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They present as multiple small or large bumps characteristically on the heels and wrists. [2] Most are asymptomatic and pain is rare, although some may present with pain before the bumps are noticed. [3]
Since the diseased area (lesion) is not encapsulated, clinical margins are difficult to define. As such, portions of the diseased tissue may be left in the foot after surgery. Inadequate excision is the leading cause of recurrence. [2] [7] Radiotherapy has been shown to reduce the size of the nodules and reduce the pain associated with them.
Haglund's deformity is an abnormality of the bone and soft tissues in the foot. An enlargement of the bony section of the heel (where the Achilles tendon is inserted) triggers this condition. The soft tissue near the back of the heel can become irritated when the large, bony lump rubs against rigid shoes. [2]
Alternately, the swelling could contain a hard lump [3] when these materials harden, or if the abscess becomes impacted with substrate (e.g. soil, straw, etc.) [3] Bumblefoot may also present as redness, swelling, small red sores, and depending upon severity and length of time with the condition, lesions, cracks, or discoloration. [2]
The first visible symptom of mycetoma is a typically painless swelling beneath the skin; over several years, this will grow to a nodule (lump). [9] Affected people will experience massive swelling and hardening of the area, in addition to skin rupture and the formation of sinus tracts that discharge pus and grains filled with organisms. [9]
A plantar wart is a wart occurring on the bottom of the foot or toes. [5] Its color is typically similar to that of the skin. [2] Small black dots often occur on the surface. [5] One or more may occur in an area. [2] They may result in pain with pressure such that walking is difficult. [2] They are caused by the human papillomavirus (HPV). [2]
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Calluses (plantar in right foot and medial in left foot) A callus (pl.: calluses) is an area of thickened and sometimes hardened skin that forms as a response to repeated friction, pressure, or other irritation. Since repeated contact is required, calluses are most often found on the feet and hands, but they may occur anywhere on the skin.
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