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January 1992

Persistent Painful Plantar Masses

Author Affiliations

Medical College of Georgia, Augusta

Arch Dermatol. 1992;128(1):109-110. doi:10.1001/archderm.1992.01680110119022

REPORT OF A CASE  A 27-year-old harvest worker was referred to our department of dermatology for evaluation of two masses on his left foot (Fig 1). By his history, the lesion on his sole had been present and gradually increasing in size for 1 year. He was unaware of trauma to this area and had not undergone therapy previously. He had assumed it was a wart and sought treatment because of increasing pain on ambulation. The patient was otherwise in excellent health.On the dorsal aspect of his foot, a 1-cm hyperkeratotic nodule was present at the base of the fourth and fifth digits. In addition, a 3-cm, fungating, verrucous tumor was present on his sole under the fourth and fifth metatarsal heads (Fig 2). This was sharply demarcated from normal skin and had a boggy consistency. Foul-smelling exudate could be expressed at various sites. No femoral or inguinal lymphadenopathy

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