Athlete's foot (tinea pedis): symptoms, antifungal treatment and prevention | Clinique Omicron<\/title>\n<meta name=\"description\" content=\"Le pied d'athl\u00e8te (tinea pedis) est une infection fongique cutan\u00e9e des pieds caus\u00e9e par des dermatophytes. 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pedis)<\/h1>\n<style>.oc-fiche-cta{margin:8px 0 34px;padding:22px 24px;border:1.5px solid rgba(50,60,82,.15);border-left:4px solid #FF611C;border-radius:12px;background:#F4F6F8;font-family:Poppins,sans-serif}.oc-fiche-cta-t{font-size:18px;font-weight:600;color:#323C52;margin:0 0 4px;line-height:1.35}.oc-fiche-cta-x{font-size:15px;color:#4D6577;margin:0 0 14px;line-height:1.55}.oc-fiche-cta-b{display:flex;flex-wrap:wrap;gap:10px}.oc-fiche-cta-b a{display:inline-flex;align-items:center;justify-content:center;min-height:44px;padding:10px 18px;border-radius:8px;font-size:14px;font-weight:600;text-decoration:none;box-sizing:border-box}.oc-fiche-cta-b .oc-p{background:#FF611C;color:#fff}.oc-fiche-cta-b .oc-p:hover{background:#E04E0C}.oc-fiche-cta-b .oc-s{background:#fff;color:#323C52;border:1.5px solid rgba(50,60,82,.25)}@media (max-width:600px){.co-wrap h1{font-size:24px;line-height:1.25;text-transform:none}.oc-fiche-cta{padding:18px 16px}.oc-fiche-cta-b a{flex:1 1 100%}body .co-wrap > .co-table,body .co-wrap > .co-table tbody,body .co-wrap > .co-table tr,body .co-wrap > .co-table td{display:block;width:100%;box-sizing:border-box}body .co-wrap > .co-table{min-width:0;table-layout:auto}body .co-wrap > .co-table thead{display:none}body .co-wrap > .co-table tr{margin:0 0 10px;border:1px solid rgba(77,101,119,.18);border-radius:8px;overflow:hidden}body .co-wrap > .co-table td{padding:9px 12px;border:0}body .co-wrap > .co-table td:first-child{font-weight:600;color:#323C52;background:rgba(77,101,119,.07)}#ocw{transform:scale(.8);transform-origin:bottom right}}<\/style><div class=\"oc-fiche-cta\" data-oc-cta=\"fiche-haut-consult\"><p class=\"oc-fiche-cta-t\">Obtenir un avis adapt\u00e9 \u00e0 votre situation<\/p><p class=\"oc-fiche-cta-x\">Consultation en clinique ou en t\u00e9l\u00e9consultation, partout au Qu\u00e9bec.<\/p><div class=\"oc-fiche-cta-b\"><a class=\"oc-p\" href=\"https:\/\/cliniqueomicron.ca\/rendez-vous\/\">Make an appointment<\/a><a class=\"oc-s\" href=\"https:\/\/cliniqueomicron.ca\/consultation-en-ligne\/\">Consult online<\/a><a class=\"oc-s\" href=\"tel:+15146063350\">514 606-3350<\/a><\/div><\/div>\n\n\n <div class=\"co-intro\">\n Le pied d'athl\u00e8te \u2014 terme populaire d\u00e9signant la tinea pedis ou dermatomycose des pieds \u2014 est la dermatophytose (infection cutan\u00e9e \u00e0 dermatophytes) la plus fr\u00e9quente au monde, touchant environ 15 \u00e0 25 % de la population g\u00e9n\u00e9rale \u00e0 un moment ou un autre de sa vie, avec une pr\u00e9dominance chez les hommes adultes, les sportifs, les personnes fr\u00e9quentant r\u00e9guli\u00e8rement les piscines et vestiaires collectifs et chez les patients diab\u00e9tiques ou immunod\u00e9prim\u00e9s. Elle est caus\u00e9e dans la grande majorit\u00e9 des cas par des dermatophytes du genre <em>Trichophyton<\/em> - mainly <em>Trichophyton rubrum<\/em> (70 to 80% of cases) and <em>Trichophyton interdigitale<\/em> (formerly <em>T. mentagrophytes<\/em> variable. <em>interdigital<\/em>, 15\u201325 %) \u2014 which are exclusively keratinophilic fungi, meaning they are capable of breaking down the keratin in the stratum corneum of the epidermis, nails, and hair using their keratinases, without ever invading the underlying living tissue except in cases of severe immunosuppression. Transmission occurs directly between humans (through contact with infected skin flakes) or indirectly through contact with contaminated surfaces\u2014swimming pool floors, shower stalls, locker rooms, gym mats\u2014where dermatophytes can survive in keratinized skin flakes for several weeks to months. Maceration caused by sweating in closed shoes is the main predisposing factor in the absence of group exposure, creating a warm, humid environment ideal for fungal growth. Tinea pedis is clinically significant not only for its local manifestations\u2014interdigital pruritus + desquamation + fissures\u2014but also because it serves as the primary reservoir and entry point for onychomycosis (see dedicated fact sheet) and, in patients with diabetes or peripheral artery disease, can promote bacterial superinfections, cellulitis, and serious foot complications.