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A sixty-three year-old type II diabteic female presenting with asymptomatic bullae-type formation on lateral aspect of foot for last two years. Sudden onset, no previous pathology or trauma, the lesion does not drain or discharge. No discomfort on palpation - it feels similar to a varicose vein insomuch as it flattens on direct pressure only to fill immediately again on release. No neuropathy or angiopathy, diabetes well controlled with oral hypoglycaemics. No other medical history.

Any suggestions?


{photographs to follow - thanks Craig}

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? Diabetic Bullae

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Craig Payne
Department of Podiatry
La Trobe University
Melbourne, Australia
http://www.latrobe.edu.au/podiatry
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God put me on this earth to accomplish a certain number of things - right now I am so far behind, I will never die.
The views expressed above are those of the author and not that of La Trobe University
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That's what I though initially, Craig, but this lesion has been present for nearly two years whilst diabetic bullae heal spontaneously within 2-6 weeks of onset. I'll aspirate some of the fluid and get some paths done then get back to the forum. Thanks Again.

Mark

I rather agree with Dr.Payne on this one,because this may be a different bulla.Aseptic clear drainage is part of a diabetic bulla.I&D it and see what comes out.It is not necessary to put this pt on antibiotics.

A quick update on this lesion - a mucilaginous (or mucoid) cyst. Thanks for the comments.

This lesion could be a venous star.


{photographs to follow - thanks Craig}[/quote]

diabetic bollus need to be open