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July 1950

PACHYONYCHIA CONGENITA: Regression of Plantar Lesions on Patients Wearing Specially Made Rubber Base Foot Molds and Shoes

Arch Derm Syphilol. 1950;62(1):117-124. doi:10.1001/archderm.1950.01530140121013

AN INTERESTING therapeutic result is herewith reported. A patient with large calluses and bullae on the soles due to pachyonychia congenita was able to walk with comfort immediately on wearing specially fitted rubber base foot molds. There was gradual and steady involution of the lesions so that to the time of writing, except for the flat and diffuse calluses on the heels, only one cherry-sized callus remained on each metatarsal arch. Each of these was also gradually undergoing involution after the depressions in the foot molds corresponding to the sites of these painful lesions had been deepened.


Case 1.—History.—L. H.,1 a young man aged 18, was first seen at the Department of Dermatology and Syphilology of the New York University Post-Graduate Medical School and the Skin and Cancer Unit of University Hospital on Jan. 23, 1947. His general health had been