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June 22, 1964

Treatment of Tinea Pedis

JAMA. 1964;188(12):1089. doi:10.1001/jama.1964.03060380057025

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To the Editor:—  In answering the query on "Tinea Pedis" (JAMA187: 791 [March 7] 1964), your consultant, Dr. Schuster, very properly condemns the idea of soaking feet in gasoline. But he then goes on to recommend griseofulvin, valid indications for which are few and far between.The drug is costly, and late side effects, entirely possible even if as yet unperceived, could occur. Griseofulvin is often found to be less effective than skillful topical therapy, but what to my mind is the most repugnant of all is the idea of saturating the whole patient with a drug—any drug—in order to attack a superficial lesion occupying a few square inches of skin of the foot, readily accessible to any of several simple and effective topical remedies that could promptly clear up the eruption if given a chance. Here is the wellspring of iatrogenic mischief.Two additional points bear mention: (1)

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