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.
