Welcome to the Podiatry Arena forums, for communication between foot health professionals about podiatry and related topics.
You are currently viewing our podiatry forum as a guest which gives you limited access to view all podiatry discussions and access our other features. By joining our free global community of Podiatrists and other interested foot health care professionals you will have access to post podiatry topics (answer and ask questions), communicate privately with other members (PM), upload content, view attachments, receive a weekly email update of new discussions, earn CPD points and access many other special features. Registered users do not get displayed the advertisments in posted messages. Registration is fast, simple and absolutely free so please, join our global Podiatry community today!
If you have any problems with the registration process or your account login, please contact contact us.
Had a patient present the other day with a painless "sausage toe", soft tissue swelling on X ray was the only notable feature. She is mid fifties, has haemachromatosis. I have read that iron can accumulate in the joints and cause arthritis, but there is no pain or inflammation. Has anyone else come across this? the only other differential diagnoses I could come up with were:
Psoriatic arthritis ( no psoriasis present)
Gout ( no pain/ inflammation)
Reiter's disease ( as above)
A "sausage toe" is a reliable indicator of osteomyelitis in a diabetic patient, but you say that an x-ray has ruled that out.
I have seen many of these types of toes over the years and they have been usually asymptomatic. The only problems I have seen is when the skin develops "folds" which can restrict hygiene or when they impinge on neighbouring toes.
I think the haemachromatosis could be a "red herring".
Scleroderma usually causes pain, stiffness and swelling and would affect other areas.
Working on the "if it ain't broke don't fix it" principle I would be inclined just to monitor the situation. It could well be idiopathic.
If you have a picture that might help.
"Thousands of years ago, cats were worshipped as gods. Cats have never forgotten this."
The Following 2 Users Say Thank You to Catfoot For This Useful Post: