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Pain in heels: Two cases with piezogenic pedal papules
Emrullah Hayta1, Sibel Berksoy Hayta2, Melih Akyol3, Ozlem Sahin4, Sedat Ozcelik5
1Assistant Professor, Cumhuriyet University, Faculty of Medicine, Physical Medicine and Rehabilitation, Sivas, Turkey.
2Assistant Professor, Cumhuriyet University, Faculty of Medicine, Deparment of Dermatology, Sivas, Turkey.
3Professor, Cumhuriyet University, Faculty of Medicine, Deparment of Dermatology, Sivas, Turkey.
4Associate Professor, Cumhuriyet University, Faculty of Medicine, Deparment of Physical Medicine and Rehabilitation, Sivas, Turkey.
5Professor, Cumhuriyet University, Faculty of Medicine, Deparment of Dermatology, Sivas, Turkey.

doi:10.5348/ijcri-201603-CS-10064

Address correspondence to:
Emrullah HAYTA
Cumhuriyet University
Faculty of Medicine, Department of Physical Medicine and Rehabilitation
58141 Sivas
Turkey

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How to cite this article
Hayta E, Hayta SB, Akyol M, Sahin O, Ozcelik S. Pain in heels: Two cases with piezogenic pedal papules. Int J Case Rep Images 2016;7(2):81–84.


Abstract
Introduction: Piezogenic pedal papules (PPP), which are forms of responses to internal mechanical pressure, appear on the wrists and especially on feet. Repeated trauma or an inherent collagen defect mainly as Ehlers–Danlos syndrome can cause pain symptoms in heels. The PPP are mostly asymptomatic and noticed incidentally.
Case Report: Unlike the majority of PPP cases, two patients (both housewives), who took part in the present study, were older and they had severe pain associated with PPP. One injection of a solution of equal amounts of betamethasone and prilocaine was applied in treatment of pain in both patients.
Conclusion: During follow-ups the patients did not report any clinical complaints considering the PPP and their VAS score remained significantly low.

Keywords: Ehlers-Danlos syndrome, Heel pain, Obesity, Piezogenic pedal papules


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Author Contributions:
Emrullah Hayta – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Sibel Berksoy Hayta – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Melih Akyol – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Ozlem Sahin – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Sedat Ozcelik – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Emrullah Hayta et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.