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作者认为单纯足癣除有些干性脱屑外一般没有症状。但湿润的淡白色损害则变得瘙痒、恶臭和不适,这是由于原来无毒性细菌在真菌感染处增殖的结果。因此,症状性足癣是真菌与细菌综合协作的产物。作者指出,最新的抗真菌药物,如发癣退、Haloprogin及Miconazole nitrate在治疗症状性趾间足癣时,效果一般并不令人满意,因为这些药物只控制真菌而不控制细菌。但这些药物和治疗无症状的真菌镜检阳性的干型足癣时确实是有效的。众所周知,趾间足癣的恶化与过分潮湿有关。
The authors believe that in addition to some pure foot ringworm outside the dry scaling generally no symptoms. However, moist pale white lesions become itchy, malodourous, and unpleasant, due to the proliferation of non-toxic bacteria at the fungal site. As a result, symptomatic athlete’s foot is a product of a synergistic combination of fungi and bacteria. The authors note that the latest antifungal drugs, such as tinea pedis, Haloprogin and Miconazole nitrate, are generally unsatisfactory in the treatment of symptomatic tinea pedis, as these drugs control only the fungus but not the bacteria. But these drugs are indeed effective when treating asymptomatic fungal-positive dry tinea pedis. It is well-known that the deterioration of athlete’s foot between toes is associated with excessive moisture.