Unilateral Palmar Callus and Irritant Hand Eczema – Underreported Signs of Dependency on Crutches

Authors

  • Uwe Wollina Städtisches Klinikum Dresden - Department of Dermatology and Allergology, Dresden, Sachsen
  • Birgit Heinig Städtisches Klinikum Dresden - Center of Physical and Rehabilitative Medicine, Dresden
  • Georgi Tchernev Department of Dermatology, Venereology and Dermatologic Surgery, Medical Institute of Ministry of Interior, Sofia; Onkoderma, Policlinic for Dermatology and Dermatologic Surgery, Sofia
  • Katlein França Department of Dermatology and Cutaneous Surgery, Department of Psychiatry & Behavioral Sciences; Institute for Bioethics and Health Policy, University of Miami Miller School of Medicine, Miami, FL
  • Torello Lotti University of Rome, Institute of Deramtology, Rome

DOI:

https://doi.org/10.3889/oamjms.2018.031

Keywords:

Leg amputees, Crutches, Mechanical forces, Hyperkeratosis, Friction, Cheiropompholyx, Palmar skin

Abstract

Leg amputees who can’t use prostheses and patients with arthritis are often dependent on crutches. Their chronic use can exert significant friction forces. The palmar skin will respond by forming a hyperkeratotic callus. We report for the first time unilateral palmar callus formation caused by friction from using crutches. Another possible adverse effect is the triggering of irritant contact dermatitis by the handholes of crutches. We report two cases with hand dermatitis due to the chronic dependence on crutches and discuss treatment options.

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References

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Published

2018-01-10

How to Cite

1.
Wollina U, Heinig B, Tchernev G, França K, Lotti T. Unilateral Palmar Callus and Irritant Hand Eczema – Underreported Signs of Dependency on Crutches. Open Access Maced J Med Sci [Internet]. 2018 Jan. 10 [cited 2021 Dec. 7];6(1):103-4. Available from: https://oamjms.eu/index.php/mjms/article/view/oamjms.2018.031

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