summer season, and crop plantar warts. Every week we see some. I selected this to be the most interesting since the patient has to 10 years.
Like many know, plantar warts tend to lessen over time, and when not, be suspicious of another cause, but it's the 2nd case I find long-term and that if a plantar wart.
10 years ago it appeared the characteristic symptoms and signs of the wart, which was applied to corn remedies, thus, there was a mosaic wart, which is what you got today. Saying it is asymptomatic and was diagnosed to seek the advice of a keratolysis puntacta and dermatomycoses.
treatment in this case, I opted for nitric acid, which is an injury and not very deep, extensive. 
This is the result of the 2 visits after delaminating. Thrombosed capillaries and burned, the white area where the wart once settled. 
In this picture, the 3 visit and final time, with a more thorough cleaning, you appreciate the continued loss of dermatoglyphics and depressed lesions in different compartments in mosaic. The patient responds well and 1 or 2 reviews the wart should be fully healed. 
This is a case which I believe I spoke in recent entries. A patient who stabbed a glass and felt the sensation of burning, cramping and pressure pain as having a mass within it. I drove the two etiologies were the plantar wart-infection to dig a crystal and the subsequent handling of the patient, and hypertrophic scar. The patient required treatment with the passivity of professionals consulted.
was treated with cantharidin and the result is an injury time painless, cystic mass was noted to be appreciated before, no pain whatsoever. If we see that healing is not uniform so that the etiology might be this or combined. Developments will be to focus towards a more accurate treatment and etiologic, hypertrophic scar. But until the symptoms, these scars usually subside after a year.
This is a curious case. The patient came referred by a professional who has given oral and topical antibiotic for 1 month. The patient takes 3 months with this problem.
erythematous dorsomedial zone is where it hurt before appearing on interdigital helomas that never in his life had the helomas at that location. Eventually joined the 2 pathologies.
to clean the abscess area is seen with purulent discharge that has been cleaned well and left the area sterile. 
It has been scheduled amoxicillin-clavulanate for 10 days and daily cleansing with povidone-iodine, as well as toe protection to avoid microtrauma. The oral antibiotic was given because the former had better give him before you get bad and I had commented that the injury was dorsomedial pre-infection, so I suspected chronic cellulitis (3-4 months evolution) , and a crop is not considered viable due to being medicated with oral and topical antibiotics for a month. Within 10 days
again review and improvement is noted, which she confirmed, although the pressure both direct helomas area (now clean the skin regenerated) and the medial dorsal area, there is a hyperalgesia.
The vascular status of the patient's right.
find another etiology is what is commanded by doing an analysis and an Rx.
When asked about the analytical, the latter includes 2 years ago and told me I had everything right, but when asked about each condition, said to have had rather high uric acid diet, but he was told and no treatment.
The patient has no other pathology. I suspect
not rule out bone pathology and metabolism.
This surgery has made me think much. Is a patient with chronic onicocriptosis years of evolution in which consideration of the channel displayed is not seen nothing fingernail after removing spike. However, it remains troubling, and it shows an erythematous area from matrix to hyponychium, all from the side. The nail grows under the skin and the tiny channel that I found to get to it, is too small to enter any separate instrument that is too plant and is very painful so I opted for this surgery. I started to cut the nail plate near the lunula, which began after the blade until the matrix espiculectomía knife and gouge.
I took off the piece of foil well with a curved mosquito, took the largest share possible eponychium sheet and also managed to remove the large piece of foil that was to distal. The remaining one matriceptomía
mechanical scraping, gutter cleaning knife and teaspoon.
After 7 days without reference, presented with no pain or post operative until that day.
You will see the evolution ...
plantar wart girl of 12 years. In the side view picture pretty ropy. ------------------------------------------------- -------------------------------------------------- -------------
Yesterday I started in a case "unusual." A patient who has 10 years hobbled by pain in the 4 th idiopathic finger, medial dorsal area from the distal interphalangeal area until the nail matrix. We have made
Rx, analytical, even the nail had to undergo surgery to remove it. I have seen yesterday and I think you have had a osteoectomia portion of the distal phalanx. They say they see nothing, and if he wants to remove the entire finger. The patient did not want to spend more under the knife as it continues with the same pain as before surgery. (That's what the patient says)
It has changed the mood, he has hip and knee pathology in the antalgic gait long and is no longer able to walk properly.
I in the first query I have reviewed the area searched systemic etiologies (no no). I asked a complete analysis and Rx in charge, that they did were in shock and I have no access to any. We've put a felt 5mms interdigital and other planting to protect the finger (just painful to play with or against something.)
The first impression is that he did not notice any pain, "it's like not having any problems," she said. I think it would be too cruel that the solution may not be possible. Evolving and will continue thinking about etiology and treatment. -------------------------------------------------
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Another case is a 12 year old girl with nail disease 1 year of evolution.
I have no pictures but the nail plate with neoplasms were microtraumatizadas sheet in layers, even in the area of \u200b\u200bthe lunula, it appreciated as there is one that has no continuity with the matrix, as if dislocated and at one edge if it is attached.
comment that the pain started to use dancers 1 day, only used them that day and the waste. I agree that. The complaint is that both sides eponychium you develop a purulent discharge, in which a lateral tightening mother treated him with betadine and the other showed a lesion as well defined sessile and friable, consistent with a pyogenic granuloma.
systemic disease, atopic dermatitis. Not compatible with the symptoms of nail apparatus rather mechanical etiology is much information that I think are reserved. -------------------------------------------------
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Tomorrow I'm going to Madrid to take the course of ultrasonic therapy and see what you learn. Good summer
tod @ s. Print
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