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Piezogenic pedal papules - Skin
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Piezogenic pedal papules - Skin

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Contributors: Art Papier MD, Noah Craft MD, PhD, Lindy P. Fox MD, Lowell A. Goldsmith MD, MPH, Michael D. Tharp MD
Other Resources UpToDate PubMed

Synopsis

Piezogenic pedal papules are benign, usually asymptomatic papules of the feet. Similar papules can rarely occur at the palms and sometimes the wrists. They are due to herniations of subcutaneous fat into the dermis when pressure is applied to the feet when standing or when the hand flexes at the wrist. Rarely patients complain of mild pain from piezogenic pedal papules. Piezogenic papules are quite common. They have been reported to occur more frequently with obesity and in athletes such as skaters and dancers. Piezogenic papules have also been reported to occur more commonly in Ehlers-Danlos patients.

Codes

ICD10CM:
L98.8 – Other specified disorders of the skin and subcutaneous tissue

SNOMEDCT:
50510006 – Piezogenic pedal papule

Look For

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

No other lesions recur with pressure as do piezogenic pedal papules.
  • Fibromas persist and are usually single.
  • Warts have a rough surface.
  • Epidermoid cysts persist and usually are solitary.

Best Tests

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Management Pearls

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Therapy

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References

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Last Updated: 05/12/2016
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Piezogenic pedal papules - Skin
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Piezogenic pedal papules : Heel, Smooth papules, Feet
Clinical image of Piezogenic pedal papules
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