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Does anyone have any information regarding people who smoke and the incidence of intractable plantar keratomas? I have heard there is an increased incidence but have not read any article supporting this. If so, would stopping smoking help alleviate them in any way? Any other methods for treatment of these nasty fellows besides regular debridemant and deflective padding?
I would be interested to hear anything about them.
I would like to know where you heard that from
I have never heard anything remotely close to that.
__________________
Craig Payne
Department of Podiatry
La Trobe University
Melbourne, Australia http://www.latrobe.edu.au/podiatry
__________________________________________________ ___________________________________ 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 This is where I am, where are you?
The dermatologic & surgical literature have for many years described the negative effect on skin health and healing in people who smoke. My understanding is that a link bewteen IPK and smoking has been established (unfortunately I do not have the references to hand).
Clinically for some time I have refused to peform operative procedures for IPK if the individual is a smoker - the failure rate is too high. Interestingly I have observed that the worst IPK cases almost always effect heavy smokers.
For what it is worth I have also noted that when I have advised ceasation of smoking prior to any surgery (and the patient has complied) the IPK has improved or disappeared.
Best treatment for these horrid lesions may be to educate on evils of smoking.
There is some literature on the effects of smoking and skin physiology, but nothing that I am aware of relating directly to IPK's. Of interest though - I have seen many patients with Plantar Palmar Keratoderma (PPK) and for whats its worth - ancedotally, the worst cases have been smokers. Also I had a couple of patients who did improve following cessation although no where near a "cure".
As the previous posting said. best keep off the tobacco!
Anecdotally, I also recall a pt with severe IPKs who failed miserably to respond to conservative Rx. 6 months after smoking cessation, his lesions completely resolved, and he vowed never to smoke again as his symptoms had cause him much suffering. I also agree, that the worst IPKs appear in the smoking population.
Thankyou for the replies. Another good reason to let go of the horrid stuff. How many reasons do people need to give up tobacco? Okay this is not
antismoking site, I know, but I will certainly be passing on that info. to 2 people I have in mind. I'll let you know in 6 months!!!!!
Smokers and IPK
I have heard there is an increased incidence but have not read any article supporting this. If so, would stopping smoking help alleviate them in any way? Any other methods for treatment of these nasty fellows besides regular debridemant and deflective padding?
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