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I welcome interesting clinical cases you think might fit here, or any suggestions for subjects you would like to hear more about.


What are the best socks if you have athlete's foot?
What are the best socks if you have fungal foot infection? This article looks at recent research into toe socks as a preventative treatment
Ivan Bristow
Feb 244 min read


Topical azoles & statins. Rare interactions.
Statins are the most commonly prescribed drug today but they can interact with athletes foot treatments.
Ivan Bristow
Nov 9, 20244 min read


Dermatophytoma – we've seen this all before.
Dermatophytoma is a fungal biofilm located under the nail.
Ivan Bristow
Jul 4, 20244 min read


Topical statins - a drug to treat dermatophyte skin infections?
Topical statins have the potential to treat athletes foot infections.
Ivan Bristow
Apr 30, 20243 min read


Does terbinafine cause liver damage?
Oral terbinafine continues to be the oral drug of choice in the management of onychomycosis, but there continues to be doubt over its...
Ivan Bristow
Oct 3, 20233 min read


Why does skin peeling occur on the feet?
Why does the skin on the soles peel? This article examines the common and rare causes
Ivan Bristow
Sep 7, 20235 min read


Syphilis on the rise again – look at the feet!
Syphilis in its secondary stage frequently presents on the plantar surface of the feet.
Ivan Bristow
Jul 6, 20233 min read


Preventing Dermatophyte Reinfection
In this blog, I look at evidence regarding strategies to prevent dermatophyte reinfection of the feet and toenails.
Ivan Bristow
Jun 13, 20237 min read


Dissolving microneedles - the future of topical drug delivery?
One of the most convenient and safest ways to deliver medicine into the body is via the topical route, through the skin into the dermis...
Ivan Bristow
Mar 7, 20233 min read


Drilling holes in nails – getting to the root of the infection?
How can we improve cure rates when using topical antifungal nail treatments? Published work suggests nail fenestration may help.
Ivan Bristow
Dec 5, 20226 min read


Is susceptibility to tinea genetic?
With increasing DNA analysis technology, can we unravel the mystery of tinea? Is susceptibility genetic? This blog looks at recent work.
Ivan Bristow
Nov 8, 20224 min read


How useful is zinc in wart treatment?
This blog documents a recent systematic review of zinc in the treatment of warts.
Ivan Bristow
Oct 10, 20224 min read


What’s your patient hiding from you?
Tinea incognito a term for an unrecognised fungal skin infection occurring after topical steroid use.
Ivan Bristow
Oct 10, 20223 min read


Assessing Progress in Onychomycosis
The OSI is a simple clinical tool to quantify and measure the extent of nail involvement in onychomycosis. This video explains how it works.
Ivan Bristow
Aug 30, 20222 min read


Onychomycosis in children
Onychomycosis in children is an unusual finding. This blog looks at what we know about it.
Ivan Bristow
Jun 1, 20225 min read


Pseudomonal Chloronychia - Green nails
Green nails are a sign of Pseudomonas infection. This article looks at its presentation and management.
Ivan Bristow
Jun 1, 20223 min read


When should you suspect immunodeficiency in a patient with warts?
Warts and verrucae are a common clinical problem. For patients with persistent lesions at what point do we consider them recalcitrant?...
Ivan Bristow
May 3, 20224 min read


Swift Microwave : six years on
It has been six years since the Swift microwave unit was launched in the United Kingdom, marketed to podiatrists in the treatment of...
Ivan Bristow
Mar 25, 20224 min read


COVID Toes - January 2022 Update
It’s been a while since I published any updates from the literature on this evolving topic. In the latter part of this year, there have...
Ivan Bristow
Jan 22, 20226 min read


The growing problem of dermatophyte resistance
For many years fungal skin infection, particularly tinea pedis has been a very common pathology which when diagnosed, was considered...
Ivan Bristow
Nov 30, 20214 min read
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