\n <\/div>\n\n <h2>Clinical forms<\/h2>\n\n <table class=\"co-table\">\n <thead>\n <tr>\n <th>Clinical form<\/th>\n <th>Location and appearance<\/th>\n <th>Agent fongique et fr\u00e9quence<\/th>\n <\/tr>\n <\/thead>\n <tbody>\n <tr>\n <td>Forme interdigitale (la plus fr\u00e9quente \u2014 60\u201370 %)<\/td>\n <td>Espace interdigital entre le 3e et 4e orteil (ou 4e et 5e) \u2192 mac\u00e9ration blanch\u00e2tre + desquamation + fissures douloureuses + prurit intense + odeur d\u00e9sagr\u00e9able + peut s'\u00e9tendre \u00e0 la face plantaire + la forme \u00ab s\u00e8che \u00bb pr\u00e9sente une desquamation fine sans mac\u00e9ration + la forme \u00ab suintante \u00bb (dyshidrosiforme) pr\u00e9sente une mac\u00e9ration blanche avec odeur d\u00e9sagr\u00e9able et fissures profondes<\/td>\n <td><em>T. interdigitale<\/em> predominant for macerated form + <em>T. rubrum<\/em> for dry form + easiest form to treat + quick response (1-2 weeks) to topical antifungals<\/td>\n <\/tr>\n <tr>\n <td>Forme hyperk\u00e9ratosique plantaire (mocassin \u2014 20\u201325 %)<\/td>\n <td>Hyperk\u00e9ratose diffuse + s\u00e8che + farineuse de toute la face plantaire + talons + bords lat\u00e9raux du pied \u2192 aspect \u00ab en mocassin \u00bb (chaussure indienne) + squames blanch\u00e2tres fines et adh\u00e9rentes + prurit souvent absent ou mod\u00e9r\u00e9 + aspect chronique + souvent bilat\u00e9rale + souvent associ\u00e9e \u00e0 une onychomycose<\/td>\n <td><em>T. rubrum<\/em> quasi-exclusive + chronic relapsing form + less responsive to topicals alone (thick hyperkeratosis) \u2192 often requires systemic antifungal (oral terbinafine)<\/td>\n <\/tr>\n <tr>\n <td>Forme v\u00e9siculeuse ou dyshidrosiforme (10\u201315 %)<\/td>\n <td>V\u00e9sicules prurigineuses + parfois bulleux + sur la plante du pied + bord lat\u00e9ral des pieds + espaces interdigitaux + les v\u00e9sicules peuvent confluer en bulles + contenu clair initial puis trouble + rupture spontan\u00e9e \u2192 cro\u00fbtes + \u00e9rosions + parfois r\u00e9action d'hypersensibilit\u00e9 \u00e0 distance (dermatophytide \u2014 r\u00e9action allergique aux antig\u00e8nes fongiques)<\/td>\n <td><em>T. interdigitale<\/em> variable. <em>Mentagrophytes<\/em> most inflammatory form + can mimic dyshidrotic eczema or contact dermatitis + secondarily infected by bacteria (staphylococci)<\/td>\n <\/tr>\n <tr>\n <td>Forme ulc\u00e9ro-n\u00e9crotique (rare \u2014 patients immunod\u00e9prim\u00e9s)<\/td>\n <td>Ulc\u00e9rations + n\u00e9crose + surinfection bact\u00e9rienne s\u00e9v\u00e8re + extension aux tissus profonds + chez les patients diab\u00e9tiques + SIDA + chimioth\u00e9rapie<\/td>\n <td><em>T. rubrum<\/em> + <em>T. interdigitale<\/em> + often polymicrobial with bacterial superinfection + requires systemic antifungal + IV antibiotic therapy + intensive local care + risk of diabetic foot osteomyelitis<\/td>\n <\/tr>\n <\/tbody>\n <\/table>\n\n <h2>Diagnosis<\/h2>\n <ul class=\"co-list\">\n <li><strong>Clinical diagnosis:<\/strong> In the vast majority of cases, the clinical presentation is characteristic enough to initiate treatment without mycological confirmation: itching, scaling, interdigital maceration, or diffuse plantar hyperkeratosis in a patient at risk (athlete, swimmer, diabetic) = probable tinea pedis \u2192 immediate topical antifungal treatment<\/li>\n <li><strong>Direct microscopic examination (KOH):<\/strong> KOH 20\u201340 % scale clarification + visualization of mycelial hyphae under a microscope + results in 30 minutes + confirms the presence of fungi but does not allow for species identification + indications: atypical form + diagnostic uncertainty + form resistant to standard treatments + perform before any culture (collect scales from the most active area\u2014edge of lesions)<\/li>\n <li><strong>Sabouraud's medium culture:<\/strong> Precise identification of the fungal species + results in 3 to 4 weeks + useful if it's a resistant form + if an unusual species is suspected + or if systemic treatment is considered<\/li>\n <li><strong>Differential diagnosis :<\/strong> Contact or atopic eczema (patch testing + RAST + atopic context) + plantar psoriasis (well-defined plaques + erythematous-squamous + psoriatic nail involvement + APS) + palmoplantar keratoderma (hereditary + bilateral since childhood) + erythrasma (bacterial with <em>Corynebacterium minutissimum<\/em> \u2014 coral fluorescence under a Wood's lamp)<\/li>\n <\/ul>\n\n <h2>Antifungal treatment<\/h2>\n\n <table class=\"co-table\">\n <thead>\n <tr>\n <th>Treatment<\/th>\n <th>Mol\u00e9cule, gal\u00e9nique et protocole<\/th>\n <th>Efficacit\u00e9 et indications<\/th>\n <\/tr>\n <\/thead>\n <tbody>\n <tr>\n <td>Terbinafine cr\u00e8me 1 % \u2014 premier choix topique<\/td>\n <td>Application 1\u00d7\/jour \u00d7 7 jours (forme interdigitale) + ou \u00d7 2 semaines (forme plantaire) + appliquer en couche mince sur les zones atteintes et 1 cm au-del\u00e0 + disponible sans ordonnance (Lamisil\u00ae AT + g\u00e9n\u00e9riques) + m\u00e9canisme : inhibiteur de la squal\u00e8ne \u00e9poxydase \u2192 fongicide<\/td>\n <td>Taux de gu\u00e9rison mycologique 70\u201390 % pour la tinea pedis interdigitale + activit\u00e9 fongicide (tue les champignons) vs fongistatique des azol\u00e9s + traitement le plus court efficace pour la forme interdigitale + peu d'effets ind\u00e9sirables (l\u00e9g\u00e8re irritation locale possible)<\/td>\n <\/tr>\n <tr>\n <td>Clotrimazole cr\u00e8me 1 % (Canesten\u00ae)<\/td>\n <td>Application 2\u00d7\/jour \u00d7 4 semaines + disponible sans ordonnance + m\u00e9canisme : inhibiteur de la synth\u00e8se de l'ergost\u00e9rol (azol\u00e9) \u2192 fongistatique<\/td>\n <td>Taux de gu\u00e9rison 65\u201380 % + dur\u00e9e de traitement plus longue que la terbinafine + bonne tol\u00e9rance locale + actif aussi sur <em>Candida<\/em> (useful if a candidal superinfection is associated) + option for patients intolerant to terbinafine<\/td>\n <\/tr>\n <tr>\n <td>Miconazole + \u00e9conazole + k\u00e9toconazole topique<\/td>\n <td>Application 1\u20132\u00d7\/jour \u00d7 2\u20134 semaines + m\u00e9canisme azol\u00e9 (fongistatique) + k\u00e9toconazole 2 % cr\u00e8me ou shampoing (efficace sur la tinea versicolor associ\u00e9e)<\/td>\n <td>Efficacit\u00e9 comparable au clotrimazole + azol\u00e9s en g\u00e9n\u00e9ral + dur\u00e9e de traitement plus longue que la terbinafine + le miconazole en poudre ou en spray est utile comme traitement adjuvant pour les chaussures (r\u00e9duction de la recontamination)<\/td>\n <\/tr>\n <tr>\n <td>Terbinafine orale (Lamisil\u00ae 250 mg) \u2014 formes r\u00e9sistantes ou s\u00e9v\u00e8res<\/td>\n <td>250 mg\/jour \u00d7 2 semaines pour la tinea pedis (ou 1 semaine pour les formes interdigitales seules) + avec ou sans aliments + indiqu\u00e9e si forme hyperk\u00e9ratosique plantaire en mocassin r\u00e9sistante aux topiques + forme tr\u00e8s \u00e9tendue ou r\u00e9cidivante + immunod\u00e9pression<\/td>\n <td>Taux de gu\u00e9rison mycologique > 90 % pour les formes r\u00e9sistantes aux topiques + effets ind\u00e9sirables syst\u00e9miques possibles (naus\u00e9es + c\u00e9phal\u00e9es + dysgueusie + h\u00e9patotoxicit\u00e9 rare) + bilan h\u00e9patique si traitement > 6 semaines + interactions m\u00e9dicamenteuses (inhibiteur CYP2D6)<\/td>\n <\/tr>\n <\/tbody>\n <\/table>\n\n <h2>Pr\u00e9vention des r\u00e9cidives<\/h2>\n <ul class=\"co-list\">\n <li><strong>Foot hygiene:<\/strong> Daily washing of the feet with soap and water + careful and thorough drying between the toes (the area most prone to maceration and fungal growth) + cut nails short and straight + regularly inspect the spaces between the toes<\/li>\n <li><strong>Shoes and socks:<\/strong> Cotton socks or breathable natural fibers (prefer over synthetics which retain moisture) + change socks daily + rotate shoes to allow them to dry completely between uses (at least 24 to 48 hours) + antifungal powders or sprays (miconazole + tolnaftate) in shoes to reduce fungal flora<\/li>\n <li><strong>Collective environments<\/strong> Wear flip-flops or shower shoes in pools, locker rooms, communal showers, and saunas. Never walk barefoot on wet communal floors. Disinfect home shower stalls regularly.<\/li>\n <li><strong>Traitement concomitant de l'onychomycose :<\/strong> Tinea pedis often recurs from the fungal reservoir of infected nails \u2192 simultaneously treat onychomycosis if present (see dedicated sheet) + without treatment of onychomycosis, tinea pedis is almost certain to recur within weeks to months after stopping topical treatment<\/li>\n <li><strong>Household member treatment:<\/strong> family members using the same showers or bedding may reinfect each other \u2192 if a household member has recurrent tinea pedis despite correct treatment \u2192 screening of other members + preventive treatment with antifungal powder in shared shoes<\/li>\n <\/ul>\n\n <div class=\"co-infobox\">\n <span class=\"ico\">\u2139\ufe0f<\/span>\n <span>La tinea pedis (pied d'athl\u00e8te) est la principale source de contamination des ongles pour l'onychomycose \u2014 environ 30 \u00e0 40 % des patients avec tinea pedis non trait\u00e9e d\u00e9velopperont une onychomycose dans les ann\u00e9es suivantes. \u00c0 l'inverse, la pr\u00e9sence d'une onychomycose entretient la tinea pedis m\u00eame apr\u00e8s traitement topique du pied. Le traitement de la tinea pedis doit donc toujours inclure un examen des ongles, et si une onychomycose est pr\u00e9sente, son traitement simultan\u00e9 est indispensable pour pr\u00e9venir les r\u00e9cidives de pied d'athl\u00e8te.<\/span>\n <\/div>\n\n <div class=\"co-urgence\">\n <div class=\"co-urgence-titre\">Situations n\u00e9cessitant une consultation m\u00e9dicale<\/div>\n <p>Consulter un m\u00e9decin rapidement si le pied d'athl\u00e8te s'\u00e9tend rapidement + s'accompagne d'une rougeur remontant le long de la jambe (lymphangite \u2014 tra\u00een\u00e9e rouge ascendante) + d'un gonflement important + de pus ou de fi\u00e8vre \u2014 ces signes indiquent une surinfection bact\u00e9rienne (cellulite + \u00e9rysip\u00e8le) n\u00e9cessitant une antibioth\u00e9rapie syst\u00e9mique urgente. Chez un patient diab\u00e9tique, tout pied d'athl\u00e8te avec fissures ou l\u00e9sions cutan\u00e9es doit \u00eatre \u00e9valu\u00e9 par un m\u00e9decin rapidement \u2014 m\u00eame sans signes infectieux apparents \u2014 en raison du risque de complication grave (porte d'entr\u00e9e pour une cellulite profonde ou une ost\u00e9omy\u00e9lite du pied diab\u00e9tique).