This disease was first described in the 19th century. At the same time, it was determined that it causes Trichophyton interdigitale - conditionally pathogenic fungus, manifesting its negative properties only in conditions of high humidity. Interdigital folds of the fungus affect the fungus, but for this purpose it is not enough just to “pick up” the fungus in public places. Must match one or more factors contributing to the development of the disease. Among them are immunological insufficiency, injuries and abrasions on the feet, impaired vascular tone of the lower extremities, prolonged wearing of rubber shoes, etc.
Forms of athlete's symptoms and their symptoms
Treatment of the fungus on the feet depends on the form of the disease, so first we will try, based on the symptoms, to determine its shape.
Squamous-hyperkeratotic form - on the soles of the feet, in the interdigital zones small pockets of peeling are formed. Sometimes there is hyperkeratosis by the type of corns, tiny bubbles appear that do not burst, and after a while crumble into scales.
Dyshidrotic form - in the area of the arch of the foot, bubbles with a thick horny surface develop. Gradually they merge into a large hearth with muddy purulent contents. On opening the bladder, erosion is detected, surrounded by a flaking horny layer of skin. In this form, a person may be disturbed by general malaise, fever, pain.
Intertriginous form - affects interdigital folds of feet (often it is folds between 4 and 5 toes). It is a fissure surrounded by a whitish horny layer of the epidermis. The inflammatory process after dissection quickly spreads to nearby skin.
Acute form - characterized by a significant increase in body temperature due to the huge number of vesicular-bullous elements (bubbles).
Epidermofitiya nails - affects 1 and 5 toes, because they are most often injured by shoes. First, the disease appears on the free edge of the nail, which changes color and becomes dull. Then ocher-yellow stripes appear in the thickness of the plate, the subungual hyperkeratosis begins to progress and the nail becomes crumbled.
Considering the results of laboratory studies, and looking at the symptoms, the treatment of the fungus on the legs is prescribed by a dermatologist.
General principles of treatment
Treatment for any of the forms consists in the use of anti-inflammatory and fungicidal agents.
For removal of acute inflammatory processes use (in the form of gauze bandages or cold lotions):
- 1-2% resorcinol
- 0.1% solution of rivanol (ethacridine lactate)
- 0.25% silver nitrate solution
- potassium permanganate solution
Effective treatment of fungus on the legs is possible only if antifungal agents penetrate deep into the epidermis. To achieve this goal it is necessary to remove the horny layers with the help of keratolytic agents. These include:
- 5-15% salicylic vaseline (under a compress 2 times a day).
- Milky salicylic ointment (in the form of a compress after a hot soap and soda bath).
- Milky-salicylic collodion (3 p. A day for 3-4 days, then take a soap-soda bath and remove the hyperkeratolytic mass with the scissors branches or a scalpel).
Local remedies for the treatment of fungus on the legs can be applied if the lesion is at an initial stage and does not occupy a large area, as well as in the event that a patient has not had an athlete previously. In all other cases, systemic therapy is required (use of antibiotics). If you do not need nail fungus treatment on your feet, then you can restrict yourself to taking terbinafine (250 mg / day for at least 2 weeks) or intraconazole (1 week for 200 mg 2 p. Per day).
After the end of treatment, a course of anti-relapse treatment is recommended, implying rubbing the skin with 1-2% salicylic alcohol for a month and dusting the feet with 10% boric powder. Mandatory disinfection of shoes .
Treatment of dyshidrotic form of athlete
The treatment of a fungus on the foot of a dyshydrotic form begins with the piercing of bubbles (sometimes their surface is simply cut off). Further treatment consists in taking twice a day 10-minute hot foot baths with potassium permanganate. They can be replaced with cold lotions: 3-4 times a day they put fabric or gauze soaked in 1-2% resorcinol solution, 0.25% lapis solution or drilling fluid solution onto the feet for two hours. At night, treatment does not stop, as bandages with Lassari paste or indifferent ointment are applied to the feet.
As soon as the acute symptoms disappear, treatment is reduced to daily treatment of the feet with 1-2% iodine tincture or an alcohol solution of green stuff with the same concentration.
Treatment of an intertriginous form of an athlete
At the stage of soak, treatment involves taking hot baths with potassium permanganate, smearing the feet with Castellani fluid, 2% iodine tincture and 1% aniline dye solution. If there are erosion, then hot baths should prefer cold lotions.
As soon as the inflammation subsides, you can begin the treatment of the fungus on the feet with ointments: tar-tar and 2% salicylic-diachylin, Naftalan. Boric-salicylic powder is also used.
Treatment of squamous epidermophitia
Treatment can be carried out in two ways: by detachment and applying local preparations to the affected areas.
The method of detachment according to Arievich is recommended for interdigital form and with limited foci on the feet, provided that the disease is caused by a red epidermofiton. The ointment for the detachment includes: salicylic acid, petrolatum, lactic acid or benzoic acid. It is imposed after a 15-minute soda bath, after which the feet are covered with cellophane or parchment paper (the exposure time at home is night). If successful, the surface layer of the skin will be removed as gloves. In case of failure, the ointment is applied for another day (sometimes in double concentration). The method of detachment can not be used with concomitant athlete’s allergic rashes, as well as with the fungus in the acute stage.
Gentle lubrication of the sole of the feet and interdigital space can be accomplished with alcoholic solutions of aniline dyes, Castellani liquid and iodine tincture.
Recipes of traditional medicine against athlete
More than one thousand plants are known, the leaves, flowers and roots of which have bactericidal and antifungal properties. The most famous - pine and birch, from the bark of which receive tar. The practice is to treat the fungus on the legs with a celandine: the affected places are moistened with juice, and a plant gruel bandage is applied to the lesions (exposure time is 20-30 minutes).
In case of acute course of the disease, a healing broth prepared from cowberry leaves, eucalyptus, tricolor violet grass, St. John's wort , horsetail and chamomile flowers, taken in 3 st.l. Preparing a decoction every day: 1 p. collecting pour a glass of boiling water, then for 1 hour and insist filtered. Take the drug by ½ cup twice a day for 2-3 weeks. The same components (increasing the concentration 4-5 times) can also be used to prepare a decoction for compresses and lotions (use until weeping stops).
The treatment of the fungus on the toes can be done with euphorbia juice: it is smeared on the inflamed areas 2-3 times a day.
During the treatment of the fungus between the toes, patients may lay pieces of gauze to reduce the risk of intertriginous inflammatory athlete.
When treating a fungus of the feet at home and in the absence of positive dynamics, it is imperative to consult a doctor. He will prescribe tablet formulations that are more effective. If the disease is very difficult to flow, it is possible to be placed in a hospital.