hi everyone...
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i saw a healthy, non-diabetic patient today with an odd-looking interdigital lesion - approximately 2cmX2cm in the 4/5th interspace. present for approximately one and a half years, regressing and recurring very slightly with heavy militant use of topical and oral antifungals. no pain or itching is associated with the lesion. patient has had 2 cultures/clippings taken from the lesion - both were negative for fungal infections. heaps of macerated callus was present, kinda like in a diabetic neuropathic ulcer - which was debrided, and skin underlying was healthy and not broken. the lesion is very isolated, with no signs of spreading to the surrounding skin or toenails (if its fungal, which heaps of people/doctors assumed it was)
could anyone offer any interesting alternatives to fungal infection or soft corn? many thanks
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