Dunnihoo Mark E, Kitterman Ryan T, Tran David
Samuel Merritt University, San Francisco, CA, USA.
J Am Podiatr Med Assoc. 2010 Nov-Dec;100(6):502-4. doi: 10.7547/1000502.
One of the more frequent pathologic conditions that podiatric physicians are confronted with is plantar verrucae. Plantar verrucae have been studied extensively in terms of morphological features and incidence in the population at large and in patients with human immunodeficiency virus infection. Solitary angiokeratomas can be morphologically similar to plantar verrucae, presenting as hyperkeratotic pedunculated lesions. We present a unique case study of a 40-year-old man with human immunodeficiency virus with a painful solitary angiokeratoma masquerading as plantar verrucae. The lesion demonstrated clinical signs consistent with those highlighted in the literature for verrucae, namely, showing as red and black lacunae, punctuated hyperkeratotic epidermis. We propose that solitary angiokeratomas should be an important part of a podiatric physician's differential diagnosis in the lower extremity owing to the similarity of morphological features with plantar verrucae.
足病医生面临的较为常见的病理状况之一是跖疣。跖疣在形态特征以及普通人群和人类免疫缺陷病毒感染患者中的发病率方面已得到广泛研究。孤立性血管角化瘤在形态上可能与跖疣相似，表现为角化过度的带蒂病变。我们报告了一例独特的病例，一名40岁的人类免疫缺陷病毒感染者患有一个疼痛性孤立性血管角化瘤，它伪装成跖疣。该病变表现出与文献中所强调的跖疣一致的临床体征，即呈现红色和黑色的腔隙，有间断性角化过度的表皮。我们认为，由于孤立性血管角化瘤与跖疣形态特征相似，它应成为足病医生对下肢进行鉴别诊断的重要内容。
