Painful fat hernia

Introduction

Introduction to painful fatty sputum Painful fatatheration, also known as painful piezogenic pedalpapules, is a stress-related painful heel pseudo-pap. basic knowledge The proportion of illness: 0.0006% Susceptible people: no specific population Mode of infection: non-infectious Complications: papular urticaria

Cause

Painful fat sputum

Environmental factors (90%):

It is a stress-related painful heel pseudo-pap.

Pathogenesis

The pathogenesis is not very clear. It may be that the subcutaneous adipose tissue and its vascular nerve in the non-weight-bearing part of the heel are formed into the dermis through the fascia "pupil" under the external force, and the blood vessels and nerves are compressed by ischemia. And cause pain, in addition, the occurrence of this disease seems to be related to the specific quality of the patient.

Prevention

Painful fatty sputum prevention

Avoiding long-term standing is an effective way to relieve symptoms. In addition, the method of moving the heel weights forward, such as wearing high heels, can also alleviate the pain.

Complication

Painful fatty fistula complications Complications, papular urticaria

The main complication of this disease is pain. For patients with incarceration, the blood supply of adipose tissue may be hindered, resulting in local ischemic necrosis, which may be combined with infection. Therefore, it should be paid attention to in clinical practice. Protein, as well as combined with B-ultrasound for comprehensive judgment, if there is already ischemic necrosis should be active surgical treatment, ease the incarceration, to avoid the induction of systemic complications caused by infection.

Symptom

Painful fatty sputum symptoms Common symptoms Pimples heel pain pigmented skin lesions intractable pain

The lesions are distributed in the non-weight-bearing parts of the heel, such as the posterior and medial sides of the heel. The lesions are soft and round, and the skin color is papules. The diameter is 2 to 8 mm, and the number is 10 to 40. The heel is cobblestone-like. Appearance, standing skin damage is obvious, and there is pain, long time standing, weight-bearing or walking time, the pain is intensified, once the weight-bearing pressure is removed, the papules disappear, the pain is relieved, the patient is generally healthy and has no history of long-term weight-bearing injury.

Examine

Examination of painful fatty sputum

Histopathology: The dermal tissue is dense, the thickness is increased, almost adipose tissue is lacking, collagen is homogenized, and long-lasting lesions can be seen with large pieces of necrotic tissue and hemorrhage.

Diagnosis

Diagnosis and identification of painful fatty sputum

Diagnosis based on clinical manifestations, lesion characteristics and examination.

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