<\/p>\n <p>Pour le diagnostic et le traitement d'un pied d'athl\u00e8te r\u00e9sistant aux antifongiques en vente libre, la prescription d'un antifongique oral si indiqu\u00e9 et l'orientation vers la dermatologie ou la podiatrie pour les formes complexes, Clinique Omicron offre des consultations m\u00e9dicales dans ses points de service au Qu\u00e9bec et en t\u00e9l\u00e9m\u00e9decine. Pour prendre rendez-vous, visitez <a href=\"https:\/\/cliniqueomicron.ca\" style=\"color:#c0392b;font-weight:600;text-decoration:none;\">cliniqueomicron.ca<\/a>.<\/p>\n <\/div>\n\n <h2>Consult at Clinique Omicron<\/h2>\n <p>Les m\u00e9decins et infirmiers praticiens sp\u00e9cialis\u00e9s (IPS) de Clinique Omicron diagnostiquent et traitent le pied d'athl\u00e8te dans ses diff\u00e9rentes formes cliniques, prescrivent la terbinafine orale pour les formes r\u00e9sistantes aux topiques ou les formes hyperk\u00e9ratosiques en mocassin, traitent les surinfections bact\u00e9riennes si pr\u00e9sentes, \u00e9valuent et traitent l'onychomycose associ\u00e9e, et prodiguent les conseils d'hygi\u00e8ne et de pr\u00e9vention des r\u00e9cidives. Des consultations sont disponibles dans plusieurs points de service au Qu\u00e9bec et en t\u00e9l\u00e9m\u00e9decine. Pour prendre rendez-vous, visitez <a href=\"https:\/\/cliniqueomicron.ca\" style=\"color:#4D6577;font-weight:600;text-decoration:none;\">cliniqueomicron.ca<\/a>.<\/p>\n\n <p class=\"co-disclaimer\">Le contenu de cette page est fourni \u00e0 titre informatif uniquement et ne remplace pas l'avis d'un m\u00e9decin ou d'un dermatologue. Chez les patients diab\u00e9tiques, toute l\u00e9sion des pieds \u2014 m\u00eame apparemment b\u00e9nigne \u2014 doit faire l'objet d'une \u00e9valuation m\u00e9dicale car les complications peuvent \u00eatre graves et s'installer rapidement en raison de la neuropathie et de la vasculopathie associ\u00e9es.<\/p>\n\n<\/div>\n<\/body>\n<\/html>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Pied d’athl\u00e8te (tinea pedis) : sympt\u00f4mes, traitement antifongique et pr\u00e9vention | Clinique Omicron Dermatologie & Podiatrie & M\u00e9decine de famille Pied d’athl\u00e8te (tinea pedis) Le pied d’athl\u00e8te \u2014 terme populaire d\u00e9signant la tinea pedis ou dermatomycose des pieds \u2014 est la dermatophytose (infection cutan\u00e9e \u00e0 dermatophytes) la plus fr\u00e9quente au monde, touchant environ 15 \u00e0… <a href=\"https:\/\/cliniqueomicron.ca\/en\/pied-athlete\/\" rel=\"bookmark\">Read More \"<span class=\"screen-reader-text\">Pied d’athl\u00e8te (tinea pedis) : sympt\u00f4mes, traitement antifongique et pr\u00e9vention | Clinique Omicron<\/span><\/a><\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"om_disable_all_campaigns":false,"neve_meta_sidebar":"","neve_meta_container":"","neve_meta_enable_content_width":"off","neve_meta_content_width":100,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","_themeisle_gutenberg_block_has_review":false,"_metasync_otto_title":"","_metasync_otto_description":"Le pied d'athl\u00e8te est une dermatomycose \u00e0 Trichophyton rubrum ou interdigitale. Forme interdigitale mac\u00e9r\u00e9e, hyperk\u00e9ratose en mocassin, terbinafine cr\u00e8me 1 s...","_metasync_otto_keywords":"","_metasync_otto_og_title":"Pied d'athl\u00e8te (tinea pedis) : | Brossard | Clinique Omicron","_metasync_otto_og_description":"Pied d'athl\u00e8te (tinea pedis) Pied d'athl\u00e8te (tinea pedis) est une condition m\u00e9dicale qui peut n\u00e9cessiter une \u00e9valuation et un suivi m\u00e9dical appropri\u00e9s. Nos p...","_metasync_otto_twitter_title":"Pied d'athl\u00e8te (tinea pedis) | Clinique Omicron","_metasync_otto_twitter_description":"Pied d'athl\u00e8te (tinea pedis) Pied d'athl\u00e8te (tinea pedis) est une condition m\u00e9dicale qui peut n\u00e9cessiter une \u00e9valuation et un suivi m\u00e9dical appropri\u00e9s. 