How To Recognize Skin Disorders In Diabetic Patients

By Anthony Yung, DPM | 12,469 reads | 0 comments | 05/03/2002

At least 30 percent of patients with diabetes will develop cutaneous manifestations in their lifetime.1 Given that diabetes is a systemic disease, its effects on the skin may arise from many different sources (vascular, metabolic, nutritional disturbances, infectious agents and medications). Several common skin disorders may be associated with diabetes. These include necrobiosis lipoidica diabeticorum, granuloma annulare, diabetic bullae, diabetic dermopathy, limited joint mobility and yellow skin phenomenon.

Expert Insights On Diagnosing Pigmented Skin Lesions

By Bradley W. Bakotic, DPM, DO | 14,100 reads | 0 comments | 04/03/2005

   During the course of a tightly scheduled office day, a 30-year-old female presents with a painful paronychia involving the lateral border of her right hallux. The painful nail border is acutely inflamed. The doctor temporarily defers a definitive chemical matrixectomy and opts to perform a “slant-back” procedure to remove the offending nail border.    The doctor adducts the patient’s foot ever so slightly to access the problematic portion of the affected nail unit more easily. While doing so, the clinician notices a tan/brown, slightly elevated papule inferior to the lateral malleolus.

A Guide To Skin Conditions Of The Diabetic Foot

By Robert G. Smith, DPM, RPh, CPed | 64,007 reads | 0 comments | 09/03/2004

One-third of the 17 million patients with diabetes develop manifestations of the disease that affect their skin.1,2 The cutaneous manifestations and signs of diabetes can heighten the suspicions of the practitioner regarding the diagnosis of these skin conditions.

Key Coding Insights For Skin Conditions And Wounds

By Anthony Poggio, DPM | 64,788 reads | 0 comments | 10/03/2004

Given the vast array of dermatological conditions and wounds that we see in our practices, having a strong understanding of commonly used codes for these conditions is essential but not always simple. With this in mind, let’s take a closer look at coding for both common skin conditions such as verrucae and benign skin lesions, as well as coding tips for I&D procedures and wound closure. Standard billing protocols apply for selecting the appropriate E/M level for services for dermatological conditions.

Is AmeriGel Care Lotion The Answer For Hydrating Dry Skin?

By Robi Garthwait, Contributing Editor | 9,631 reads | 0 comments | 06/03/2004

While some patients may only see dehydrated feet as a minor nuisance, it can lead to further problems such as fungal infections and ulcerations. However, one emerging product can not only combat anhidrosis but may be helpful in treating a variety of skin problems, including psoriasis and icthyosis. Podiatrists are turning to AmeriGel Care Lotion to solve an array of skin problems, citing its particular effectiveness with patients who have diabetes.

What You Should Know About Skin Changes In Obese Patients

Tracey Vlahovic DPM | 6,938 reads | 0 comments | 11/04/2011

A recent article in the British Journal of Dermatology outlined many of the skin conditions that occur in obese patients. As podiatric physicians, we are well aware of the effects of obesity on the lower extremity in relation to biomechanics but allow me to focus on some of the skin conditions in these patients.

A Closer Look At Dermatologic Conditions In Skin Of Color

Tracey C. Vlahovic, DPM | 24,813 reads | 0 comments | 06/21/2011

Given the changing population demographics in the United States, it is more important than ever to be able to recognize and treat dermatologic conditions that are more prevalent among patients with skin of color. Accordingly, this author discusses the diagnosis and treatment of skin conditions including vitiligo, melanonychia and keloids.

Emerging Data, Emerging Agents: Treatment Of Complicated Skin And Soft Tissue Infection

hmpadmin | 6,465 reads | 0 comments | 09/03/2008

The classification of skin and soft tissue infection (SSTI) will ultimately determine therapeutic strategies to be used in the patient. SSTIs are categorized as “uncomplicated” (such as mild cellulitis, a simple abscess, or impetigo) or “complicated” (cSSTIs, including deep soft tissue infections, those requiring surgical intervention [infected ulcers, infected burns, and major abscesses] and those in patients who have significant underlying disease states [comorbidities] that complicate response to treatment).

When A Patient Presents With A Skin Growth On The Heel

William Fishco, DPM, FACFAS | 42,878 reads | 0 comments | 03/25/2010

   A 51-year-old male presented to the office with the chief complaint of a skin growth on his right medial heel. He related that the mass has grown slowly over the prior year. He did not have any severe pain with it other than shoe irritation. The skin lesion would bleed easily with any pressure on it.

   He denied any injury or punctures to the skin. His past medical history was remarkable for diabetes, coronary artery disease, hypertension, anemia, chronic obstructive pulmonary disease (COPD), sleep apnea, obesity and gastroesophageal reflux disease (GERD).

When A Patient Has Increased Thickening Of The Skin And Increased Discoloration

By M. Joel Morse, DPM | 58,854 reads | 0 comments | 09/30/2008

Key Questions To Consider

1. What essential question does one still need to ask to help make the diagnosis? 2. What is the tentative diagnosis? 3. Can you list at least three differential diagnoses? 4. What features in this condition differentiate it from other conditions? 5. What is the suitable treatment of this condition?