Any thoughts guys
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Blisters began appearing on both feet in the early nineteen eighties.
Covered a specific area. Plantar aspect B/F, between toes, under the ankles and around the edges of the feet ( moccasin type Tinea ??). Never on the top of the foot and never on the same site.
At this time the pt had swabs taken for culture and sensitivety and skin scrapings for mycology. Results showed secondary infection which was treated with erythromycin with desired results. This reoccurred over a period of approx. 3 years when the episodes became less severe.
The foot becomes extremely itchy with some burning and pain. The only relief she gets is to break the blister and remove the fluid.
Several creams have been tried to alleviate the condition, cortisone type creams, antifungal creams and powders, over the counter creams.
Different footwear and socks have also been tried with no satisfactory result.
pt has noticed a difference in the severity of the condition since she ceased to wear nylon hosiery.
Heat always exacerbates the condition and cool compress assists in alleviating the itchiness. In bad breakouts the itchiness is accompanied by stinging and pain.
The outbreaks are now mainly on the right foot with small outbreaks only on the left, periodically just the odd single blister.
She has been referred to a dermatologist on several occasions but at each appointment attended there was no blister present.
In 1992 She had a laminectomy at C4/5. In 1996 she was diagnosed with fybromyalgia, which gives her constant pain and discomfort and at times can make her house bound. She also have haemachromatosis, diagnosed in 2003 and has regular venesections.
clinically obese suffer from hypertension and elevated cholesterol.
Medications - monoplus
Asterix
Cholstat
She takes a magnesium supplement daily. Panadol or Aspro clear for pain. (she has a sensitivity to Opiates) and have developed a allergy to elastoplasts.
Surgical hx
cholecystectomy
Hysterectomy
Tonsils
Arthroscopy left knee
Carpal tunnel – right hand
Laminectomy C4/5
Iron levels - vary,
Hb – in 150- 160 range, LFTS, cholesterol, glucose, FBE all in acceptable range.
I have referred to dermatology, waiting list 4 months.
1st thoughts mechanical stress Evcessive pronation, ↑ BMI, ↑ perspirarion all contributing factors. Itchyness ? tingling ? Pain?.
Some pics below.
pt is a work colleague.
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Alexander Technique Instructor talks about the foot
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Calcaneal spurs - traction or compression?
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Alexander Technique Instructor talks about the foot
|
Calcaneal spurs - traction or compression?
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