Can onychomycosis (fungal infection of the nail) or tinea pedis (foot fungus) cause skin peeling?

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Last updated: April 17, 2025View editorial policy

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From the Guidelines

Yes, foot fungus can cause peeling of skin, as fungal infections like athlete's foot (tinea pedis) commonly lead to dry, flaky, and peeling skin, particularly between the toes and on the soles of the feet. Fungal infections can digest keratin in the skin and trigger an inflammatory response, leading to the shedding of damaged skin cells 1. The British Association of Dermatologists' guidelines for the management of onychomycosis 2014 emphasize the importance of treating fungal infections to prevent complications and improve quality of life 1.

Key Points to Consider

  • Fungal infections can cause skin to become dry, flaky, and peel, particularly between the toes and on the soles of the feet
  • Treatment typically involves antifungal medications such as clotrimazole, miconazole, or terbinafine, applied as creams or sprays twice daily for 1-4 weeks
  • For severe infections, oral antifungals like terbinafine tablets may be prescribed by a doctor
  • To prevent recurrence, it is essential to keep feet dry, change socks daily, wear breathable footwear, use antifungal powder in shoes, and avoid walking barefoot in public showers or pool areas 1

Prevention and Treatment

To manage foot fungus and prevent peeling of skin, patients should:

  • Apply antifungal medications as directed by a healthcare provider
  • Practice good foot hygiene, including keeping feet dry and changing socks daily
  • Wear breathable footwear and use antifungal powder in shoes
  • Avoid walking barefoot in public areas where fungal infections are common
  • Consider using absorbent powders and antifungal powders containing miconazole, clotrimazole, or tolnaftate in shoes and on the feet 1

Importance of Treatment

Treating foot fungus is crucial to prevent complications, such as disruption of skin integrity, which can lead to bacterial infections, foot ulcers, and other conditions, particularly in diabetic patients 1. Prompt treatment and prevention strategies can significantly improve quality of life and reduce the risk of complications associated with foot fungus.

From the Research

Foot Fungus and Peeling of Skin

  • Foot fungus, also known as tinea pedis, is a common fungal infection that can cause various symptoms, including peeling of skin 2, 3, 4, 5, 6.
  • The infection can lead to peeling of skin on the feet, especially between the toes, on the soles, heels, and sides of the foot 3.
  • Studies have shown that topical and oral treatments, such as terbinafine, can effectively cure tinea pedis and reduce symptoms, including peeling of skin 2, 4, 5, 6.
  • Terbinafine has been found to be more effective than other treatments, such as clotrimazole, in curing tinea pedis and reducing symptoms 4, 6.
  • The treatment duration and frequency of application can vary, but terbinafine has been shown to be effective in treating tinea pedis, regardless of the treatment regimen 5.

Symptoms and Treatment

  • Tinea pedis can cause various symptoms, including:
    • Peeling of skin
    • Cracking of skin
    • Redness and itching
    • Burning sensation
  • Treatment options for tinea pedis include:
    • Topical antifungal creams, such as terbinafine and clotrimazole
    • Oral antifungal medications, such as terbinafine and griseofulvin
    • Keeping the feet clean and dry
    • Wearing breathable shoes and socks

Effectiveness of Treatment

  • Studies have shown that terbinafine is an effective treatment for tinea pedis, with high cure rates and minimal side effects 2, 4, 5, 6.
  • The effectiveness of treatment can depend on various factors, including the severity of the infection, the treatment regimen, and patient compliance 3, 5.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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