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pedis)<\/h1>\n<style>.oc-fiche-cta{margin:8px 0 34px;padding:22px 24px;border:1.5px solid rgba(50,60,82,.15);border-left:4px solid #FF611C;border-radius:12px;background:#F4F6F8;font-family:Poppins,sans-serif}.oc-fiche-cta-t{font-size:18px;font-weight:600;color:#323C52;margin:0 0 4px;line-height:1.35}.oc-fiche-cta-x{font-size:15px;color:#4D6577;margin:0 0 14px;line-height:1.55}.oc-fiche-cta-b{display:flex;flex-wrap:wrap;gap:10px}.oc-fiche-cta-b a{display:inline-flex;align-items:center;justify-content:center;min-height:44px;padding:10px 18px;border-radius:8px;font-size:14px;font-weight:600;text-decoration:none;box-sizing:border-box}.oc-fiche-cta-b .oc-p{background:#FF611C;color:#fff}.oc-fiche-cta-b .oc-p:hover{background:#E04E0C}.oc-fiche-cta-b .oc-s{background:#fff;color:#323C52;border:1.5px solid rgba(50,60,82,.25)}@media (max-width:600px){.co-wrap h1{font-size:24px;line-height:1.25;text-transform:none}.oc-fiche-cta{padding:18px 16px}.oc-fiche-cta-b a{flex:1 1 100%}body .co-wrap > .co-table,body .co-wrap > .co-table tbody,body .co-wrap > .co-table tr,body .co-wrap > .co-table td{display:block;width:100%;box-sizing:border-box}body .co-wrap > .co-table{min-width:0;table-layout:auto}body .co-wrap > .co-table thead{display:none}body .co-wrap > .co-table tr{margin:0 0 10px;border:1px solid rgba(77,101,119,.18);border-radius:8px;overflow:hidden}body .co-wrap > .co-table td{padding:9px 12px;border:0}body .co-wrap > .co-table td:first-child{font-weight:600;color:#323C52;background:rgba(77,101,119,.07)}#ocw{transform:scale(.8);transform-origin:bottom right}}<\/style><div class=\"oc-fiche-cta\" data-oc-cta=\"fiche-haut-consult\"><p class=\"oc-fiche-cta-t\">Obtenir un avis adapt\u00e9 \u00e0 votre situation<\/p><p class=\"oc-fiche-cta-x\">Consultation en clinique ou en t\u00e9l\u00e9consultation, partout au Qu\u00e9bec.<\/p><div class=\"oc-fiche-cta-b\"><a class=\"oc-p\" href=\"https:\/\/cliniqueomicron.ca\/rendez-vous\/\">Make an appointment<\/a><a class=\"oc-s\" href=\"https:\/\/cliniqueomicron.ca\/consultation-en-ligne\/\">Consult online<\/a><a class=\"oc-s\" href=\"tel:+15146063350\">514 606-3350<\/a><\/div><\/div>\n\n\n <div class=\"co-intro\">\n Le pied d'athl\u00e8te \u2014 terme populaire d\u00e9signant la tinea pedis ou dermatomycose des pieds \u2014 est la dermatophytose (infection cutan\u00e9e \u00e0 dermatophytes) la plus fr\u00e9quente au monde, touchant environ 15 \u00e0 25 % de la population g\u00e9n\u00e9rale \u00e0 un moment ou un autre de sa vie, avec une pr\u00e9dominance chez les hommes adultes, les sportifs, les personnes fr\u00e9quentant r\u00e9guli\u00e8rement les piscines et vestiaires collectifs et chez les patients diab\u00e9tiques ou immunod\u00e9prim\u00e9s. Elle est caus\u00e9e dans la grande majorit\u00e9 des cas par des dermatophytes du genre <em>Trichophyton<\/em> - mainly <em>Trichophyton rubrum<\/em> (70 to 80% of cases) and <em>Trichophyton interdigitale<\/em> (formerly <em>T. mentagrophytes<\/em> variable. <em>interdigital<\/em>, 15\u201325 %) \u2014 which are exclusively keratinophilic fungi, meaning they are capable of breaking down the keratin in the stratum corneum of the epidermis, nails, and hair using their keratinases, without ever invading the underlying living tissue except in cases of severe immunosuppression. Transmission occurs directly between humans (through contact with infected skin flakes) or indirectly through contact with contaminated surfaces\u2014swimming pool floors, shower stalls, locker rooms, gym mats\u2014where dermatophytes can survive in keratinized skin flakes for several weeks to months. Maceration caused by sweating in closed shoes is the main predisposing factor in the absence of group exposure, creating a warm, humid environment ideal for fungal growth. Tinea pedis is clinically significant not only for its local manifestations\u2014interdigital pruritus + desquamation + fissures\u2014but also because it serves as the primary reservoir and entry point for onychomycosis (see dedicated fact sheet) and, in patients with diabetes or peripheral artery disease, can promote bacterial superinfections, cellulitis, and serious foot complications.\n <\/div>\n\n <h2>Clinical forms<\/h2>\n\n <table class=\"co-table\">\n <thead>\n <tr>\n <th>Clinical form<\/th>\n <th>Location and appearance<\/th>\n <th>Agent fongique et fr\u00e9quence<\/th>\n <\/tr>\n <\/thead>\n <tbody>\n <tr>\n <td>Forme interdigitale (la plus fr\u00e9quente \u2014 60\u201370 %)<\/td>\n <td>Espace interdigital entre le 3e et 4e orteil (ou 4e et 5e) \u2192 mac\u00e9ration blanch\u00e2tre + desquamation + fissures douloureuses + prurit intense + odeur d\u00e9sagr\u00e9able + peut s'\u00e9tendre \u00e0 la face plantaire + la forme \u00ab s\u00e8che \u00bb pr\u00e9sente une desquamation fine sans mac\u00e9ration + la forme \u00ab suintante \u00bb (dyshidrosiforme) pr\u00e9sente une mac\u00e9ration blanche avec odeur d\u00e9sagr\u00e9able et fissures profondes<\/td>\n <td><em>T. interdigitale<\/em> predominant for macerated form + <em>T. rubrum<\/em> for dry form + easiest form to treat + quick response (1-2 weeks) to topical antifungals<\/td>\n <\/tr>\n <tr>\n <td>Forme hyperk\u00e9ratosique plantaire (mocassin \u2014 20\u201325 %)<\/td>\n <td>Hyperk\u00e9ratose diffuse + s\u00e8che + farineuse de toute la face plantaire + talons + bords lat\u00e9raux du pied \u2192 aspect \u00ab en mocassin \u00bb (chaussure indienne) + squames