A 39-year-old female presented to my office with the chief complaint of a rash between her big toe and second toe for a six-month duration. She described the itch as severe at times. The patient noticed tiny blisters that would pop and express a clear fluid. Ultimately, she would have scaling of skin where the blisters were located.
The patient had tried over-the-counter creams... Read More.
A 62-year-old female presented with a chief complaint of a soft tissue growth on her left big toe. She reported the lesion to be red, raised and bleeding with pressure. There was a small amount of drainage on the bandage she used to protect the foot in shoe gear.
The lesion began following a puncture wound with a stick while she was gardening the previous summer. The lesion was... Read More.
A 43-year-old African American female went to the ICU at our institution with Streptococcus pneumoniae sepsis, which was complicated by disseminated intravascular coagulation.
The patient developed extensive ecchymotic lesions on her lower extremities. These lesions progressed to tender hyperpigmented macules with surrounding erythema, subsequently turned into large bullous... Read More.
A 60-year-old Hispanic female presented with the chief complaint of severe pain associated with a large wound on her left leg, which had been present for four years. She had received treatment at another local hospital prior to her admission to Maricopa Medical Center in Phoenix and the previous treatment recommended to her was a below-knee amputation. Her prior treatment while living in Mexico... Read More.
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.