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Skin Problems of the Foot infections. Fungal infections occur around the world and more common in areas closer to the equator which are naturally more humid.
Dr.Noel Silan, DPM ABMSP Here on Guam skin problems of the foot manifest mainly because of the humidity. It is important here on Guam to constantly keep your feet dry by bringing extra pairs of socks to work and applying foot powder before going to work. Also one must keep in mind that to much caffeine consumption can lead to excessive perspiration of both the hands and the feet. Fungal foot infections are more common on Guam due to the humidity. This is the main reason and there is no specific skin condition that exist solely on guam called “jungle rot”. Ringworm and “jaf jaf “ are commonly used terms synonymously associated with fungal
Tinea Pedis is a fungal infection than can have four different presentations. Fungal infections can also be due to different genus species and affects the toenails as well. There are two acute forms one which is really itchy forming little bubbles and the other which causes wet open wounds. The third is a chronic one which forms thickened itchy scales. The fourth is one that occurs between the toes. One should not forget again that toenails can be affected also and if ignored will spread to involve all the toes. As with most skin conditions left untreated it will lead to more thickened tissue, itchiness and will be harder to eradicate. Eczema is another condition but unlike fungal foot infections can be caused by internal and external stimuli. Eczema has a more intense itchiness accompanied like fungal infections with several different presentations. Eczema is an allergic response not caused by bacteria and or a fungus. Allergies can be from but not limited to foods, soaps, detergents, socks, slippers, and medications both oral and topical.
bacterial, fungal and viral infections. It usually starts in childhood and continues into adulthood with. Stress, caffeine and certain work conditions can make the symptoms worse. Guam sore I decided to include because like all Urban legends needs an explanation. You will not find this in any dermatological textbook. This like the term “ Jungle Rot” is not endemic to our island and exists in other places. The “Guam sore” in other places in known as impetigo. It is a superficial skin infection with small vesicle with a honey crusted base. It is caused by either S. aureus or Strep species. This is not caused by VRSE or MRSA which has gotten wide publicity among US. It is though highly contagious and is spread easily amongst family members. This infection is easily treated and should be caught early by seeing your doctor. Oral antibiotics in combination with topical ointments work best. Internal disease and circulatory abnormalities can also affect the lower extremity as well but is much too extensive to include in this article. Enjoy your summer and don’t forget the sunblock.
Hyperhidrosis is another skin condition that can affect the feet. It is due to excess sweating on the feet and can be accompanied by odor, secondary
Guam Foot Clinic
Express Med Pharmacy Bldg138 Kayen Chando St. Dededo, Guam 96929 • (671)633-3668 wk • (671)647-0027 fax Dr.Noel Silan DPM, ABMSP P.C.
D ia be t i c F o o t Prob l ems • Go u t • S por ts/W or k Related Injur ies • Skin Disea s es • Sur ger y
32 | MAY2013
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