Many people are very concerned about some changes in their bodies in life. The first and most common one is the accumulation of fluid on the soles of the feet. This is a skin disease that will be embedded in our flesh. It is about the size of a mung bean or a broad bean, and the surface is raised. So it will be very painful when you step on it, and it is particularly uncomfortable. Most of the time there is one or two, and it may be multiple or single. You should choose the appropriate method of treatment according to the actual symptoms. Symptoms and signs Typical lesions are clearly defined, light yellow or dark yellow, conical keratin plugs with their tips embedded in the skin, about the size of mung beans or broad beans. The leather surface is flat or slightly raised. If you use a knife to scrape off the outer layer, you can see a hard keratin plug in the center and a transparent light yellow ring around it that looks like a corn. It often occurs on the soles of the feet, the outer edge of the little toes, the back of the toes and other places that are prone to friction and compression, but it is not limited to pressure areas. There are usually 1 to 2 cases, but there may be multiple cases. Because the tip of the keratin plug is embedded in the stratum corneum in a wedge shape, its tip presses on the peripheral nerves in the dermis, causing severe pain when standing or walking. The skin lesions that occur between the 4th and 5th toes become softened and moist due to sweat, with a grayish-white softened surface and a foul odor. They are often seen in people who sweat a lot on their feet and wear non-breathable rubber shoes, and are called soft corns. Medication Shoes should fit the feet properly, and should not be too tight or hard. Shoes should be lined with thick and soft insoles. If there are foot deformities, they should be corrected. 1. Local treatment Commercially available corn plaster: first soak the affected area in hot water, peel off the surface keratin hyperplasia, and carefully peel off the central keratin plug, and apply the corn plaster to this core area. Change the dressing once a week, peel off the whitened part before changing the dressing until the damage falls off. 50% salicylic acid ointment or salicylic acid collodion. First, cut a small piece of adhesive tape according to the size of the corn lesion, and stick it around the lesion to protect normal skin. Apply the medicine on the surface of the lesion, and then cover it with adhesive tape to fix it. Change it every 24 to 48 hours. Before changing the dressing, peel off the softened and whitened part of the lesion until the lesion falls off. 2. Physical therapy CO2 laser treatment can be used: local disinfection, local anesthesia, and then CO2 laser burning. Liquid nitrogen can be used to freeze the affected area, but it will cause obvious pain. 3. Surgical excision Generally, no anesthesia is required. Use a sharp scalpel to make a circular incision at the edge of the thickened keratin parallel to the lesion. Clamp it with toothed tweezers and cut along the blue line, deep into the base to dig out the corn. Then bandage it with sterile ointment and gauze. |
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