Hahm Ji Eun, Kim Kang Su, Ha Jae Won, Kim Chul Woo, Kim Sang Seok
Department of Dermatology, Kangdong Sacred Heart Hospital, College of Medicine, Hallym University, Seoul, Korea.
Ann Dermatol. 2019 Feb;31(1):66-69. doi: 10.5021/ad.2019.31.1.66. Epub 2019 Jan 2.
Plantar vein thrombosis, rarely-reported disease, is usually accompanied by pain and tenderness in the plantar region and should be differentiated from other dermatological conditions causing plantar pain, such as hemorrhagic corn/callus, plantar epidermal cyst, verruca, or plantar fibromatosis. A 52-year-old man presented with a violaceous tender subcutaneous nodule overlying a hyperkeratotic plaque on his sole. Initially, he thought it was a corn and applied keratolytic agents, which failed to work. Sonography revealed a well-demarcated mass with increased peripheral vascularity. His pain was relieved after a complete wide excision, which confirmed the mass to be plantar vein thrombosis after histopathological examination.
足底静脉血栓形成是一种罕见报道的疾病，通常伴有足底区域疼痛和压痛，应与引起足底疼痛的其他皮肤病相鉴别，如出血性鸡眼/胼胝、足底表皮囊肿、疣或足底纤维瘤病。一名52岁男性患者足底有一个紫罗兰色压痛性皮下结节，覆盖在角化过度的斑块上。起初，他认为是鸡眼并使用了角质溶解剂，但无效。超声检查显示有一个边界清晰的肿块，周边血管增多。在进行完整的广泛切除术后，他的疼痛得到缓解，组织病理学检查证实该肿块为足底静脉血栓形成。
