Abstract - A nonsurgical approach to painful piezogenic pedal papules.

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DJ Doukas, J Holmes, and JA Leonard

A nonsurgical approach to painful piezogenic pedal papules.

Cutis, May 1, 2004; 73(5): 339-40, 346.

Department of Family Practice and Community Medicine, University of

Pennsylvania, Philadelphia 19104-4283, USA. ddoukas@...

For more than 3 decades, piezogenic pedal papules have been described in the

literature. While many individuals with these papules are asymptomatic,

patients with trauma or connective tissue diseases can experience pain. In

our case study, we describe a unique, nonsurgical approach that abates the

pain of painful piezogenic pedal papule (PPPP). Three injections of a

solution of equal parts betamethasone (Celestone) and bupivacaine (Marcaine)

were curative in a male patient with Ehlers-Danlos syndrome type III with

PPPP. In addition, combination steroid/anesthetic injection provides another

method of treatment in the management of PPPP.