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Vesicular athlete's foot

  Vesicular athlete's foot is common in the plantar and marginal parts of the feet, presenting as grouped or scattered small blisters accompanied by itching. The blisters of athlete's foot are located below the epidermal stratum of the foot, with no erythema around the skin, and they absorb and peel off after a few days. The damage can continuously expand and spread outward, and sometimes small blisters can merge into large blisters. The blister fluid is clear and yellowish. Vesicular athlete's foot can occur throughout the year, but is more common in hot weather. Some patients with athlete's foot may feel severe itching, and after long-term scratching, the skin becomes rough and thick, often developing into scaly athlete's foot. Some patients with athlete's foot may also develop secondary bacterial infection due to scratching, causing yellow pus blisters, with surrounding erythema. If the blisters break, they can form ulcers, which are prone to systemic symptoms.

Table of Contents

1. What are the causes of vesicular athlete's foot
2. What complications can vesicular athlete's foot easily lead to
3. What are the typical symptoms of vesicular athlete's foot
4. How to prevent vesicular athlete's foot
5. What laboratory tests are needed for vesicular athlete's foot
6. Diet recommendations and禁忌 for vesicular athlete's foot patients
7. Conventional methods of Western medicine for treating vesicular athlete's foot

1. What are the causes of vesicular athlete's foot

  1. The causative bacteria of vesicular athlete's foot are mainly Trichophyton rubrum, followed by Trichophyton mentagrophytes, Trichophyton terrestre, and Trichophyton mentagrophytes ssp. floccosum, etc.

  2. The onset of vesicular athlete's foot is related to environmental and seasonal factors, with wet and hot areas and high-temperature seasons being particularly common;

  3. Vesicular athlete's foot is related to certain groups of people or professions, with susceptible populations including athletes, coal miners, soldiers, and diabetics; and HIV/AIDS patients, and is related to factors such as excessive sweating of the feet, wearing tight shoes, or impaired immune function;

  4. Vesicular athlete's foot has a family aggregation and communicability, and can cause transmission by contacting items used by patients in public places such as swimming pools and bathhouses, or at home.

2. What complications can vesicular athlete's foot easily lead to

  If not treated in time, athlete's foot can sometimes spread to other parts, such as causing tinea manuum and onychomycosis, and sometimes it can lead to secondary bacterial infection due to scratching for itching, causing serious complications.

  1Complications include skin fungal infections in other parts of the body.Due to long-term athlete's foot or self-inoculation after scratching the hands, patients with athlete's foot may have complications such as onychomycosis, tinea manuum, and tinea cruris. When onychomycosis occurs, the nail plate becomes turbid, opaque, showing a cloudy or stained appearance, and loses its luster. Among patients with onychomycosis, half of them are caused by long-term untreated athlete's foot. Regarding this issue, experts point out: 'Patients with onychomycosis often have athlete's foot or tinea manuum first, with fungi first invading the skin around the nails, then gradually entering the nails or toe nails, and further growing and reproducing until they destroy the entire nail. It is particularly noteworthy that onychomycosis can not only spread among different parts of the body but is also easy to transmit to family members, making it difficult to cure. In addition to causing onychomycosis, the deterioration of athlete's foot can also lead to local ulceration of the feet and erysipelas, seriously affecting personal health. Therefore, it is important to pay attention to athlete's foot and seek timely treatment.'

  2. Foot fungus complicated with bacterial infection.At this time, the local secretion increases, and pale yellow purulent secretion may appear. The infected area is red, swollen, hot, and painful. Without timely and appropriate anti-inflammatory treatment, it may lead to lymphangitis, erysipelas, and cellulitis, etc.

  (1) Acute lymphangitis. Commonly known as 'red line', in traditional Chinese medicine it is called 'red line rash'. The redness is caused by the acute inflammation induced by suppurative bacteria entering the lymphatic vessels from the damaged skin.

  (2) Erysipelas. Erysipelas is a relatively serious acute inflammation. The erysipelas on the lower leg is also known as 'running fire'. It is caused by beta-hemolytic streptococcus entering medium or small lymphatic vessels through damaged skin, causing acute inflammation of the lymphatic vessels and surrounding soft tissues in the skin and subcutaneous tissue.

  (3)Cellulitis.In traditional Chinese medicine, it is called 'Bianju', which is generally caused by secondary streptococcal infection. It can also refer to the acute diffuse suppurative inflammation of loose connective tissue caused by Staphylococcus aureus, Escherichia coli, and other bacteria. This lesion can occur in relatively shallow skin areas, as well as in deeper areas under the fascia or between muscles.

