Utilidad de la ecografía de alta frecuencia en el diagnóstico de las pápulas piezogénicas

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.…”

“…2 Differential diagnosis includes other benign dermal or subdermal lesions such as lipoma, neurofibroma, or benign vascular tumours such as glomus tumour. 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.…”

“…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 …”

“…Differential diagnosis includes other benign dermal or subdermal lesions such as lipoma, neurofibroma, or benign vascular tumours such as glomus tumour 5 …”