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Athlete's Foot: Causes and symptoms

 
Medical Encyclopedia: Athlete's Foot: Causes and symptoms

Athlete's foot is caused by a fungal infection that most often affects the fourth and fifth toe webs. Trichophyton rubrum, T. mentagrophytes, and Epidermophyton floccosum, the fungi that cause athlete's foot, are unusual in that they live exclusively on dead body tissue (hair, the outer layer of skin, and nails). The fungus grows best in moist, damp, dark places with poor ventilation. The problem doesn't occur among people who usually go barefoot.

Many people carry the fungus on their skin. However, it will only flourish to the point of causing athlete's foot if conditions are right. Many people believe athlete's foot is highly contagious, especially in public swimming pools and shower rooms. Research has shown, however, that it is difficult to pick up the infection simply by walking barefoot over a contaminated damp floor. Exactly why some people develop the condition and others don't is not well understood.

Sweaty feet, tight shoes, synthetic socks that don't absorb moisture well, a warm climate, and not drying the feet well after swimming or bathing, all contribute to the overgrowth of the fungus.

Symptoms of athlete's foot include itchy, sore skin on the toes, with scaling, cracking, inflammation, and blisters. Blisters that break, exposing raw patches of tissue, can cause pain and swelling. As the infection spreads, itching and burning may get worse.

If it's not treated, athlete's foot can spread to the soles of the feet and toenails. Stubborn toenail infections may appear at the same time, with crumbling, scaling and thickened nails, and nail loss. The infection can spread further if patients scratch and then touch themselves elsewhere

(especially in the groin or under the arms). It's also possible to spread the infection to other parts of the body via contaminated bed sheets or clothing.

— Carol A. Turkington



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