Sakakibara Shunsuke, Tokiyoshi Takahiro, Hashikawa Kazunobu, Terashi Hiroto
Department of Plastic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
Department of Plastic Surgery, National Hospital Organization Shikoku Cancer Center, Matsuyama, Japan.
Eplasty. 2015 Jun 17;15:e23. eCollection 2015.
Verrucous skin lesions on the feet in diabetic neuropathy is a condition usually induced by chronic mechanical stimulation of the feet of patients with diabetic neuropathy and usually occurs at weight-bearing sites. We here present a rare case involving a man with verrucous skin lesions on the feet in diabetic neuropathy at an unusual, non-weight-bearing site.
A 58-year-old man with diabetic neuropathy presented with a verrucous skin lesion overlaying residual skin staples and an amputation stump of the second metatarsal bone on the dorsal foot.
The biopsy findings were inconclusive and suggested the necessity of distinguishing the lesion from verrucous carcinoma. The lesion was resected, and the residual skin staples were simultaneously removed. Investigation of the excisional biopsy confirmed our diagnosis of verrucous skin lesions on the feet in diabetic neuropathy.
Verrucous skin lesions on the feet in diabetic neuropathy is often difficult to distinguish from verrucous carcinoma; in this case, the unusual location of the lesion could be attributed not only to sensory loss but also to the presence of an amputation stump and the persistence of the residual skin staples.
糖尿病神经病变患者足部的疣状皮肤病变通常是由糖尿病神经病变患者足部的慢性机械刺激引起的，通常发生在负重部位。我们在此报告一例罕见病例，一名患有糖尿病神经病变的男性在一个不寻常的非负重部位出现足部疣状皮肤病变。
一名患有糖尿病神经病变的58岁男性，其足背第二跖骨截肢残端上覆盖着残留皮肤钉合器的部位出现了疣状皮肤病变。
活检结果不明确，提示有必要将该病变与疣状癌相鉴别。切除该病变，并同时取出残留的皮肤钉合器。切除活检的检查结果证实了我们对糖尿病神经病变患者足部疣状皮肤病变的诊断。
糖尿病神经病变患者足部的疣状皮肤病变常难以与疣状癌相鉴别；在本病例中，病变的不寻常位置不仅可归因于感觉丧失，还可归因于截肢残端的存在和残留皮肤钉合器的存留。
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