Hi Everyone
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Could I ask for some help/input on the lesions of this 90 y/o female patient?
Only prescriptions she's on are warfarin and ramipril. Medical Hx is Anklyosing Spondylitis and Gout.
She has suffered from a 'burning' Lft forefoot, plantar pain for 3/12.
GP has requested FBC, ESR, CRP serology (incl. uric acid) and nothing is remarkable.
I have tried treating it biomechanically, with met raise, and no relief is evident at all.
I reviewed her two days ago, and observed new lesions on the forefoot, both plantar and dorsal. They are not corns, they have appeared quickly - within about 24hrs (according to the patient) - and are neither 'chalky' or presenting as gouty tophus often does. Photo link enclosed:
https://www.dropbox.com/s/qa7xv9h6rva9xp7/IMG_20151223_125704.jpg?dl=0
Many thanks in advance!
K
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