Dear Colleagues,
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68 yr old female presnted with a hypergranulation like mass on the apex of her third toe. assuming it as a pressure ulcer i managed to offload it but the hypergranulation like tissue reoccurs. i suspect the hypergranulation like tissue could be instigated within.
ive attached the foot X-rays. radiologist reckons it is normal. My concern is the Sclerotic rim at the distal end of the 3rd toe. it appears as a reactive periosteal lesion on one view and as an exostosis on the other.
Any suggestions would be helpful?
Many thanks
Dave
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