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Macerated foot dermatitis related to occlusive footwear

Vaughan Kaitlin1, Zachary Zinn, Roxann Powers

  • 1West Virginia University, Dept. of Med., Dermatology Section, P.O. Box 9158, Morgantown, WV 26506-9158, USA. kaitlin.g.vaughan@gmail.com

The West Virginia Medical Journal
|December 31, 2013
PubMed

Insights

Gram-negative bacterial toe-web infections (GNBTWI

Area of Science:

  • Dermatology and Microbiology

Background:

  • Gram-negative bacterial toe-web infections (GNBTWI) are often overlooked by medical professionals.
  • Gram-negative bacteria show a specific preference for the toe-web environment, unlike typical skin infections.

Observation:

  • Two cases of GNBTWI presented with macerated toe-webs, vesiculopustules, and a hyperkeratotic rim.
  • Co-existing dermatophyte infections were noted in the observed cases.

Findings:

  • Successful treatment involved a combination of oral and topical antibiotics.
  • Antifungal therapy was crucial for addressing concurrent dermatophyte infections.

Implications:

  • Increased physician awareness of GNBTWI is essential, particularly in regions like West Virginia.
  • Risk factors such as occlusive footwear and type II diabetes mellitus should be considered in diagnosis.

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