Tinea Pedis, Tinea Cruris, Tinea Corporis: (Athlete’s Foot, Jock Itch, Ringworm)

Tinea Pedis

There are three general clinical presentations: interdigital, moccasin, and vesicobullous. Interdigital disease is most common. Often there is fissuring, scaling, and maceration of the interdigital or subdigital areas, particularly the fourth-to-fifth toe web space ( Fig. 183.1A and B ). Moccasin-type tinea is characterized by fine silvery scales, with underlying pink to red skin that most commonly affects areas of the soles, heels, and sides of the feet (moccasin distribution) (see Fig. 183.1C ). Vesicobullous tinea pedis is the least common form. There may be acute and highly inflammatory vesicular or bullous lesions that are pruritic and commonly found at the instep of the foot; however, inflammation may spread over the entire sole (see Fig. 183.1D ).