Piezogenic Pedal Papules in a Marathon Runner

Redbord, Kelley Pagliai; Adams, Brian B.

doi:10.1097/01.jsm.0000180871.22426.60

Cited by 30 publications

(11 citation statements)

References 9 publications

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“…Bu oldukça karmaşık başlık ayakta durulduğunda fark edilip, ağırlık ayaktan kaldırıldığında gözden kaybolan, topuk bölgesinde genellikle medial tarafta bulunan, yumuşak deri rengindeki papül ve nodüllere verilen isimdir. Atletler (maraton koşucuları), yoğun fiziksel aktivite yapanlar, uzun süre ayakta kalanlar ve özellikle Ehlers-Danlos sendromu gibi bağ dokusu hastalığı olanlarda bildirilmiştir [3][4][5] . Bağ dokusunun yapısal defektinin PPP oluşumuna predispozyon yarattığı düşünülmektedir.…”

Section: Discussionunclassified

“…Ağrı olduğu durumda uzun süre ayakta kalmanın önlenmesi ve gerekli hastalarda kilo verilmesi ile semptomlarda azalma sağlanabilir. Ayrıca kompresyon çorapları, lokal elektro-akupunktur ve bupivokainli betametazon injeksiyonu sayesinde semptomlarda rahatlama sağlandığı bildirilmiştir 5,7 . Kauçuk tabanlık ve topuk yastıkçıkları da faydalı olabilir.…”

Section: Discussionunclassified

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Mitral Kapak Yetmezliği ile Birliktelik Gösteren Piezojenik Pedal Papül Olgusu

...

2012

Turkderm

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ÖzetPiezojenik pedal papüller subkütan yağ dokusunun dermise herniasyonudur. Şeffaf, deri renginde papül ve nodüller olup, topukta kişi ayağa kalktığında ortaya çıkarlar, ağırlık ortadan kalkınca da kaybolurlar. Burada mitral kapak yetmezliğinin eşlik ettiği 40 yaşında piezojenik pedal papül tanısı konan erkek sunulacak ve piezojenik pedal papül literatür ışığında tartışılacaktır. (Türk derm 2012; 46: 167-9) Anah tar Ke li me ler: Piezojenik pedal papül, mitral kapak yetmezliği Sum maryPiezogenic pedal papules are herniations of subcutaneous fat into the dermis. They are soft, skin-colored papules and nodules, which appear on the side of the heel when the subject is standing and disappear when weight is taken off the foot. Here, we present a 40-yearold male patient with mitral valve insufficiency and piezogenic pedal papules and discuss piezogenic pedal papules in the light of literature. (Turk derm 2012; 46: 167-9

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Section: Discussionunclassified

Mitral Kapak Yetmezliği ile Birliktelik Gösteren Piezojenik Pedal Papül Olgusu

...

2012

Turkderm

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“…Histological examination reveals normal fat and fibrous tissue forming a cushion between bone and skin. Interestingly, histological examination of painful piezogenic papules shows a thickened dermis, loss of the normal compartmentalization of the small fat lobules and thinning of the trabeculae of the subcutaneous tissue [21]. Piezogenic papules in children have been reported in Ehlers-Danlos syndrome [22].…”

Section: Discussionmentioning

confidence: 99%

Precalcaneal Congenital Fibrolipomatous Hamartomas: Report of 3 Additional Cases and Discussion of the Differential Diagnosis

Semadeni

Mainetti²,

Itin³

et al. 2009

Dermatology

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We report 3 cases of otherwise healthy infants with nodules on their soles. The nodules were present at birth or developed in early childhood. This condition has first been described in 1977 and was termed precalcaneal congenital fibrolipomatous hamartoma (PCFH). Since then the same entity has been reported under various denominations. The incidence of PCFH is underestimated, and it is important to recognize the benign nature of this disorder.

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“…3 In people with hereditary connective tissue diseases such as Ehlers-Danlos syndrome, the papules tend to be larger and more numerous. The lesions arise from herniations of subcutaneous fat through connective tissue defects.…”

mentioning

confidence: 99%

“…Pain is attributed to ischemia caused by the extrusion of fat with its vasculature and associated nerves. 3 Nonpainful piezogenic pedal papules are managed conservatively. For painful papules, management includes avoiding standing for prolonged periods, reducing foot trauma, using compression stockings and heel cups, weight loss, acupuncture, repeated injections of beta methasone and bupivacaine and, very rarely, surgery.…”

mentioning

confidence: 99%