may help alleviate your symptoms.

6. Consult a Dermatologist: If your symptoms persist despite treatment or if you have concerns about a possible allergic reaction or secondary infection, it is advisable to consult a dermatologist. They can perform a thorough examination, possibly conduct skin scrapings or cultures, and provide a definitive diagnosis and tailored treatment plan.

In summary, while athlete's foot is a common condition that can often be treated effectively, your symptoms warrant careful evaluation to rule out other potential issues, including allergic reactions or more serious infections. Seeking professional medical advice is the best course of action to ensure proper diagnosis and treatment.

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