  3.Tinea corporis.It refers to the systemic or localized allergic skin reactions caused by dermatophytes and their metabolic products through the blood circulation outside the lesion. The occurrence of tinea corporis is closely related to the degree of local tinea inflammation. The more obvious the local inflammation, the greater the possibility of tinea corporis.

  

3. What are the typical symptoms of vesicular athlete's foot

  It often occurs at the edge and sole of the foot. Initially, it is a thick-walled, full small vesicle, some of which can merge into large blisters, with clear vesicle fluid and no red halo around. It is very itchy, and scratching often leads to secondary infection, causing erysipelas, lymphangitis, and other conditions.

  1.Damp-heat athlete's foot: The symptoms of damp athlete's foot mainly include damp and eroded toes or sole, itching, or yellowish fluid soaking, or redness, swelling, ulceration and peeling, even toe swelling, red tongue, yellow fur, deep pulse or no change.

  2.Cold and damp athlete's foot: The symptoms of cold and damp athlete's foot include damp and eroded toes or sole, itching, or yellowish fluid soaking, or numbness and cold pain, or ulceration and peeling, cold and not warm hands and feet, even toe swelling, pale tongue, white fur, deep pulse. 3. Blood stasis and cold toxin athlete's foot: The main symptoms include damp and eroded toes or sole, itching, pain, or yellowish fluid soaking and flowing pus and blood, dark purple toes, or itching and pain, or ulceration and peeling, even toe swelling, dark tongue quality, thin fur, deep pulse.

4. How to prevent athlete's foot of the vesicular type

  1. Keep your feet clean and dry, and treat sweaty feet. Change your shoes and socks frequently. People with tight toe gaps can use grass paper in between to absorb moisture and allow ventilation. Shoes should be well-ventilated.

  2. Do not use others' slippers, bath towels, wipes, etc., and do not walk in the polluted water near bathhouses or swimming pools.

  3. Public bathhouses and swimming pools should frequently treat wastewater, use bleaching powder or hypochlorite for disinfection, and establish a system to prevent the spread of tinea pedis.

  4. Prevent the transmission of tinea pedis in the shoe cabinet. The shoe cabinet should also be ventilated and dried frequently; if the shoe cabinet cannot be moved, it should be regularly cleaned with disinfectant or dried agent to remove moisture.

  5. Strengthen physical exercise, pay attention to nutrition, enhance the body's resistance, and also have a certain effect on preventing the occurrence of tinea pedis.

  6. Put some deodorizing packets made of spices, tea, bamboo charcoal in the shoes to eliminate bacteria and odor, and pay attention to foot hygiene.

  Cut the garlic into small slices and put it in the shoes to wear for a few days. These garlic bulbs will be absorbed by the skin. Wear cotton socks that absorb sweat. Let the shoes breathe and change the socks every day.

5. What laboratory tests need to be done for vesicular tinea pedis

  When diagnosing vesicular tinea pedis, in addition to relying on its clinical manifestations, it is also necessary to rely on auxiliary examinations. The examination items needed for this disease include: fungal examination, take the wall of the fresh blister or deep skin scales for fungal microscopy, which can find hyphae and spores.

6. Dietary taboos for patients with vesicular tinea pedis

  Patients with vesicular tinea pedis should avoid drinks such as cola, grains, processed foods, sugar, and other foods. They should consume a large amount of fresh fruits and vegetables, baked fish, and baked chicken (without skin). Do not eat fried or greasy foods.

7. Conventional methods of Western medicine for treating vesicular tinea pedis

  1. For small blisters on the feet that have not burst, you can first soak in a 3% boric acid solution or apply clotrimazole antifungal ointment and salicylic acid tincture once, and then choose antifungal ointment or solution.

  2. Volcanic ash treatment: Volcanic ash is a rare sedimentary mineral formed after the fine particles containing various beneficial substances and trace elements from the deep geological strata 100 to 150 kilometers below the earth's crust are brought out during the volcanic activity of magma overflow and sedimentated for several to several decades. The substances contained in it have a strong killing effect on tinea pedis fungi, and have good penetration, which can penetrate the deep tissue of the skin and kill the fungi in the deep tissue of the skin, and can also accelerate the healing of the skin damaged by tinea pedis.

  Usage: Apply volcanic ash heat compress to the feet once a day for 20-30 minutes each time, and the wound will heal in 15-20 days.

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