What are the treatment options for moccasin-type tinea pedis (athlete's foot)?

Updated: Feb 22, 2018
  • Author: Courtney M Robbins, MD; Chief Editor: Dirk M Elston, MD  more...
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Answer

Moccasin-type tinea pedis is often recalcitrant to topical antifungals alone, owing to the thickness of the scale on the plantar surface. The concomitant use of topical urea or other keratolytics with topical antifungals should improve the response to topical agents. [18] In addition, for moccasin tinea pedis caused by Scytalidium species, Whitfield solution, containing benzoic and salicylic acids, can be beneficial. However, patients with extensive chronic hyperkeratotic tinea pedis or inflammatory/vesicular tinea pedis usually require oral therapy, as do patients with concomitant onychomycosis, [19] diabetes, [20] peripheral vascular disease, or immunocompromising conditions.

An econazole foam is now available. [21]


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