“…[35][36][37][38][39][40][41][42][43][44][45] In one study of the 169 employees at 21 swimming pools in the Netanya area, Israel, 78 (46%) of the employees had concurrent onychomycosis and tinea pedis and 50 (30%) had tinea pedis only; the diagnosis was based on KOH microscopy and fungal culture. 46 Past history of tinea pedis, concurrent tinea pedis amongst family members, hot humid climates, hyperhidrosis (especially plantar hyperhidrosis), prolonged exposure of the feet to water, communal bathing/sharing washing facilities, use of public swimming pools, insufficient foot care, poor personal hygiene, maceration or breaks in the pedal skin, diabetes mellitus, peripheral vascular disease, atopic dermatitis, psoriasis, obesity, immunodeficiency, depression, schizophrenia, and genetic predisposition or susceptibility are other predisposing factors. [47][48][49][50][51][52][53][54][55][56][57][58]…”