Athlete's foot physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2] Sanjana Nethagani, M.B.B.S.[3]

Interdigital tinea pedis

• Most common type of athlete's foot is interdigital tinea pedis infection.
• It is characterised by maceration, scaling, peeling of skin.
• Secondary bacterial infections are common.

Vesicolobullous tinea pedis

• Bullae or tense vesicles are seen over the anterior plantar surface.
• Pain is often an accompanying symptom.
• Vesicles appear in a symmetric fashion and may mimic pompholyx (dyshidrosis).
• Dermatophytid reactions or identity reactions are most commonly seen in this type.
• Secondary bacterial infections of ruptured bullae/vesicles may lead to ulcerative tinea pedis.

Chronic hyperkeratotic tinea pedis

• Diffuse hyperkeratosis is the defining feature of chronic infection.
• Skin is erythematous and has silvery scales.
• Moccasin like distribution over the feet is seen, thus chronic intertriginous tinea is also called "moccasin" tinea pedis.

Ulcerative tinea pedis

• This type is usually seen in diabetic patients.
• It is characterised by ulcers, vesicles, pustules which begin in the interdigital web spaces which spread rapidly and may lead to a secondary bacterial infection.
• Cellulitis, lymphangitis, edema are commonly seen with this type.

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  Tinea pedis. Adapted from Dermatology Atlas.
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  Tinea pedis. Adapted from Dermatology Atlas.
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  Tinea pedis. Adapted from Dermatology Atlas.
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  Tinea pedis. Adapted from Dermatology Atlas.
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  Tinea pedis. Adapted from Dermatology Atlas.
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  Tinea pedis. Adapted from Dermatology Atlas.
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  Tinea pedis. Adapted from Dermatology Atlas.
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  Tinea pedis. Adapted from Dermatology Atlas.
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  Tinea pedis. Adapted from Dermatology Atlas.
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  Tinea pedis. Adapted from Dermatology Atlas.
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  Tinea pedis. Adapted from Dermatology Atlas.
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  Tinea pedis. Adapted from Dermatology Atlas.
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  Tinea pedis. Adapted from Dermatology Atlas.
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  Tinea pedis. Adapted from Dermatology Atlas.
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  Tinea pedis. Adapted from Dermatology Atlas.
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  Tinea pedis. Adapted from Dermatology Atlas.
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  Tinea pedis. Adapted from Dermatology Atlas.
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  Tinea pedis. Adapted from Dermatology Atlas.
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  Tinea pedis. Adapted from Dermatology Atlas.
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  Tinea pedis. Adapted from Dermatology Atlas.
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  Tinea pedis. Adapted from Dermatology Atlas.
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  Tinea pedis. Adapted from Dermatology Atlas.
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  Tinea pedis. Adapted from Dermatology Atlas.
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  Tinea pedis. Adapted from Dermatology Atlas.
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  Tinea pedis. Adapted from Dermatology Atlas.
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  Tinea pedis. Adapted from Dermatology Atlas.
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  Tinea pedis. Adapted from Dermatology Atlas.
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  Tinea pedis. Adapted from Dermatology Atlas.
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  Tinea pedis. Adapted from Dermatology Atlas.
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  Tinea pedis. Adapted from Dermatology Atlas.
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  Tinea pedis. Adapted from Dermatology Atlas.
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  Tinea pedis. Adapted from Dermatology Atlas.
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  Tinea pedis. Adapted from Dermatology Atlas.
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  Tinea pedis. Adapted from Dermatology Atlas.
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  Tinea pedis. Adapted from Dermatology Atlas.
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  Tinea pedis. Adapted from Dermatology Atlas.
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  Tinea pedis. Adapted from Dermatology Atlas.
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  Tinea pedis. Adapted from Dermatology Atlas.
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  Tinea pedis. Adapted from Dermatology Atlas.