Fungal Diseases of the Skin and Nails

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The appearance of fungal diseases on the skin is very diverse and largely depends on the type of pathogen present. Infections of the filamentous fungus Trichophyton rubrum (the most common pathogen in Europe) are visible as red, scaly, circular foci that spread circularly.

Fungal diseases, which frequently occur in the creases of the body, can be bright red in parts, weeping and with a pustular seam. Infections of the fungus Malassezia initially develop red, scaly foci which do not tan when exposed to the sun and are visible as white spots on the skin.

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How are skin fungal diseases treated?

After diagnosis, creams containing antimycotic active ingredients are initially used. We can determine the identity of the exact pathogen via a fungal culture. If a fungal disease is stubbornly incurable, we can also prescribe tablets.

How is athlete's foot treated?

In the case of athlete’s foot, feet should always be dried completely after becoming wet, especially between the toes. Afterwards, a cream containing an antimycotic active ingredient is applied once a day. Important: Socks should be changed every day and worn socks should be washed with a disinfectant detergent. Shoes should also be changed daily and the fungus eradicated using a special spray.

Can athlete's foot be prevented?

Yes, by keeping your feet dry. Foot powder can help in cases of increased perspiration. In wet areas (e.g. sauna, swimming pool) it is essential to wear slippers and also to disinfect the feet afterwards.

What is the best way to treat nail fungal infections and are they curable?

This depends very much on the severity of the infection. If less than 50% of the nail is affected, the first step is to try treatment using an antifungal nail polish. If there is no improvement after six months, tablets can be taken. In cases where more than 50% of the nail is infected, a combination treatment of cream and tablets should be started immediately, provided there are no contraindications.

Patience is always required in these cases since nail fungal infections are unfortunately extremely persistent. With a timely diagnosis and the correct treatment, the chances of getting rid of the fungus are still good, providing the therapy is carried out consistently and hygienic measures are followed, i.e. air-permeable footwear, disinfection of shoes, thorough drying of feet and toes, boiling of socks, etc.

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