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Piezogenic pedal papules

Discussion in 'General Issues and Discussion Forum' started by NewsBot, Nov 16, 2007.

  1. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Members do not see these Ads. Sign Up.
    Skin & Aging have this case report and review of painful piezogenic pedal papules:
    Full article
     
  2. Jennifer Clarke

    Jennifer Clarke Welcome New Poster

    Piezogenic Pedal Papules?

    Hi everyone!

    I am a fourth year podiatry student at Glasgow Caledonian and this is my first post. Today in clinic I had a patient with piezogenic pedal papules. The only reason I know the patient had this was because he told me. I have never heard of them before, let alone seen them! I have came home and tried to read up on them, however my resources seem a bit vague? Can anyone please tell me anymore about them, i.e what causes them, why they occur and any treatment methods? Any information will be extremely grateful!

    Thanks!

    Jennifer
     
  3. admin

    admin Administrator Staff Member

    Jennifer :welcome: ... I have merged your post to the above one.
     
  4. Secret Squirrel

    Secret Squirrel Active Member

    This article is really old, but it really good.


    GL Dockery and JL Diana
    Painful piezogenic papules
    J Am Podiatr Med Assoc 1978 68: 703-705.
     
  5. Craig Payne

    Craig Payne Moderator

    Articles:
    6
    Re: Piezogenic Pedal Papules?

    75% of the population have them!, but only a very few are ever painful.
     
  6. Deborah Ferguson

    Deborah Ferguson Active Member

    Hi
    I,d not heard of them either but just googled and there's lots of information.
    Regards
    Deborah
     
  7. Jennifer Clarke

    Jennifer Clarke Welcome New Poster

    Hi everyone!

    thank you for replying to my question! really appreciate it! I will definitely read up on those journals!

    Thanks again!

    Jennifer
     
  8. ivo.brochado

    ivo.brochado Welcome New Poster

    Hi Jennifer,
    Let introduce myself, I'm a Portuguese podiatrist and I saw your post, because I have last week a patient with the same problem - piezogenic papules - (look like it is), at least every image exame don't show me anything.
    How you treated your patient?

    Best regards,
    Ivo Brochado
    www.ivobrochado.com


     
  9. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
  10. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    PIEZOGENIC PEDAL NODULES OF YOUNG CHILDREN AND THEIR PARENTS
    Piotr Brzezinski, Karol Kołatka, Ahmad Thabit Sinjab, Marta Bury
    Our Dermatol Online. 2013; 4(1): 61-63 (pdf file)
     
  11. PodLundgren

    PodLundgren Welcome New Poster

    Re: Tx for Painful Piezogenic pedal papules

    Hello,

    I have a female patient (mid 30s) with bilateral painful piezogenic pedal papules (around all borders of both heels and extending anteriorly to the level of the navicular medially). She is moderately overweight and has a job that involves constant standing, which is not modifiable. She wears well-fitting training shoes. Oral analgesia has been unsuccessful.

    Unfortunately, there seems to be little in the literature to guide the practical, clinical management of painful papules in adults. Deep heel cups and betamethasone/bupivacaine injections seem to be the two options available.

    Does anyone have any clinical pearls to share regarding different treatment approaches they have tried, and what success has been achieved with these?

    In addition to giving the patient advice about weight reduction (a long term goal for her), my plan A is to get her into orthotics with a deep enough heel cup around the papules to reduce the extent of the herniations on weightbearing.

    I would welcome information about other approaches that have met with success.

    Regards,

    Lucas
     
  12. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    A cases series of Piezogenic pedal papules
    Ayse Serap Karadag, Serap Gunes Bilgili, Savas Guner, Deniz Yilmaz
    Indian Dermatol Online J 2013;4:369-71

    full text
     
  13. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
  14. Geoff Hull Footman

    Geoff Hull Footman Active Member

    Hi
    Opinions please , Piezogenic pedal papules.
    I have seen a lady today early 30's, no meds and no other symptoms other than they are sore at times ,she is hypermobile but no complaints regarding that .
    She has lesions that look similar to Piezogenic pedal papules images seen at Google images. However they appear on the plantar mpj areas unilateral rather than around the heel ,where most images show them. I am uploading photo's.I have looked at these lesions under 10x illuminated eschenbach magnifier (which I could not do without),whilst at first glance you consider vp , but looking deeper these do not appear so.
    The only palliative remedy I could think of are the gel insoles that some advertisers push.
    Can any one please give their opinions or experience. Is there anything I should look at or consider

    [​IMG][​IMG]https://lh3.googleusercontent.com/s6I_tg64psjMOcOa8o42L_7p_Uwp9-d67AEn_X5xpQ=w135-h179-p-no
    https://lh6.googleusercontent.com/n...rvsjuYkQi3fCDyx6KP2YeF224Qgobw=w240-h179-p-no
    https://lh5.googleusercontent.com/rk9o_Xw_za_qVFsG73XaDmlLyK2x4dWlwOIfCM_uTA=w256-h143-p-no

    Last image for smile purposes only.;)
    All replies welcome
     
  15. drsarbes

    drsarbes Well-Known Member

    Classic Piezogenic nodules or papules occur around the heel area. I have had 3 or 4 of these symptomatic over the years, or just bothersome because of the size, that surgery was indicated. Upon removal they appear as normal adipose tissue.

    I do not relate these to plantar forefoot lesions.

    Your pics are somewhat small, but my educated DDx (based only on the pictures) : early verrucae; intradermal fibromas; fibrosis from previous treatment; nonspecific dermatisis.

    Good luck

    Steve
     
  16. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Pain in heels: Two cases with piezogenic pedal papules
    Emrullah Hayta, Sibel Berksoy Hayta et al
    Int J Case Rep Images 2016;7(2):81–84.
     
  17. fishpod

    fishpod Well-Known Member

    Hi had 1 case in 30 years gave her steriod injections and surgical hosiery problem resolved. ps they were in both heels plantar aspect.
     
  18. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Piezogenic pedal papules with mitral valve prolapse.
    Altin C, Askin U, Gezmis E, Muderrisoglu H.
    Indian J Dermatol 2016;61:234
     
  19. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Papule, Piezogenic Pedal
    Brown F, Cook C
    StatPearls Publishing, Treasure Island (FL) [01 Mar 2018]
     
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