Tinea pedis 
Definition
Risk factors
Fungal infection between the toes
Men
Walking barefoot in public
Frequently wearing damp socks or tightfitting shoes
Share mats, rugs, bed linens and clothes
Having sweaty feet
Have skin or nail injury in your foot
Symptoms
Itching, stinging and burning toes
Blisters on your feet that itch
Cracking and peeling skin on your feet
Dry skin on your toes
Discoloured, thick and crumbly toe nails
Pathophysiology
Caused by T. Rubrum, T mentagrophytes &epidermophyton
Non-Dermatophyte causes includes
Scytalidium dimadiatum, stcytalidium hyalinum and candida species
Using keratinases( enzymes)
Dermatophyte fungi invade superficial keratin of skin
Infection remains limited to the layer
Dermatophytes cell walls contain mannas,
Which inhibits body's immune response
Temperature and serum factors
Have growth inhibitory factors affect on Dermatophytes
Causes
Fungal- T-rubrum, Trichophyton mentagrophytes
Epidermophyton
Non-Dermatophytes- stcytalidium dimadiatum, scytalidium hyalinine
Candida species
Diagnostic procedures
Skin craping
Microscopic view
Skin lesion potassium hydroxide exam
Treatment
Pharmacology
Miconazole
Terbinafine
Clotrimazole
Butenafine
Tolnaftate
Fluconazoe
Surgical procedures
Syndactylization of toes for severe chronic cases
Health education
Keep your feer dry
Especially between your toes
Change socks regularly
Wear light ventilated shoes
Alternate pair of shoes
Don't share shoes
Protect your feet in public places
Nursing interventions
Toe nails pulling away from nail bed
Administer oral antibiotics if bacteria intections develop
Topical steriod medications to reduce inflammation
Administer antifungal foot sprays
Instruct client to alternate shoes
Place cotton wool between toes at night