Dermatology Diagnosis
A 39-year-old female presented to my office with a chief complaint of pain surrounding both great toe joints. She had symptoms for five to six years. Prior treatment measures included wearing wider shoes and bunion pads. Her main area of pain was on the medial bony prominence at the great toe joint.
Her past medical history was remarkable for depression. Daily medications... Read More.
A 68-year-old Caucasian female presented to the office with acute onset of a solitary, asymptomatic, spontaneous, tense blister of three days’ duration on the lateral aspect of the right great toe.
She is active and plays a lot of tennis. However, there was no history of trauma or friction from footwear prior to the eruption, and she never had anything such as this blister... Read More.
A 14-year-old male who plays football and basketball presents with what he believes is another toenail growing on top of his nail. It is an isolated mass superficial to the hallux nail plate that has been present for about six months.
The mass is painful when the patient is in various shoes. It does not bleed or have any open areas. The patient has no pertinent past medical... Read More.
A 32-year-old male presented to my office with the chief complaint of heel pain. His symptoms were consistent with plantar fasciitis and a strong element of post-static dyskinesia. He had a secondary complaint of a recent rash that developed on his legs after he made the appointment for heel pain. The patient was concerned because the rash became worse over the prior week and there was pain when... Read More.
Longitudinal pigmentation of the nail is a common presenting problem in general podiatry. However, it is not something the patient always brings to your attention. You need to look for it.
A 45-year-old African-American female presents to the office with a chief concern of incurvated dark nails with a history of failed treatment for fungal toenails. She recalled that her... Read More.
A 54-year-old woman presents with bilateral leg lesions that are pruritic and bothersome, a condition that is several years in duration. She has seen several physicians for this condition but “no one seems to be able to help” her. As she is sitting in the treatment chair, the patient actively scratches her legs and forearms. She says there is something “underneath” and she must “get it out.” She... Read More.
An 80-year-old Caucasian presents to the office complaining of thick, yellow, unsightly and sometimes painful toenails. The patient, a retired RN, has had a history of a rash affecting both feet. The rash is sometimes pruritic and sometimes not. She has tried applying topical antifungals to her toenails without success. However, antifungal creams have sometimes helped her skin condition.
... Read More.
A 53-year-old male presented to the office with the chief complaint of a rash on the top of both feet, worse on the right than the left. The duration of symptoms had been more than six months. He related intense itching that required scratching. His wife told me that he would wake her up due to rubbing his feet in bed. His primary care physician prescribed a course of a topical cortisone cream... Read More.
You walk into the room to see a well-dressed 48-year-old businesswoman sitting in the treatment room. She has her right foot cradled in her hands and is massaging the heel. You notice the stylish high heels on the floor beside her.
“You cannot imagine the pain that I feel, doctor,” she says before you even ask a question. “It feels as though I have a little dagger pressing... Read More.
A 50-year-old female presented to the office with the chief complaint of an itching rash on her ankles and feet. She reported the itch to be severe at times. The duration of symptoms was for at least a few months.
The patient had no prior treatment for the condition. She denied any known cause for it. She denied any new medications, activities, recent traveling or new... Read More.
A 26-year-old male presented with salmon colored annular lesions extending from the dorsum of his feet proximal into his lower extremities bilaterally. He originally thought he had eczema.
The patient had no pertinent past medical history or allergies, and no current medications. The patient had not traveled recently and had no recent history of infection. The lesions were... Read More.
A 44-year-old competitive runner presented with a history of painful lesions on the plantar aspect of both feet. He stated that the problem initially began with the presence of a single lesion. He denied any history of trauma to the area and indicated that there has never been any bleeding from the site. Further lesions developed and they started to cause some discomfort while he was running.... Read More.
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