(Statement: This article is only used for popular science purposes. In order to protect patient privacy, the relevant information in the following content has been processed) [Basic Information] Female, 31 years old [Disease Type] Tymphus [Treatment Hospital] Hainan Medical Colle

(Statement: This article is for popular science purposes only. In order to protect patient privacy, the relevant information in the following content has been processed)

[Basic Information] Female, 31 years old

[Disease Type] tinea pedis

[Treatment Hospital] First Affiliated Hospital of Hainan Medical College (Triple A)

[Treatment cycle] Outpatient treatment

[Treatment effect] Foot erosion and exudation significantly improved compared with the previous one, and there was no discomfort such as bleeding, fluid, etc.

1. First met the patient

The patient was a young woman, 31 years old, dressed neatly, but her expression was slightly awkward. After some careful inquiries and understanding, I found that the toes on the patient's right foot were white, revealing bright red and erosive skin, and there were multiple toes with similar manifestations, but the 3, 4 and 5 toes were mainly the most obvious.

According to the patient's own description, the symptoms began to appear 2 weeks ago. The patient did not pay attention at that time, but then the patient developed itching, erosion, and oozing of the toes, and the condition gradually worsened compared with the previous one. There were no abnormal changes such as fever, chills, bleeding, etc. during the whole process. In order to seek further treatment, the patient chose to go to our hospital for treatment. Based on the patient's symptoms and physical examination, I initially considered the patient's diagnosis as "tinea pedis", but the relevant examinations need to be improved and clarified.

2. Treatment process

I conducted blood routine , liver function, kidney function, coagulation images, stool routine, urine routine, infectious markers, human immunodeficiency virus and other related examinations for the patient in the outpatient clinic. There were no obvious abnormalities in the examination results. At the same time, fungal culture was carried out on the erosion of the foot.

Through the patient's clinical symptoms, the diagnosis of tinea pedis is relatively clear at present, so I immediately gave the patient a combination of Western medicine and Chinese medicine. Western medicine was given topical antifungal treatment with terbinafine hydrochloride cream in patients. At the same time, Chinese medicine was given Sophora ginseng , Difuzi , Alum , Snake , Polygonum multiflorum , Polygonum multiflorum , Hundreds of , Huangbai for treatment. In addition, for the patient's current condition, 3% boric acid solution should be used for soaking, and the patient should be given antifungal drugs, and oral treatments can be taken if necessary. Instruct the patient to keep his feet dry in daily life to avoid fungal infections due to sweating or moisture. And we will go back to our department for follow-up and re-examination regularly to understand his treatment status.

3. What should patients pay attention to in the treatment

1. During the treatment process, you should pay attention to cleanliness and hygiene to avoid affecting the treatment effect.

2. Strictly follow the doctor's instructions to avoid applying some improper drugs on your own.

3. Mainly take a light diet to avoid spicy and irritating diet. You can eat foods rich in vitamins, protein, .

4. You should insist on taking medicine. This disease is a chronic disease. You need to persist to see good results. You cannot stop the medicine without authorization to avoid recurrence of tinea pedis.

4. Patient's treatment effect

After the above active symptomatic treatment, the patient's feet did not have erosion or seep, the surface was relatively dry, and there was no bleeding, fluid, etc. The itching sensation on the feet was also significantly reduced, and there was no redness or swelling throughout the toes. The patient's blood pressure is currently well controlled, and there are no abnormal changes such as dizziness, headache, etc. Be in good spirits and regain better self-confidence.

5. What should patients pay attention to in daily life

1. In life, you should pay attention to personal cleaning and hygiene, keep your feet dry, change your socks frequently, and clean your feet many times a day.

2. Tinychia foot itself is contagious, so it is recommended that towels and foot basins be used separately.

3. You should choose more comfortable shoes in life to avoid breathable shoes.

4. Try to eat light foods as much as possible and drink more water to avoid spicy, greasy, raw and cold foods.

5. Follow the doctor's advice to return to the hospital for follow-up and re-examination. If you have any discomfort, you should seek medical treatment in time.

6. Doctors understand

tinea pedis is currently one of the most common diseases. Most of the time it is caused by fungal infection. Many times, similar diseases appear in multiple people around or in families. Especially when the immunity is low, you are particularly prone to this disease.

tinea pedis can be divided into many types, the more common ones include blister type, erosion type, and keratinized type, among which erosion type is the most common. Tinychomycosis often manifests as the local epidermis is soaked and turned white. Because the epidermis is constantly rubbed against the epidermis while walking, it can reveal a bright red erosion surface when it falls off. Severe skin between the toes and the junction of the toes and the abdomen and the soles of the feet can be affected.

There are also many aspects to the treatment of tinea pedis. First, some topical drugs can be used to soften the keratin, such as 10% salicylic acid ointment, compound benzoic acid ointment , etc. If there are small blisters that have not ruptured, you can also use a 3% boric acid solution to soak. Tinychia pedis sometimes also has bacterial infections, so if necessary, you need to use antibiotic , such as cephalexin and erythromycin . Tinychomycosis itself is a fungal infection. Therefore, in addition to topical antifungal drugs, antifungal drugs can also be taken if necessary, such as terbinafine hydrochloride , fluconazole , etc.

When treating tinea pedis, patients should insist on taking medicine and not using medicine indiscriminately to avoid delaying and aggravating the condition. They should pay attention to clean and hygienic, eat lightly, avoid greasy food, and use towels and foot basins alone to avoid infecting others. When wearing shoes, try to choose comfortable sports shoes to avoid excessive sweating and airtightness.

Name: Pang Yanyang

Unit: Hainan Medical College First Affiliated Hospital

Department: Dermatology

Title: Attendant physician

Title: Attendant physician