Concluded Case

CANDIDAL INTERTRIGO

40 year old male visited the opd with pain in between the little toe and the 4th toe, in both foot. The lesion started 1 year back.He gives a history of excessive sweating and wears shoes all the time. He was prescribed Anti fungal ointment and dusting powder. There is no improvement if the lesion and has been eating up the skin. . Non healing ulcer . Debridement advice should be given or not ?.

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Concluded answer

Dr. Bhaswati Pathak, It's classical case of CANDIDAL INTERTRIGO, Here Web spaces between the toes ( called as Erosio interdigitalis blastomycetica) is Refractory fungus. So not responding to regular antfungal treatment. Main treatment schedule is... The hot and damp environment of skin folds, which is conducive to the growth of candida species, particularly Candida albicans leads to thick white resistant skin which have tendency to protective these strains from normal antifungal therapy.. So Keep this area cool and dry by using dusting powders First remove the white adherent skin folds Ciclopirox oleate paint or clotrimazole gel Cap itraconazole 200 mg for 3 weeks DERMOJET spray of triamcinolone , amikacin and terbinafine spray every week will give full remission... Avoid tight food wear... 100% pure cotton socks Dusting the interdigital areas Control the OBESITY low glycemic diet.. Monitoring DM GOOD Nutrition diet.. Every week PEDICURE...

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Dr. Bhaswati Pathak, It's classical case of CANDIDAL INTERTRIGO, Here Web spaces between the toes ( called as Erosio interdigitalis blastomycetica) is Refractory fungus. So not responding to regular antfungal treatment. Main treatment schedule is... The hot and damp environment of skin folds, which is conducive to the growth of candida species, particularly Candida albicans leads to thick white resistant skin which have tendency to protective these strains from normal antifungal therapy.. So Keep this area cool and dry by using dusting powders First remove the white adherent skin folds Ciclopirox oleate paint or clotrimazole gel Cap itraconazole 200 mg for 3 weeks DERMOJET spray of triamcinolone , amikacin and terbinafine spray every week will give full remission... Avoid tight food wear... 100% pure cotton socks Dusting the interdigital areas Control the OBESITY low glycemic diet.. Monitoring DM GOOD Nutrition diet.. Every week PEDICURE...

Thank you so much sir. Your advice is really helpful @P.kishore Kumar
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Candidiasis Intertrigo Antifungal orally and locally. Keto soap powder and lotion locally. Keep area clean and dry covered with sterile gauge. Avoid shose or tight footwears ,keep area dry. Improve general health and personal hygiene.

Thanks Dr kute Ankush
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Tenia pedis / Candiasis intritigo Rx canastan-s oint twice daily Orally tab flucanazole 200mg 1od Dusting 9f flucanazole powder Avoid tight footwears and working in wet conditions

Thanx dr Pushkar ji Bhomia
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Reason of non healing ulcer may be fungal infection superadded with secondary infection. We should add antibiotics like cefixime 200mg BID for 5days

Thank you sir
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Go for antifungal cream and oral medications. If no improvement debridement and skin biopsy. Foot wear should not be illfitting

Intertrigo.oral itraconazole, topical terbinafine or ciclopirox cream.open footwear.

IT'S A..CASE OF.. ? ATHLETES FOOT.. ? TENIA PEDIS.. ? INTERTRIGO..

SUGGESTIVE OF INTERTRIGO... ADVISABLE... .. ANTIFUNGALS

Antifungal therapy has not helped sir..

Tinea Pedis/ CANDIDIASIS

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