blanch\u00e2tres fines et adh\u00e9rentes + prurit souvent absent ou mod\u00e9r\u00e9 + aspect chronique + souvent bilat\u00e9rale + souvent associ\u00e9e \u00e0 une onychomycose<\/td>\n <td><em>T. rubrum<\/em> quasi-exclusive + chronic relapsing form + less responsive to topicals alone (thick hyperkeratosis) \u2192 often requires systemic antifungal (oral terbinafine)<\/td>\n <\/tr>\n <tr>\n <td>Forme v\u00e9siculeuse ou dyshidrosiforme (10\u201315 %)<\/td>\n <td>V\u00e9sicules prurigineuses + parfois bulleux + sur la plante du pied + bord lat\u00e9ral des pieds + espaces interdigitaux + les v\u00e9sicules peuvent confluer en bulles + contenu clair initial puis trouble + rupture spontan\u00e9e \u2192 cro\u00fbtes + \u00e9rosions + parfois r\u00e9action d'hypersensibilit\u00e9 \u00e0 distance (dermatophytide \u2014 r\u00e9action allergique aux antig\u00e8nes fongiques)<\/td>\n <td><em>T. interdigitale<\/em> variable. <em>Mentagrophytes<\/em> most inflammatory form + can mimic dyshidrotic eczema or contact dermatitis + secondarily infected by bacteria (staphylococci)<\/td>\n <\/tr>\n <tr>\n <td>Forme ulc\u00e9ro-n\u00e9crotique (rare \u2014 patients immunod\u00e9prim\u00e9s)<\/td>\n <td>Ulc\u00e9rations + n\u00e9crose + surinfection bact\u00e9rienne s\u00e9v\u00e8re + extension aux tissus profonds + chez les patients diab\u00e9tiques + SIDA + chimioth\u00e9rapie<\/td>\n <td><em>T. rubrum<\/em> + <em>T. interdigitale<\/em> + often polymicrobial with bacterial superinfection + requires systemic antifungal + IV antibiotic therapy + intensive local care + risk of diabetic foot osteomyelitis<\/td>\n <\/tr>\n <\/tbody>\n <\/table>\n\n <h2>Diagnosis<\/h2>\n <ul class=\"co-list\">\n <li><strong>Clinical diagnosis:<\/strong> In the vast majority of cases, the clinical presentation is characteristic enough to initiate treatment without mycological confirmation: itching, scaling, interdigital maceration, or diffuse plantar hyperkeratosis in a patient at risk (athlete, swimmer, diabetic) = probable tinea pedis \u2192 immediate topical antifungal treatment<\/li>\n <li><strong>Direct microscopic examination (KOH):<\/strong> KOH 20\u201340 % scale clarification + visualization of mycelial hyphae under a microscope + results in 30 minutes + confirms the presence of fungi but does not allow for species identification + indications: atypical form + diagnostic uncertainty + form resistant to standard treatments + perform before any culture (collect scales from the most active area\u2014edge of lesions)<\/li>\n <li><strong>Sabouraud's medium culture:<\/strong> Precise identification of the fungal species + results in 3 to 4 weeks + useful if it's a resistant form + if an unusual species is suspected + or if systemic treatment is considered<\/li>\n <li><strong>Differential diagnosis :<\/strong> Contact or atopic eczema (patch testing + RAST + atopic context) + plantar psoriasis (well-defined plaques + erythematous-squamous + psoriatic nail involvement + APS) + palmoplantar keratoderma (hereditary + bilateral since childhood) + erythrasma (bacterial with <em>Corynebacterium minutissimum<\/em> \u2014 coral fluorescence under a Wood's lamp)<\/li>\n <\/ul>\n\n <h2>Antifungal treatment<\/h2>\n\n <table class=\"co-table\">\n <thead>\n <tr>\n <th>Treatment<\/th>\n <th>Mol\u00e9cule, gal\u00e9nique et protocole<\/th>\n <th>Efficacit\u00e9 et indications<\/th>\n <\/tr>\n <\/thead>\n <tbody>\n <tr>\n <td>Terbinafine cr\u00e8me 1 % \u2014 premier choix topique<\/td>\n <td>Application 1\u00d7\/jour \u00d7 7 jours (forme interdigitale) + ou \u00d7 2 semaines (forme plantaire) + appliquer en couche mince sur les zones atteintes et 1 cm au-del\u00e0 + disponible sans ordonnance (Lamisil\u00ae AT + g\u00e9n\u00e9riques) + m\u00e9canisme : inhibiteur de la squal\u00e8ne \u00e9poxydase \u2192 fongicide<\/td>\n <td>Taux de gu\u00e9rison mycologique 70\u201390 % pour la tinea pedis interdigitale + activit\u00e9 fongicide (tue les champignons) vs fongistatique des azol\u00e9s + traitement le plus court efficace pour la forme interdigitale + peu d'effets ind\u00e9sirables (l\u00e9g\u00e8re irritation locale possible)<\/td>\n <\/tr>\n <tr>\n <td>Clotrimazole cr\u00e8me 1 % (Canesten\u00ae)<\/td>\n <td>Application 2\u00d7\/jour \u00d7 4 semaines + disponible sans ordonnance + m\u00e9canisme : inhibiteur de la synth\u00e8se de l'ergost\u00e9rol (azol\u00e9) \u2192 fongistatique<\/td>\n <td>Taux de gu\u00e9rison 65\u201380 % + dur\u00e9e de traitement plus longue que la terbinafine + bonne tol\u00e9rance locale + actif aussi sur <em>Candida<\/em> (useful if a candidal superinfection is associated) + option for patients intolerant to terbinafine<\/td>\n <\/tr>\n <tr>\n <td>Miconazole + \u00e9conazole + k\u00e9toconazole topique<\/td>\n <td>Application 1\u20132\u00d7\/jour \u00d7 2\u20134 semaines + m\u00e9canisme azol\u00e9 (fongistatique) + k\u00e9toconazole 2 % cr\u00e8me ou shampoing (efficace sur la tinea versicolor associ\u00e9e)<\/td>\n <td>Efficacit\u00e9 comparable au clotrimazole + azol\u00e9s en g\u00e9n\u00e9ral + dur\u00e9e de traitement plus longue que la terbinafine + le miconazole en poudre ou en spray est utile comme traitement adjuvant pour les chaussures (r\u00e9duction de la recontamination)<\/td>\n <\/tr>\n <tr>\n <td>Terbinafine orale (Lamisil\u00ae 250 mg) \u2014 formes r\u00e9sistantes ou s\u00e9v\u00e8res<\/td>\n <td>250 mg\/jour \u00d7 2 semaines pour la tinea pedis (ou 1 semaine pour les formes interdigitales seules) + avec ou sans aliments + indiqu\u00e9e si forme hyperk\u00e9ratosique plantaire en mocassin r\u00e9sistante aux topiques + forme tr\u00e8s \u00e9tendue ou r\u00e9cidivante + immunod\u00e9pression<\/td>\n <td>Taux de gu\u00e9rison mycologique > 90 % pour les formes r\u00e9sistantes aux topiques + effets ind\u00e9sirables syst\u00e9miques possibles (naus\u00e9es + c\u00e9phal\u00e9es + dysgueusie + h\u00e9patotoxicit\u00e9 rare) + bilan h\u00e9patique si traitement > 6 semaines + interactions m\u00e9dicamenteuses (inhibiteur CYP2D6)<\/td>\n <\/tr>\n <\/tbody>\n <\/table>\n\n <h2>Pr\u00e9vention des r\u00e9cidives<\/h2>\n <ul class=\"co-list\">\n <li><strong>Foot hygiene:<\/strong> Daily washing of the feet with soap and water + careful and thorough drying between the toes (the area most prone to maceration and fungal growth) + cut nails short and straight + regularly inspect the spaces between the toes<\/li>\n <li><strong>Shoes and socks:<\/strong> Cotton socks or breathable natural fibers (prefer over synthetics which retain moisture) + change socks daily + rotate shoes to allow them to dry completely between uses (at least 24 to 48 hours) + antifungal powders or sprays (miconazole + tolnaftate) in shoes to reduce fungal flora<\/li>\n <li><strong>Collective environments<\/strong> Wear flip-flops or shower shoes in pools, locker rooms, communal showers, and saunas. Never walk barefoot on wet communal floors. Disinfect home shower stalls regularly.<\/li>\n <li><strong>Traitement concomitant de l'onychomycose :<\/strong> Tinea pedis often recurs from the fungal reservoir of infected nails \u2192 simultaneously treat onychomycosis if present (see dedicated sheet) + without treatment of onychomycosis, tinea pedis is almost certain to recur within weeks to months after stopping topical treatment<\/li>\n <li><strong>Household member treatment:<\/strong> family members using the same showers or bedding may reinfect each other \u2192 if a household member has recurrent tinea pedis despite correct treatment \u2192 screening of other members + preventive treatment with antifungal powder in shared shoes<\/li>\n <\/ul>\n\n <div class=\"co-infobox\">\n <span class=\"ico\">\u2139\ufe0f<\/span>\n <span>La tinea pedis (pied d'athl\u00e8te) est la principale source de contamination des ongles pour l'onychomycose \u2014 environ 30 \u00e0 40 % des patients avec tinea pedis non trait\u00e9e d\u00e9velopperont une onychomycose dans les ann\u00e9es suivantes. \u00c0 l'inverse, la pr\u00e9sence d'une onychomycose entretient la tinea pedis m\u00eame apr\u00e8s traitement topique du pied. Le traitement de la tinea pedis doit donc toujours inclure un examen des ongles, et si une onychomycose est pr\u00e9sente, son traitement simultan\u00e9 est indispensable pour pr\u00e9venir les r\u00e9cidives de pied d'athl\u00e8te.<\/span>\n <\/div>\n\n <div class=\"co-urgence\">\n <div class=\"co-urgence-titre\">Situations n\u00e9cessitant une consultation m\u00e9dicale<\/div>\n <p>Consulter un m\u00e9decin rapidement si le pied d'athl\u00e8te s'\u00e9tend rapidement + s'accompagne d'une rougeur remontant le long de la jambe (lymphangite \u2014 tra\u00een\u00e9e rouge ascendante) + d'un gonflement important + de pus ou de fi\u00e8vre \u2014 ces signes indiquent une surinfection bact\u00e9rienne (cellulite + \u00e9rysip\u00e8le) n\u00e9cessitant une antibioth\u00e9rapie syst\u00e9mique urgente. Chez un patient diab\u00e9tique, tout pied d'athl\u00e8te avec fissures ou l\u00e9sions cutan\u00e9es doit \u00eatre \u00e9valu\u00e9 par un m\u00e9decin rapidement \u2014 m\u00eame sans signes infectieux apparents \u2014 en raison du risque de complication grave (porte d'entr\u00e9e pour une cellulite profonde ou une ost\u00e9omy\u00e9lite du pied diab\u00e9tique).<\/p>\n <p>Pour le diagnostic et le traitement d'un pied d'athl\u00e8te r\u00e9sistant aux antifongiques en vente libre, la prescription d'un antifongique oral si indiqu\u00e9 et l'orientation vers la dermatologie ou la podiatrie pour les formes complexes, Clinique Omicron offre des consultations m\u00e9dicales dans ses points de service au Qu\u00e9bec et en t\u00e9l\u00e9m\u00e9decine. Pour prendre rendez-vous, visitez <a href=\"https:\/\/cliniqueomicron.ca\" style=\"color:#c0392b;font-weight:600;text-decoration:none;\">cliniqueomicron.ca<\/a>.