Concluded Case

DX and Rx pls

27yr old male (farmer) came with h/o white opalescent hard lesion over planter aspect of middle phalange of right lower limb with no h/o pain,redness,swelling, itching, discharge, blackening. O/E only tenderness present on deep palpation. Patient have no significant past and present medical history. DX and Rx pls.

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Concluded answer

Callosity or corn , needs excision

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Planter corn Dermatitis? Planter callus Dermatitis? Management.. Surgical excision.. Cauterization.. Cryotherapy

Thanks doctor Wagish Mishra
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As picture suggest white maserated skin with corn likely has applied high concerated salicylic acid to cauterize irrespectively and burn the surrounding skin of corn Now better adv to go for excision

Dr Shivraj, I feel the whitish circular area is sodden which indicates moist lesion. It is perhaps the impression of a'circular corn cap which the pt might have applied before. History taken will confirm. Incidentally,it is the cause for mistaken secondery infection which is excluded by pain/tenderness . Hope this might help.
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? PLANTAR CORN .. ? PLANTAR CALLUS .. NEED'S .. SURGICAL EXCISION ..

Tnx Dr Disha Gupta
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Central viral wart with surrounding skin massaration causing it to become white This usually happens when there is bandage applied to toe and the bandage is become wet with water which makes underlying skin massarated. Some time continuous application of corn cap over the area makes the over that area rug become massarated Adv Keep part dry Allow massarated skin to become normal, it may take a weeks time After that surgical excision of corn/ viral wart to be done

Infected corn / callus. Adv BSL Antibiotics I & D.

Thank you doctor
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It is Corn . No evidence of any secodery infection .

Thank you doctor
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Callus formation Corn Adv excision.. Or salicylic qcid application

Thank you doctor
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As pt is farmer,might have old injury with F.body inside with granulation tissue? Infected & macerated corn or callus? X-ray Excision biopsy?

Thank you doctor
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Macerated skin due to infected Corn Excision and dressings Antibiotic and NASID

Thank you doctor
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CORN/CALLUS/HELOMA DURUM D/D:- CHONDROSARCOMA OSTEOID OSTEOMA ADV;- DO X-RAY OF THAT FOOT TO CONFIRM THE DIAGNOSIS. RX. SURGICAL EXCISION UNDER LA

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