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This maybe a long shot but it's the only thing I have to go on.....
94 yr old lady presented with bilateral red, shiny swollen tender crack dermatitis on her heels ( i have a great jpeg but not sure how to get that on here) that the GP has prescribed " a steroid cream" appeared spontaneously about 2 mths ago.... .... the only other 'change' that happened at the around the same time was that she was suffering from a severe episode of Shingles.... she also has a very minor version of it affecting both palms.. Has anyone ever come accross these two together before ?
Could Keratoderma Climacterium be in the DD? I heard it can be triggered by traumatic occurrences - could shingles be traumatic enough? I dunno, just thought I would add that.... Sorry if its way off!
Thank you for your comments..... I tried the tinypci.com but got bombarded with 'free gifts' ! I am going to show the pic to the pod team at our meeting next week for their opinion.... If your interested I will come back with some ideas and hopefully with the pic too..... JA.