Should the peeling skin be removed after using medication for athlete's foot?

Written by Qu Jing
Dermatology
Updated on February 26, 2025
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After applying medication for athlete's foot, you should not peel the skin off with your hands, as this can damage the surrounding tissue and potentially lead to further infections, acute lymphangitis, lymphadenitis, or erysipelas. When inflammation is obvious, it may also trigger localized eczematous changes or a systemic bacterial rash. There are two possibilities for peeling after medication: one is that the peeling is caused by the primary disease, such as hyperkeratotic tinea pedis, in which case strong desquamating agents like compound benzoic acid ointment can continue to be used. If necessary, occlusive dressings may also be applied. If the peeling is not caused by athlete's foot itself but by irritation from the medication, such as erosive soaking tinea pedis treated with 3% boric acid ointment that has dried out, then stop using irritating and strongly desquamating medications. Instead, it is recommended to use creams and ointments. (Please use medications under the guidance of a doctor.)

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Is peeling skin on the feet without itchiness athlete's foot?

Peeling skin on the feet without itching is associated with hyperkeratotic athlete's foot, commonly found on the palms, toes, and heels where the skin is dry. The thickening of the stratum corneum is evident, with a rough surface, scaling, and deepened skin grooves. In winter, cracks and even bleeding might occur, and it can be painful. This type of athlete's foot generally does not have obvious itching symptoms. In addition to the hyperkeratotic type, common types of athlete's foot include the vesicular and the macerated type, both of which are notably itchy. The vesicular type typically occurs on fingertips, palms, soles, and sides of the feet. Initially, the lesions are small, deep blisters with clear fluid and thick walls that are not easily ruptured. Blisters can be scattered or clustered, and may merge into larger blisters. Removing the blister wall can expose a honeycomb-like base and a bright red eroded surface. The disease progress spreads to surrounding areas, stabilizing primarily with scaling and significant itching. The macerated type occurs frequently between toes, especially in people with sweaty hands and feet, those who are exposed to water often, or who regularly wear rubber shoes. It occurs more often in summer and is associated with noticeable itching. If a bacterial infection occurs secondary to this condition, a foul odor can also be present.

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Written by Hu Xiao Cui
Nutrition Science
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What is athlete's foot?

Beri-beri, also known as vitamin B1 deficiency disease. Vitamin B1 is an essential nutrient required by the human body, involved in several important biochemical reactions and crucial for energy metabolism within the body. Deficiency in vitamin B1 can lead to a range of abnormal symptoms in the nervous system and muscles. In adults, early symptoms of vitamin B1 deficiency include weakness and a heavy feeling in the lower limbs, muscle soreness, particularly noticeable in the calf muscles. These are also important early signs for the detection of beri-beri, which are typical manifestations. Additionally, beri-beri may also present with loss of appetite, weight loss, digestive disorders, and constipation. There are generally two types of beri-beri: dry beri-beri and wet beri-beri. Dry beri-beri primarily involves neurological symptoms, chiefly abnormal sensations, numbness, and a burning pain in the hands and feet. Wet beri-beri, on the other hand, is mainly characterized by edema and cardiac symptoms.

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Written by Zhu Zhu
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What is the difference between athlete's foot and corns?

Athlete's foot and corns, although both are skin diseases, are quite different with many distinctions. First, athlete's foot is a fungal infection causing dermatophytosis, while corns are skin conditions formed by prolonged standing or chronic friction and pressure. Additionally, the treatment for athlete's foot involves antifungal medications, whereas corns can be treated with the application of corn ointments. It is advisable to wear loose and breathable shoes and maintain good personal hygiene. (Specific medications should be used under the guidance of a physician.)

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Written by Liu Jing
Dermatology
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Can iodophor treat athlete's foot?

Athlete's foot, commonly known as tinea pedis, is an infection caused by dermatophyte fungi. Antifungal medications are required for symptomatic treatment. However, iodophors, as disinfectants, do not have a therapeutic effect on athlete's foot. Daily enhancement of foot hygiene, frequent changing of shoes and socks, and maintaining a dry and ventilated environment are important. Laboratory examinations, including scraping skin scales from affected areas for microscopic examination of fungi, are necessary. A positive laboratory result further supports the diagnosis of tinea pedis. Treatment involves the application of antifungal creams such as naftifine and ketoconazole. To adequately control symptoms and prevent recurrence, it may be necessary to take oral antifungal medications, such as terbinafine hydrochloride tablets, itraconazole dispersible tablets or capsules, for a treatment course of more than 2 weeks. (Medication should be used under the guidance of a doctor.)

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Written by Qu Jing
Dermatology
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What does it mean if there is fluid in athlete's foot?

Athlete's foot, also known as tinea pedis, commonly manifests in three types: vesicular, hyperkeratotic, and intertriginous. The vesicular type is characterized by blistering and scaling, typically occurring on the tips of the fingers, the palms, and the sides of the feet. Initially, the skin lesions appear as small, scattered blisters the size of a pinhead. The blister fluid is clear, and the blister walls are relatively thick. These blisters can cluster and merge to form larger blisters, eventually losing their walls to expose a honeycomb-like base and a raw, eroded surface. After several days, the blisters can dry out and flake off. As the condition progresses and exudation increases, it can develop into the intertriginous type, which primarily affects the web spaces between the fingers or toes. It is more common in people who sweat excessively, soak their feet in water, or wear rubber shoes for extended periods, particularly during the summer. The skin becomes soaked and appears whitish, with a soft surface that peels off easily, revealing a moist red eroded area with exudate, often accompanied by cracking and significant itching. When secondary bacterial infection occurs, there is typically an odor. If not promptly controlled, it can lead to secondary infections, producing pustules and ulcers, and may also lead to acute lymphangitis, lymphadenitis, cellulitis, or erysipelas. In severe or recurrent cases, it can also induce local eczematous changes and disseminated dermatophytosis.