Tinea pedis is characterized by interdigital peeling, maceration, and fissuring mainly along the lateral toe clefts and extending to under the surface of toes. Erythema in the affected areas is more visible in lighter skin tones versus more violaceous to purple color in darker skin tones with superficial fine, silvery white scales. Infection can also involve the toenails.
More chronic tinea pedis may present with hyperkeratosis in a moccasin distribution, involving the medial and lateral sides of the soles. It can also present on the dorsal aspect of the foot with erythema and scales in lighter skin tones versus a violet or purple color along with post-inflammatory hyperpigmentation in darker skin tones.
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