Painful Piezogenic Pedal Papules: -Report of a Case and Review of the Literature-
نویسندگان
چکیده
Piezogenic pedal papules are skin-colored lesions on the heels caused by herniation of fat through the connective stroma. They are induced by weight bearing or pressure to the soles. We report a case of a 51-year-old female who had multiple painful skin-colored papules on the medial and lateral aspects of the left heel when applying force on it. Microscopically, the collagen bundles of the trabeculae around the fat lobules were looser than normal. Verhoeff-Van Gieson stain revealed a remarkable decrease in the elastic fibers in the reticular dermis. The pathologic picture was similar to that of anetoderma. Few articles referred to the absence of elastic tissue in the connective tissue trabeculae rather than in the reticular dermis in our case. We herein report a case of piezogenic pedal papules and discuss the clinical, histopathologic change, and related etiologies.(Dermatol Sinica 23: 217-221, 2005)
منابع مشابه
Piezogenic Pedal Papules*
Dear Editor, A 24-years-old female sought medical assistance with complaints of a two-year history of bumps on her heels, initially asymptomatic, getting intensely painful over the time. She was generally healthy, and practiced running regularly. Physical examination revealed multiple skin-colored papules on both heels, more evident under pressure (Figure 1). Histopathological exam showed thick...
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