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Piezogenic papules in Adult
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Piezogenic papules in Adult

Contributors: Daniel Gutierrez MD, Noah Craft MD, PhD, Lindy P. Fox MD, Susan Burgin MD
Other Resources UpToDate PubMed

Synopsis

Piezogenic papules are common and benign lesions that occur due to herniations of subcutaneous fat through the dermis when pressure is applied. Most commonly encountered on the heels when standing or walking, they can also be seen when the hand flexes at the wrist. As they are related to pressure, they have been reported to occur more frequently in obese individuals and in athletes including skaters and dancers. Piezogenic papules have also been reported more commonly in patients with Ehlers-Danlos syndrome.

While piezogenic papules are usually asymptomatic, associated pain has been reported.

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 papules.

Best Tests

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Management Pearls

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Therapy

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References

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Last Reviewed:05/01/2020
Last Updated:05/01/2020
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Piezogenic papules in Adult
Piezogenic papules : Smooth papules
Clinical image of Piezogenic papules
Numerous whitish papules around the heel.
Copyright © 2021 VisualDx®. All rights reserved.