1. A nonsurgical approach to painful piezogenic pedal papules.
- Author
-
Doukas DJ, Holmes J, and Leonard JA
- Subjects
- Adult, Anesthetics, Local administration & dosage, Betamethasone administration & dosage, Bupivacaine administration & dosage, Drug Therapy, Combination, Ehlers-Danlos Syndrome complications, Foot Diseases complications, Glucocorticoids administration & dosage, Heel pathology, Hernia complications, Hernia drug therapy, Humans, Injections, Intralesional, Male, Pain etiology, Anesthetics, Local therapeutic use, Betamethasone therapeutic use, Bupivacaine therapeutic use, Foot Diseases drug therapy, Glucocorticoids therapeutic use, Pain drug therapy
- Abstract
For more than 3 decades, piezogenic pedal papules have been described in the literature. While many individuals with these papules are asymptomatic, patients with trauma or connective tissue diseases can experience pain. In our case study, we describe a unique, nonsurgical approach that abates the pain of painful piezogenic pedal papule (PPPP). Three injections of a solution of equal parts betamethasone (Celestone) and bupivacaine (Marcaine) were curative in a male patient with Ehlers-Danlos syndrome type III with PPPP. In addition, combination steroid/anesthetic injection provides another method of treatment in the management of PPPP.
- Published
- 2004