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Megakeratosis or Ultrakeratosis?

Discussion in 'General Issues and Discussion Forum' started by jabr, Jul 27, 2009.

  1. jabr

    jabr Active Member


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    How many times has a patient said "I bet mine are the worst feet you've ever seen!" Isn't it usually people with barely anything wrong who say that, no idea why that is. But anyway i now feel sure i have seen a pair of feet that won't be easily beaten. (though i've said that before)

    The patient was female in her mid 40s and was born with callus on palms and soles. Runs in her family. This is proper hard callus, not that flaky psoriasis pretender and between 5 and 8mm thick. She has it reduced every 6 weeks, booked in for an 80 minute slot, it was the first time i'd seen her and it took me nearer 2 hours. One foot soaking in warm water while working on the other and alternating, and regularly changing D10s, i also strapped my fingers with Mefix which was more effective than i'd expected and well worth doing.

    ps In case you think me heartless, i took the debris photo after the patient had left.
     

    Attached Files:

  2. twirly

    twirly Well-Known Member

    Hi jabr,

    I'm assuming the pt. has provided her consent for these photographs to be used?

    An article published in January of this year may be of interest.

    Kind regards,

    Mandy.
     
  3. In the words of the office manager reading over my shoulder...


    EWWWWWWWWWWWW!!!!!

    Fantastic pair of feet! When you say you wrapped your fingers in mefix was that to stop them getting sore? Clever.

    I wonder what would happen if you soaked them in a 20% urea cream or solution for half an hour before treatment (the feet not your fingers obviously)

    One for the dermatologists. Anyone?

    Regards
    Robert
     
  4. jabr

    jabr Active Member

    Yes of course the patient provided (verbal) consent to use her feet's likeness, she's well used to it. I didn't get the consent of the callus debris though :confused: do i have to get separate consent once it's no longer a part of her body :confused: it shows better the epic amount of callus involved. I think she might not have understood the purpose though which is why i didn't get down to photograph it while she was there.

    Yes i strapped my fingers to protect them. After a few minutes the apex of my right index finger was getting bruised, a couple of layers of mefix and i was able to carry on with no further problem, i also put some along that line of callus many of us have across the other fingers. It helped a lot but i still wouldn't have managed without soaking the feet.

    She's tried all creams as you can imagine, she found heel balm to be useless and prefers plain old Vaseline.
     

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