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This man has been visiting the district nurse for many years to have long standing venous leg ulcers dressed . His Lasix dose has recently been adjusted and his current fluid level is the best the DN has seen it. I was asked by the DN to have a 'quick look' at the plantar lesions on this mans feet; they had been there for many months and the DN had referred this man to his GP about these lesions whom the DN described as disinterested.
O/E plantar lesions BF appeared to be different 'ages'-progressing from a quite hard superficial blister to small dried green plaque-like lesions. Initial presentation suggested to me that they are fungal however I thought the greenish tinge suggested a slight pseudomonas component.
I suggested to the DN that she deroof a 'young' lesion- take a swab and collect a specimen of the older lesions and send for MC&S and Mycology via this clients GP. She did not seem too keen on this idea and thought she would leave it until he could be reviewed in Podiatry in a 1/12. The DN takes digital records so I requested she photograph it so I could note any changes between now and then.
Hi
Yes i have seen something maybe similar.
If you read up the adverse affects on the drugs taken maybe you will come across blisters/ bullious pemphgoids as one of the reactions.
Could it be the change in drugs has brought this on?
Hope this helps
Ian
I have seen these lesions and always thought of them as a fungal infection.
They start as clear vesicles, burst or subside and then the scabby look comes on.
I have never seen them with the greenish tinge though.
Maybe ps species, maybe chromidrosis, maybe drug reaction.
I have even had the odd one of these myself many years ago, the first symptom is an itch and I soon learnt to recognise it and treat it with liquid betadine straight away and no further advancement.
Sorry I can't be of further help
Mahtay
Plantar Skin Lesions
Linear Mode