<\/p>\n <\/div>\n\n <h2>Consult at Clinique Omicron<\/h2>\n <p>Les m\u00e9decins et infirmiers praticiens sp\u00e9cialis\u00e9s (IPS) de Clinique Omicron diagnostiquent et traitent le pied d'athl\u00e8te dans ses diff\u00e9rentes formes cliniques, prescrivent la terbinafine orale pour les formes r\u00e9sistantes aux topiques ou les formes hyperk\u00e9ratosiques en mocassin, traitent les surinfections bact\u00e9riennes si pr\u00e9sentes, \u00e9valuent et traitent l'onychomycose associ\u00e9e, et prodiguent les conseils d'hygi\u00e8ne et de pr\u00e9vention des r\u00e9cidives. Des consultations sont disponibles dans plusieurs points de service au Qu\u00e9bec et en t\u00e9l\u00e9m\u00e9decine. Pour prendre rendez-vous, visitez <a href=\"https:\/\/cliniqueomicron.ca\" style=\"color:#4D6577;font-weight:600;text-decoration:none;\">cliniqueomicron.ca<\/a>.<\/p>\n\n <p class=\"co-disclaimer\">Le contenu de cette page est fourni \u00e0 titre informatif uniquement et ne remplace pas l'avis d'un m\u00e9decin ou d'un dermatologue. Chez les patients diab\u00e9tiques, toute l\u00e9sion des pieds \u2014 m\u00eame apparemment b\u00e9nigne \u2014 doit faire l'objet d'une \u00e9valuation m\u00e9dicale car les complications peuvent \u00eatre graves et s'installer rapidement en raison de la neuropathie et de la vasculopathie associ\u00e9es.<\/p>\n\n<\/div>\n<\/body>\n<\/html>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Pied d’athl\u00e8te (tinea pedis) : sympt\u00f4mes, traitement antifongique et pr\u00e9vention | Clinique Omicron Dermatologie & Podiatrie & M\u00e9decine de famille Pied d’athl\u00e8te (tinea pedis) Le pied d’athl\u00e8te \u2014 terme populaire d\u00e9signant la tinea pedis ou dermatomycose des pieds \u2014 est la dermatophytose (infection cutan\u00e9e \u00e0 dermatophytes) la plus fr\u00e9quente au monde, touchant environ 15 \u00e0… <a href=\"https:\/\/cliniqueomicron.ca\/en\/pied-athlete\/\" rel=\"bookmark\">Read More \"<span class=\"screen-reader-text\">Pied d’athl\u00e8te (tinea pedis) : sympt\u00f4mes, traitement antifongique et pr\u00e9vention | Clinique Omicron<\/span><\/a><\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"om_disable_all_campaigns":false,"neve_meta_sidebar":"","neve_meta_container":"","neve_meta_enable_content_width":"off","neve_meta_content_width":100,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","_themeisle_gutenberg_block_has_review":false,"_metasync_otto_title":"","_metasync_otto_description":"Le pied d'athl\u00e8te est une dermatomycose \u00e0 Trichophyton rubrum ou interdigitale. Forme interdigitale mac\u00e9r\u00e9e, hyperk\u00e9ratose en mocassin, terbinafine cr\u00e8me 1 s...","_metasync_otto_keywords":"","_metasync_otto_og_title":"Pied d'athl\u00e8te (tinea pedis) : | Brossard | Clinique Omicron","_metasync_otto_og_description":"Pied d'athl\u00e8te (tinea pedis) Pied d'athl\u00e8te (tinea pedis) est une condition m\u00e9dicale qui peut n\u00e9cessiter une \u00e9valuation et un suivi m\u00e9dical appropri\u00e9s. Nos p...","_metasync_otto_twitter_title":"Pied d'athl\u00e8te (tinea pedis) | Clinique Omicron","_metasync_otto_twitter_description":"Pied d'athl\u00e8te (tinea pedis) Pied d'athl\u00e8te (tinea pedis) est une condition m\u00e9dicale qui peut n\u00e9cessiter une \u00e9valuation et un suivi m\u00e9dical appropri\u00e9s. Nos p...","rank_math_title":"","rank_math_description":"","_yoast_wpseo_title":"","_yoast_wpseo_metadesc":"","_aioseo_title":"Pied d'athl\u00e8te (tinea pedis) : sympt\u00f4mes, traitement antifongique et pr\u00e9vention | Clinique Omicron","_aioseo_description":"Le pied d'athl\u00e8te est une dermatomycose \u00e0 Trichophyton rubrum ou interdigitale. Forme interdigitale mac\u00e9r\u00e9e, hyperk\u00e9ratose en mocassin, terbinafine cr\u00e8me 1 semaine, onychomycose associ\u00e9e et pr\u00e9vention au Qu\u00e9bec.","_metasync_seo_title":"Pied d\u2019athl\u00e8te (tinea pedis) | Clinique Omicron","_metasync_seo_desc":"Le pied d\u2019athl\u00e8te est une infection de la peau des pieds par un champignon. D\u00e9mangeaisons entre les orteils, peau qui p\u00e8le, traitements antifongiques et pr\u00e9vention.","_metasync_breadcrumb_title":"","_metasync_primary_category":0,"_metasync_primary_product_cat":0,"_metasync_imported_seo_title":"","_metasync_imported_seo_desc":"","_metasync_otto_disabled":"","_metasync_hreflang":"","_metasync_plugin_sync_ts":"{\"aioseo\":\"2026-09-18T01:32:05+00:00\"}","_metasync_robots_advanced":"","_metasync_og_title":"Pied d'athl\u00e8te (tinea pedis) | Clinique Omicron","_metasync_og_description":"Pied d'athl\u00e8te (tinea pedis) Pied d'athl\u00e8te (tinea pedis) est une condition m\u00e9dicale qui peut n\u00e9cessiter une \u00e9valuation et un suivi m\u00e9dical appropri\u00e9s. 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