Piezogenic pedal nodules of young children and their parents

Abstract

Skin of atlets foot is open on constant effect of disadvantageous outword factors, which could be reason of illnesses in this area. Very ofen incidence disease is Piezogenic Foot Nodules (PN) These papules represent herniations of subcutaneous fat through the collagen matrix of the reticular dermis. Suggests that as many as 10% to 20% of the population may be affected with both symptomatic and asymptomatic lesions. Painful piezogenic papules are reported more frequently in women than in man. Among athletes they appear mainly at the marathon runners and valleybol players. Trauma may also initiate the formation of pedal papules. These are soft, skin collored, typically asymptomatic, medial heel papules and nodules, appear on the side of the heel, ussualy the medial aspect, when the subject is standing and disappear when weight is taken off the foot. Papules may be painful when there is herniation of fat into the dermis with a resultant reduction in dermal thickness. They could concern one or both feet. Ussually there are plural changes. There is no satisfactory medical or surgical treatment. Aim: The aim of work is presentation family occurrence of PN. Material and methods: Research concerned 50 children (girls and boys) in age about 5,5 years. Results: Incidence of PN observed at 16 % children and 22.06% in check up group (5 children). In children and parents group 100% changes concerned heels. Pain reportered only 4 parents (5,88%). Conclusions: Appearance skin changes during fat ill on Piezogenic Nodules is connected with doing more activity. Painful papules can limit participation in sports and may affect occupational activity.

Small white bumps on the heels of an adolescent

“…3 A significant correlation between PPP and physical activity has also been described, and the most affected groups consist of athletes, obese patients and those who frequently carry heavy weights. 4,5 Physical examination shows multiple small, firm, yellowish-to skin-coloured papules on the lateral, posterior or medial aspects of the heel, that become more prominent in full weight-bearing position and that disappear when the patient removes weight. Lesions are typically bilateral and painless.…”

“…5 Treatment in asymptomatic cases is not necessary. 2,4 However, if lesions become painful, behavioural modifications, including weight loss, avoidance of prolonged standing and reduced foot trauma, are recommended as first-line treatment. Compression stockings, heel cups, and orthotics can also be used.…”

“…Although most cases are not associated with systemic diseases, there are some reports of cases in association with hereditary connective tissue diseases, such as Ehlers‐Danlos syndrome 3 . A significant correlation between PPP and physical activity has also been described, and the most affected groups consist of athletes, obese patients and those who frequently carry heavy weights 4,5 …”

comment:The selection of the types of shoes and its impact on the skin of the feet

“…Brzeziński describes, that percentage of pitted ketarolisis made 51,42% of bacterial diseases and 15,03% of all skin diseases recognized among soldiers in the period 2002-2005 [5,10]. Other social groups among which pitted ketarolisis may appear as frequently are sportsmen [11], farmers [12], people working by silk production [13] and homeless persons [14]. A note of significant increase of confirmed diagnosis of mycosis of feet was taken by Zhang and his partners among Chinese soldiers after a series of sea maneuvers [15].…”