Tuesday, December 1, 2020




I have a rash between my toes

Consider
Tinea, Itchy, scaly areas between toes, May spread out on dorsum of the foot. Check toenails for fungus.

Erythrasma Usually just one or two web folds, red brown scaling or white maceration

Candida Similar to tinea but more macerated

Gram neg infection Swelling and oozing in the toe web spaces with fish like odour, very acute onset, itchy and painful.    Consultations in Dermatology

Cellulitis can spread from between the toes to the dorsum of the foot as a hot red tender spreading rash. It is a major issue in diabetics and must be rapidly referred for antibiotics, elevation and pain relief. Gout can have an apparently similar clinical presentation.


Tinea would be the commonest cause. Try Lamasil cream for three weeks daily. It will deal with Candida and have some effect on the Corneybacteria of Erythrasma. Gram -ve infection is much more acute with oozing and a fishy smell.The best treatment is dilute acetic acid soaks for 10 mins BD and some Lamasil and a cortisone cream. Cellulitis requires urgent antibiotics orally. 

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