As winter approaches, many people experience cracked heels and the formation of white scales on the back of the foot due to cold winds and dry climates. However, did you know that if these scales don't easily disappear, it might not be just dry skin but possibly tinea pedis? In this post, we will take a closer look at the subtle differences between commonly overlooked dry skin and tinea pedis.
Often Confused due to Similar Appearance
The plaque type of tinea pedis closely resembles dry skin or calluses, making it challenging to distinguish. If there is plaque-type tinea pedis on the heels, you will typically notice the development of white scales and thickening of the skin on the soles of the feet. Scratching the scales may cause them to fall off like fine powder. Importantly, there are usually no distinctive symptoms such as itching. This can lead to many cases where tinea pedis goes unnoticed, and it is mistakenly treated as ordinary dry skin.
Presence of Blisters Indicates a Higher Likelihood of Tinea Pedis
So, what are the differences in symptoms between dry skin and plaque-type tinea pedis? Unlike dry skin, plaque-type tinea pedis is accompanied by 'blisters.' As the entire sole thickens, small blisters, typically within 2mm in size, appear. If these symptoms manifest or if there is a history of tinea pedis, and dry scales persist, it is worth considering the possibility of plaque-type tinea pedis.
Essential Fungal Examination for Confirmed Diagnosis
Plaque-type tinea pedis is diagnosed through a fungal examination. The examination involves scraping off the scales to directly confirm the presence of fungi under a microscope or culturing the fungi for four weeks. Treatment typically involves the use of antifungal agents on the affected area. Before starting antifungal treatment, a process involving the use of a skin softener is often undertaken to thin the thickened skin and scale layer. Without this step, the absorption of the medication may be hindered. Given its often chronic nature, consistent treatment is essential. Combining tinea pedis and dry skin treatments concurrently can lead to symptom improvement.
However, it is advisable to refrain from using unverified folk remedies. Occasionally, people may apply vinegar or garlic to areas suspected of having tinea pedis, which can potentially lead to chemical burns or secondary bacterial infections. If tinea pedis is suspected, seeking a professional diagnosis and treatment is crucial, while maintaining diligent foot care practices to preserve the health of your heels.
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