Hi All
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I would appreciate your opinion on a 'unknown' skin condition one of my patients is suffering from.
He is an 80 year old man suffering from dry crusty callus like skin covering a large proportion of the plantar surface of both feet. (See attached photo's) The lesions are not painful however they are uncomfortable to walk on. They range from 2 mm up to 1cm in thickness, the thinner ones can be peeled off with some persuasion.
The patient first some noticed some cracking 12 months ago while on holiday in Queensland. The condition progressed to its current state within a few months. This is the first episode and no other part of the body is affected apart from dry hands.
The patient has seen two dermatologists none of which have been able to diagnose (to the patient) what the condition is. One dermatologist prescribed a cream the other an oral medication, none of which were successful. Apologies for the lack of detail here, it was difficult to get accurate information from the patient.
My initial impression was Psoriasis, however i would have expected the numerous medical practitioners who have treated the man to have been able to diagnose this.
If anyone has seen this before and can offer advise it would be much appreciated.
Steve
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High heel footwear related injuries presenting to emergency departments
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Lost part for old Bravo drill
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High heel footwear related injuries presenting to emergency departments
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Lost part for old Bravo drill
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