It is difficult to see from the pictures
?piezogenic pedal papules?

cheers

Andy
Andrew Williams
Department of Orthopaedics and Trauma
The Royal Liverpool University Hospital

Quoting Ralph Graham <[log in to unmask]>:

> Colleagues
>
> I saw this condition today and have no idea what it is. The lesions
> contain no obvious material and are flattened by compression. They
> appear to be venous and could be varicose but have appeared on both
> heels at the same time.
> They are not painful but are increasing in number.
> They do not look like any infection and do not have any skin discharge
> of break.
> they do not itch.
> The lesions are round, soft vesicle in appearance, containing no
> separate fluid like pompholix.
> Any ideas?
>
>
>
> Kind Regards
>
> Ralph Graham
> Consultant Podiatrist
> Witham, Essex, U.K.
>
>
>
>
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