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Prominent hyperkeratotic plantar and palmar warts.

We report the case of a 28-year-old man who had prominent hyperkeratotic plantar and palmar warts, and flat warts on his face and chest. By DNA hybridization, human papillomavirus 1 and/or 2, and 3 DNA were detected from the tissues of these skin lesions. Results of laboratory investigations revealed leukopenia, eosinophilia, anti-HBs antigen and anti-hepatitis C virus antibody, and decrease in the OKT4/OKT8 ratio. He had no abnormality in cellular immunity. He was treated with multiple modalities, but was successfully treated with electrocautery to the plantar and palmar warts, and cryotherapy with liquid nitrogen to the flat warts. Nine years after the initial treatment, almost no recurrence was recognized.

Adult↗

Cefadroxil in skin and skin-structure foot infections: a retrospective review.

The efficacy and safety of cefadroxil in eradicating localized skin and skin-structure infections of the foot were investigated in a retrospective chart review of 222 consecutive patients from two private practices seen over a 10-year period. Of the 189 patients for whom follow-up data were available, 187 (99%) received cefadroxil 500 mg twice daily, and 2 patients (1%) received 250 mg twice daily. The duration of therapy was 2 weeks or less in 87% of patients, with a median duration of therapy of 11.4 days (range, 5 to 35 days). Of the 189 clinically evaluable patients, 179 (95%) achieved a favorable clinical response to treatment; of the 57 patients with microbiologic cultures, 54 (95%) experienced a satisfactory bacteriologic response to therapy; no adverse events related to cefadroxil therapy were identified during the review. The overall results from this retrospective study suggest that cefadroxil is an effective agent with a favorable safety profile for the treatment of skin and skin-structure infections of the foot.

Adolescent↗

[Scedosporiosis of the brain with fatal outcome after traumatizatio of the foot. case report].

A 33 year old German man suffered from a wound of his foot after an accident. He developed an osteomyelitis. From wound probes Scedosporium apiospermum could be isolated for several times. Some weeks later a cerebral lesion could be diagnosed. The lesion was extirpated and again S. apiospermum could be cultured from the cerebral probes. A few weeks later the patient died and some new cerebral lesions could be diagnosed by CT-scan.

Adult↗

Three-step approach to in-office assessment of the geriatric foot.

The diagnosis of pain and other foot and ankle disorders can be facilitated by using a three-step approach during patient assessment. With perseverance and patience, the physician can diagnose all but the most uncommon foot problems. Most foot disorders can be managed successfully, either conservatively or surgically. Referral for surgery should not be considered a last resort; surgery can often alleviate problems easily, quickly, and permanently.

Aging↗

Carbon dioxide laser excision of benign pedal lesions.

The CO2 laser is a very important tool to remove benign pedal lesions. It certainly is not the only method, but once the technique is developed by the surgeon, it becomes easier to remove these lesions and, consequently, the results become better. In dealing with the mucoid cysts, the laser surgery is second to none and even if it has to be repeated there is basically no disability for the patient. This is also true with fibromas because many types of fibromas would require suturing that would create an inconvenience for the patient. With the use of the laser, sutures are not required and the patients recover much faster. In dealing with plantar fibromatosis, ganglionic cysts, and lipomas, the convalescence is probably about the same with CO2 laser as with conventional removal, especially when deep resection is necessary and suturing of the skin is required. With plantar fibromata surgery, the resultant long-term scarring is much less with the CO2 laser, especially when followed up with the appropriate injectables. CO2 laser surgery performed on the punctata aeriata, interdigital clavus formations, and hypertrophic scars are not always as successful but offer the surgeon another modality in taking care of the patient's problems without the need for extensive surgery.

Foot Dermatoses↗

[Bazex's para-neoplastic acrokeratosis. A clinical case with hyperpigmentation].

We studied a white skin type 3 male patient aged 68 years old with a paraneoplastic acrokeratosis of Bazex, suffering from an oesophagus neoplasm. Cutaneous manifestations preceded in months the cancer. Dermatosis affected fingers of hands and feet, soles, nose and helix. Black melanic hyperpigmentation was the first cutaneous sign and were followed by an hyperkeratosis, becoming the most clinical characteristic of the syndrome. The sequence of these signs induces us to suggest that hormonal factors elaborated by the tumoral cells are the ones responsible for the pigmentary changes since they appeared before the hyperkeratosis.

Acrodermatitis↗

Soft-tissue causes of metatarsalgia.

A soft-tissue cause should always be considered when evaluating metatarsalgia. The history, examination, and plain radiographs can all suggest an avenue of pursuit, be it a potential dermatologic, connective tissue, vascular, neurologic, muscular, or neoplastic process.

Foot Dermatoses↗