A 6-year-old male who likes to play sports presents with painful great toenails that have been present in the current condition since birth. They are painful in various shoes. His mother has taken him to other physicians who stated that the condition is not caused by nail fungus but they have offered no other solution. The patient has no pertinent past medical or birth history, no medications and... Read More.
The last new patient of the clinic session presented in moderate distress with extremely pruritic legs. She was 74 years old and accompanied by her husband. The patient complained of swollen legs and itchy sores that had failed to resolve with previously prescribed mometasone cream. She had seen multiple doctors and was frustrated that her legs were becoming worse.
Her past... Read More.
A 66-year old Caucasian male with a history of controlled diabetes, hypertension, hyperlipidemia, psoriasis, obstructive sleep apnea and post-traumatic stress disorder received a referral by dermatology to our surgery department. The referral was for surgical treatment of a suspicious lesion in the left hallux.
The patient initially noticed the lesion approximately two months... Read More.
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.