Corns are a very common disease in daily life. Corns are caused by wear and tear on the feet. Having corns will affect normal walking. The growth of corns will stimulate the nerves, causing unbearable pain in walking and affecting normal life. Corns should be treated in time to avoid serious conditions. Alias Pathological Overview Corns are cone-shaped corn-like keratin growths that occur on the soles of the feet or toes due to long-term compression or friction. Epidemic characteristics and pathogenesis: The treatment should first soften the affected area with hot water, scrape off the surface stratum corneum, protect the surrounding area and expose the corn, and then apply various strong keratin peeling agents, such as commercially available corn ointment and 15% salicylic acid and lactic acid levofloxacin ointment. 0.3% retinoic acid ointment, 10% silver nitrate solution, etc., repeat every few days until the tip is dug out. If the corn is not infected, it can be removed by excision. The method is to use a pointed scalpel to make a circular incision along the edge of the thickened keratin, clamp it with toothed tweezers, peel it off on the upper layer of the zona pellucida, and dig out the corn. You will feel no pain when walking immediately after the tumor is dug out, and the pain and recurrence-free period will last for at least 2 months. If it recurs, you can dig it out again. Generally, it can be cured after 1-2 times, and sometimes 5-6 times. The above-mentioned digging method can be combined with external application for combined treatment. To prevent this, you should wear suitable and soft boots or use a small piece of sponge pad with holes to protect the local area from pressure. Clinical manifestations: Corns are conical keratin plugs embedded in the skin, usually ranging in size from a needle tip to a soybean or larger, with a smooth surface, flush with the skin surface or slightly raised, and are light yellow or dark yellow and translucent. The tip of the cone extends into the skin, forming a wedge shape, and the bottom is flat and exposed outside the skin. If the keratin on the surface is scraped off with force, a hard needle-like keratin plug can be seen in the center, with a circle of transparent light yellow ring around it, shaped like a corn. Most of them are 1-2, occasionally multiple. Generally, they are not easy to heal on their own, but if the causative factors are removed. It can also disappear naturally. Corns can be hard or soft. Hard corns often occur on the soles of the feet, the outside of the little toes, the back of the toes, and other bony protrusions or places that are easily subjected to pressure and friction. They are round or oval in shape. The surface is flat, hard and light yellow in color, and its tip can reach deep into the papillary layer of the skin. When standing or walking, it often causes severe pain due to compression of the sensory nerve endings in the papillary layer, making it difficult to walk. Soft corns often occur on one toe between two adjacent toes. Due to moisture, they become softened and become grayish white and have a foul odor. Plantar warts occur due to a viral infection. Differential diagnosis: The causes of complications are more common in people who walk frequently or stand for long periods of time and are often occupational. Its important inducing factors are local friction and external pressure, such as wearing inappropriate boots and shoes, which cause long-term stimulation and friction of the feet. Therefore, both feet often become affected at the same time, and it is more common in thin young and middle-aged people. It is often associated with chronic keratotic and desquamative tinea pedis. |
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