12/09/2013
QUERIES (CLINICAL)
Query: Severe Plantar Hyperkeratosis
This 59 year old male presented with extensive hyperkeratosis, bilateral and symmetrical on the plantar aspect of the heel as well as its periphery. He also has global forefoot keratoma and digital keratoma. His medical and surgical history is unremarkable. He has a cavus/supinated foot type, which is causing some of the hyperkeratosis formation. He states that this condition started about three years ago, with bilateral changes to his nails on the feet and hands (no callus to the palms). Nails and callus have a yellow/brown discoloration.
Treatment has consisted of debridement of the calluses. I've discussed with him the possible advantage of orthotics, based on foot type and biomechanics. A dermatologist simply prescribed a hydrocortisone ointment that softened the lesions enough that he could attempt self-care. Any advice would be appreciated.
QUERIES (CLINICAL)
Query: Severe Plantar Hyperkeratosis
This 59 year old male presented with extensive hyperkeratosis, bilateral and symmetrical on the plantar aspect of the heel as well as its periphery. He also has global forefoot keratoma and digital keratoma. His medical and surgical history is unremarkable. He has a cavus/supinated foot type, which is causing some of the hyperkeratosis formation. He states that this condition started about three years ago, with bilateral changes to his nails on the feet and hands (no callus to the palms). Nails and callus have a yellow/brown discoloration.
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Severe Plantar Hyperkeratosis (after debridement) |
Treatment has consisted of debridement of the calluses. I've discussed with him the possible advantage of orthotics, based on foot type and biomechanics. A dermatologist simply prescribed a hydrocortisone ointment that softened the lesions enough that he could attempt self-care. Any advice would be appreciated.