CLINICAL CASE #3 [ PLANTAR KERATOSIS ]
Plantar Keratosis
It is a condition in which there is Painful lesion about 1cm thick at plantar aspect of the forefoot .
TWO TYPES
* DISCRETE
* DIFFUSE
DISCRETE : In this it is localised at one part particular area , separately in appearance .
DIFFUSE : In this case it is spread over a wide area covering more surface area .
SIGN & SYMPTOMS
★PAINFUL LESION which makes difficulty in walking
★ ITCHING ON AFFECTED AREA .
★ Dry thickened Skin surface .
★ Difficulty in walking .
★ Scaly appearance .
Diagnostic and Conventional Treatment
● It is self diagnostic and Conventional line of treatment will be use of local application to soften the affected part , Antihistamin for Itching .
● Cleaning of the affected parts .
● Proper Shoes for regular use .
Case .
Patient came with the complaint of thickening of skin at the arch of foot , He show the affected part and started conversation .
Pt : Dr I m suffering from this complaints since long a time and I took treatment from local as well as skin specialist , while using ointment and medication it is normal and less painful .
Dr : how can I help you ?
Pt : Sir I am feed up with the problem ( pareshan ) ho gaya hu .
You treat me for this complaint first then I will say you my others complaints .
Till now I am using steroid tablets and local application .
And the doctor is charging to much for it ..
Dr : Anything more ..
Pt : yes [ Kaam baad jayega baad gayi taklif toh ]
Dr : what problem do you face ??
Pt : Affected skin is thick and there is much cracks on it which pains a lot while walking . I am worker and I used to work with barefoot at my work place ..
Dr had advice me to wear shoe which I used to wear .
I only want it to be finished from it base .
Dr : Anything more ..
Pt : Also had problem of Constipated stools often ..
Dr : ok I am giving you medicine ..
# Observation : Bargaining nature of the patient . He used to bargain everytime when giving fees .
Before treatment .
After treatment .
Follow Up
After 15 days
No constipation
No itching
Less dryness
Less pain while walking .
Plantar Keratosis
It is a condition in which there is Painful lesion about 1cm thick at plantar aspect of the forefoot .
TWO TYPES
* DISCRETE
* DIFFUSE
DISCRETE : In this it is localised at one part particular area , separately in appearance .
DIFFUSE : In this case it is spread over a wide area covering more surface area .
SIGN & SYMPTOMS
★PAINFUL LESION which makes difficulty in walking
★ ITCHING ON AFFECTED AREA .
★ Dry thickened Skin surface .
★ Difficulty in walking .
★ Scaly appearance .
Diagnostic and Conventional Treatment
● It is self diagnostic and Conventional line of treatment will be use of local application to soften the affected part , Antihistamin for Itching .
● Cleaning of the affected parts .
● Proper Shoes for regular use .
Case .
Patient came with the complaint of thickening of skin at the arch of foot , He show the affected part and started conversation .
Pt : Dr I m suffering from this complaints since long a time and I took treatment from local as well as skin specialist , while using ointment and medication it is normal and less painful .
Dr : how can I help you ?
Pt : Sir I am feed up with the problem ( pareshan ) ho gaya hu .
You treat me for this complaint first then I will say you my others complaints .
Till now I am using steroid tablets and local application .
And the doctor is charging to much for it ..
Dr : Anything more ..
Pt : yes [ Kaam baad jayega baad gayi taklif toh ]
Dr : what problem do you face ??
Pt : Affected skin is thick and there is much cracks on it which pains a lot while walking . I am worker and I used to work with barefoot at my work place ..
Dr had advice me to wear shoe which I used to wear .
I only want it to be finished from it base .
Dr : Anything more ..
Pt : Also had problem of Constipated stools often ..
Dr : ok I am giving you medicine ..
# Observation : Bargaining nature of the patient . He used to bargain everytime when giving fees .
Before treatment .
After treatment .
After 15 days
No constipation
No itching
Less dryness
Less pain while walking .
PLANTAR KERATOSIS
ReplyDeletePlz shere the rubrics and the interpretation of the case as u did in the first case of warts. Thanks.
ReplyDeleteWhich one case no 1 or second
Delete