Pain in heels: Two cases with piezogenic pedal papules

Introduction: Piezogenic pedal papules (PPP), which are forms of responses to internal mechanical pressure, appear on the wrists and especially on feet. Repeated trauma or an inherent collagen defect mainly as Ehlers–Danlos syndrome can cause pain symptoms in heels. The PPP are mostly asymptomatic and noticed incidentally. Case Reports: Unlike the majority of PPP cases, two patients (both housewives), who took part in the present study, were older and they had severe pain associated with PPP. One injection of a solution of equal amounts of betamethasone and prilocaine was applied in treatment of pain in both patients. Conclusion: During follow-ups the patients did not report any clinical complaints considering the PPP and their VAS score remained significantly low. (This page in not part of the published article.) International Journal of Case Reports and Images, Vol. 7 No. 2, February 2016. ISSN – [0976-3198] Int J Case Rep Images 2016;7(2):81–84. www.ijcasereportsandimages.com Hayta et al. 81 CASE REPORT OPEN ACCESS Pain in heels: Two cases with piezogenic pedal papules Emrullah Hayta, Sibel Berksoy Hayta, Melih Akyol, Ozlem Sahin, Sedat Ozcelik