I like to treat keratomas and other punctate keratotic lesions with sublesional injections of 4% alcohol. I have been successfully using this technique for almost 30 years and I have written about it several times. Everyone has a treatment that they prefer, whether it is acid, cryotherapy, debride & pad, surgery, etc. and this is my preferred approach.
Dockery GL and Nilson RZ:
Intralesional Injections. In, Dockery GL (ed.): Dermatology of the Lower Extremities, Clinics Pod. Med. Surg., W.B. Saunders Co., Philadelphia, Vol. 3, 3: July 1986, pp. 473-486.
Dockery GL:
Evaluation and Treatment of Metatarsalgia and Keratotic Disorders. Ch. 12, In, Myerson MS (ed): Foot and Ankle Disorders, W. B. Saunders Co., Philadelphia, 1999, pp 359-377.
Dockery GL, Crawford ME: Evaluation and Management of Keratotic Disorders of the Foot. Atlas of Office Procedures. W. B. Saunders Co., Philadelphia, 3:1-21, 2000.
Dockery GL: When Injection Therapy Can Help Relieve Painful Lesions. Podiatry Today. 15 (6):30-36, June 2002. [
http://www.podiatrytoday.com/article/468]
Dockery GL: Dilute Alcohol Injections for Nerve Conditions and Keratotic Lesions of the Foot. Podiatry Management. p.117-126, January 2004.
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