What are piezogenic papules?
Piezogenic papules are common, soft, skin-coloured papules found on the feet and wrists. They result from herniation of fat through the dermis. The name "piezogenic" refers khổng lồ the origin of the papules being pressure.
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Who gets piezogenic papules?
People of all ages, sexes & ethnicities are susceptible lớn piezogenic papules. They are commonly observed in overweight or obese women. They are also associated with underlying connective tissue diseases such as Ehlers-Danlos syndrome, flat feet, và excessive weight-bearing exercise.
Piezogenic papules are of unknown cause.
What are the clinical features of piezogenic papules?
Piezogenic papules are mostly asymptomatic & are noticed incidentally. Occasionally they may be painful.
Piezogenic papules
Piezogenic papules
Piezogenic papules
Piezogenic papules
See more images of piezogenic papules.
How is the diagnosis made?
Piezogenic papules are usually diagnosed clinically because of the following features:
Papules resolve sầu when the patient is non-weight bearingPapules can usually be compressedThey mostly occur over the posterior và lateral border of the heelsThey are often bilateralWhat is the treatment for piezogenic papules?
No treatment is required in the absence of symptoms.
For painful lesions, conservative management may include:
Restriction of weight-bearing exerciseWeight lossCompression stockingsFoam rubber foot pads, or foam-fitting plastic heel cupsA consultation with a podiatrist may be helpful.Intralesional corticosteroid injections have been documented lớn provide some relief for patients with piezogenic papules with underlying Ehlers-Danlos syndrome.
Surgical excision may be helpful if symptoms persist despite above managements but this is rarely necessary.
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Related information
References
Maari C, Powell J. Atrophies of connective sầu tissue. In Dermatology. Bolognia JL, Jorizzo JL, Schaffer JV. Third edition. Elsevier 2012, p1639.On DermNet NZ
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